General Permits (1970)

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CERTIFICATION OF EXEMR1401\1
FROM REQUIRING A CAMA PERMIT MAY 3
as authorized by the State of North Carolina, 20�2
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subch.
Applicant Name I�iul iyvi '1c+ f: Y✓EkA Phone Number 116- A -3b43
Address 1 Z. rl rte ► C.
City
Project Location (County, State Road, Water Body, etc.) �)YU`1`AN'
S
Type and Dimensions of Project
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1 .Ls !i a C_
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.
Iro
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examinafion of the project and project site may be necessary
to continue this certification.
SKETCH (SCALE:
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lri��"I.�NDS
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Any person who proceeds with a development without the con- bl
sent of a CAMA official under the mistaken assumption that the s signa
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA icial'sf i' ure
The applicant certifies by signing this exemption that (1) the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion, and•(2)-a-written statement.hasbeen obtafnedfrom-adjacent - s
landowners certifying .chat -..they- have no. objections- to._th.ew., Expiration dz
proposed -work:
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Attachment: 15 North Carolina Administrative Code 7K .0203