General Permits (2368)

O
CERTIFICAT
TION %
FROM REQUIRING AMA PERM T'
Ilu
as authorized by the State of No flr `� y' ud •l44fd f .�c
Department of Environment, Hea A! t l a Coastal Resources Commission 28 f&
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name 2 OJV) (O ih2 V1 Y) \Ee
Address 4s t2 f
City (� (�- P, C E 1 R) rUAt
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
04
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.
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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Phone Number 42-- —49'�9
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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.
I
CAMA Official's signature
Issuing date
It -t
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203