General Permits (2253)

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CERTIFICATION OF
FROM REQUIRING A CAMA PE IT
as authorized by the State of North Carolina,
I MAY 2 3 1595
Department of Environment, Health, and Natural Re the Co es Commission
in an area of environmental concern pursuant to 15
................
Applicant Name d /�FRc�/ :_3(/MC // Phone Number A9/9) 39v- `lo30
Address <, c'�W' e?/ &
City ' ? State A)C_ Zip A 7FS3-
Project Location (County, State Road, Water Body, etc.) ice,?-iw- Cc, F 1-4, / 4/S_ 1.4 r'FILe : -r l?,-=AC i
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Type and Dimensions of Project ' W " r, xi t ��� y✓� �'� �► �� -' �x "� Z v
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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.
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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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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.
Applicant's s' ur/e
CAMA Official's signature
l.? /t-?/' / yh,
Issuing date
/>� 4(JQ ISf_ /995--
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203