General Permits (2046)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant Lo 15 NCAC Subchapter 7K .Q203.
Applicant Name lit// /Jir' R r'l , �r /•:�• �'`t r/�, /=sue Phone Number sW
Address lAA 4
City '.ail', e:,,; • State Zip1//:�
Project Location (County, State Road, /Water Body, etc.) ani
y
Type and Dimensions of Project
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 .G203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
sent OT a CAMA omciai unaer ine MISTaKen a55UmfJ110n [flat ule
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-adjacot
landowners cartifying- tbat--they,,haye wno ._o.bjections to the,
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.
Appiwanr 5�ul n- We
r
CAMA"Official' si ature
5 i�
Issuing date %
Expiration date
proposed work. f r�
It,
Attachment: 15 North Carolina Administrative Code 7K .¢203