General Permits (2116)

r CERTIFICATION OF EXEMPTION
I l
—y"
ECEIi�Ta
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, "l 1 2 2011
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0003.
L,, !%CM . en
Applicant Nam LDS � S J7 Phone Number
Address
City State Zip
Project Location_(County,Atate Roikd, Water j3ody, etc.) S 1---r
1 yPG QI lu Lill IIG
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 .0f03. 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 isl
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.
/1
SKETCH (SCALE: = d/'j )
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 ' cent
thet they, have itu objections to the
'erk.
Applicant's sigplpture
issuing date
Expiration date
-,Wa
signpture
0

r RECEIVED`'
CERTIFICATION OF EXEMPTION
SEP 2 1 2011
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal ResoALK MWArAWsVion
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .OtO3.
Applicant Name Vlah-615,'i 8F k0 � Phone Number s?� +Dt171y
Address
City State IV zip win
Project Location,(Countx,gtate RoAd, Water13ody, etc_) F-P
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 .OiO3. 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
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.
4�
SKETCH (SCALE:
EEL
a
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 wrttet� staterr�st f�as beenrobiained fr�r�radjaeewt-
-4aridewners--certtfying--that-they­4-ave--no--objectians�­to­the
.prspesed-wetk.
re
lE
Issuing date ' r '
P ) --)a b
Expiration date
_-�Atiach�c�t�-f�lmrt�-(3arof+aa-iaisi�atave-Eeds��93