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HomeMy WebLinkAboutGeneral Permits (1952)O CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, rJ� Department of Environment, Health, and Natural Resources and the Coastal ResAps CommisPon in an area of environmental concern pursuant to 15 NCAGSUbchapter-TIC-:4203. 6. 0 Phone�u Applicant Name �avr ;�r,:�.„,,�. fiber Address v c: Cis, X s x 1, City State _K) zip ;A'q 5 N 9 Project Location (County, State Road, Water Body, etc.) i)u P +� a ,a s� N-e if n 411r 1.;•i1^ J� ICi�- A„ L� � NL' :� YLA FteiIUlSG,'i r}p b- CIC+ C ✓ 1 !� 0<4IGu Type and Dimensions of Project �?s., ..� �;, �, 1 1� ,.>, (^doA.1A OeNa 'Ar.4--' v4 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 NGAG 7-K--:0203_,.This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal, or Local authorization. This certification of exemption from requiring a CAMA permit is valid4er•9e-days&om the date of issuance. Following expiration, a re-examination of the project and project site may be necessary to continue this certification. SKETCH (SCALE: ; ) T N T 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)-aw4ttenstatement has-b-genobtained-from-adjace.nt. -landowners-certifying--that•--they--have -ncr-objecttons--tcr-the- -proposed-worts-.- --- -- re- s nra A 3 i Issuing date Expiration date --Attach-nTamt"15W rth`Cai•o i-1"naAdministrative-CoJe 7K-MM-