General Permits (974)

CERTIFICATION OF ���%I���Ir�l
FROM REQUIRING A CAMA PE LIG '11.'95
as authorized by the State of North Carolina,`J1.Department of Environment, Health, and Natural Rerat oasfa es o ices Commission
in an area of environmental concern pursuant to 15 !!G'A�SQCiLIS�pier iR"'003.
Applicant Name �-) c:,- r 1 0 L'Q - r i g Phone Number t j ' Z I U22
Address � - : Guy Sri2rA
City C= r ee viv- ►lC_ State MC_ Zip 2 76-34l
Project Location (County, State Road, Water
Body, etc.) , i- Ca - rz 1-7-7 (. t) Sr iAk C
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j(n d ,d ircc ki tonsGQ SiytY 11CO3r UeI VPN
Type and Dimensions of Project Const,rucct 1 I.So, x 6, i 1�r w�ah ' 12',9 IC,' L 1-leac1 GnC1
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The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.//4_
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
Applicant's signature
CAMA Official's signature
` 1I c QUI Z l9ys
Issuing date
/ 116 v Pmhe /5 y5
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203