General Permits (1802)

-" -
CERTIFICATION OF EX'1Nr
FROM REQUIRING A CAMA PERMIT i tr,UG 2 5 is
as authorized by the State of North Carolina, _ �^I
Department of Environment, Health, and Natural Resources a+idthe Coastal ResourcTes mission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name l-e _H,-Y do, s
Address f.% .3 L 172 it
City i-1,4 , r,J
Project Location (County, State Road, Water Body, etc.)
Phone Number {, Y�'/ �_
State Zip
Type and Dimensions of Project /Kfn -7,6 u rz.-,) A2
icy / v / / JW_ e a _! w ,of- /.,_ .� / ]- .c: i
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.
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.
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.
Applicant's, sig nat u re
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203