General Permits (2123)

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CERTIFICATION OF EXEMPTION �- �En
-� FROM REQUIRING A CAMA PERMIT 2�i 4 2011
as authorized by the State of North Carolina, �r.
Department of Environment, Heatth, and Natural Resources and the Coastal Resources CommissixAf-Af'Ll"'T,
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name ., Ai•-/kL Phone Number
Address 1 > ► t"', A t')
City ;-T=! i7,k-vyIr State I i
Project Location (County, State Road, Water Body, etc.) -c I ! -A t._ KI ,_, iTj
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Type and Dimensions of Project { i Z _ r\ ? 1 LV2 A It,' ,Y
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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.
This c^rtification 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.
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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-written.statement-has-been obtained.#rom adjacent
landowners -certifying--that-thW-44ave--na-objections._.to the
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Applicant's signature j
CAMA Official's signature
Issuing date
Expiration date
proposed -work.
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Attachment: 15 North Carolina Administrative Code 7K .0203