General Permits (2150)

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 to l"G-AC" Subchapter 7K .0203.
Applicant Name fit` 'fit ��1�� � `1 el& Phone Number 519
Address 1 a
City State 1' Zip
Project Location (C unty, S ate Road, Water Body, etc.) &'xov
s /.� �� r'a-A•�..�-r
Type and Dimensions of Project T2 e ay,- 5 P4,), r A' ' �"�" / -✓
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 115 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
N(-ems` 113 A I P-; 5 4
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.
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SFP 0 2 20,
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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 from adjacent
landowners certifying that they have no objections to the
proposed work.
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Applicant's signature
CAMA Official's signature
Issuing date
,/Ar
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203