HomeMy WebLinkAboutGeneral Permits (2431)CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
9as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Ammission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name ,
Address
CityS�tr�,�'vr
Project Location (County, State Road, Water Body, etc.)
Phone Number A0.3 9S2-/690
State 11017" Zip ov:_�S3
Type and Dimensions of Project
6 ',V ftO'
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 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 SKETCH (SCALE: oar„TPA ) j
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MEN
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ONE
MEMO
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.
,1
Appl'ioayd's sig to
CAMA Official's signature
/Os"
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
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Ayr W44 vt riparian asa*" Wass# waiv" by 60. Y Odah to I"" 1'
!«hit aOtb k r•quireamt.
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i hereby cor,Zity that I ovra property adjaunt to J. O H N KNAyrR�
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XoiC�21 Qa lstr�a is P �c�o ...�Goy��r• FxGpp-0y Ass been daawilg•d to rs
as sham balowl Us developmmt. SIR
6^6 #hey prope�aad �
Q ��4 • aon
10"Usns and x brtve no Obj+wtimo to the Proposal. S sut►derx%W4 %"I if U0
4*vmlapmnt is a pl•r - it aAst be Sot back a di atame of 13 l*►t !tree
g srea of riparlau aacaes unless *aired by as. Idoldo,not %Leh to maiv a
that setbmk rtquirosant. (cle ano) ;
A•soriptlAft WWor drawing of propaaed develoymmts wSloata the sass and
lecatiGn CC US M t-Wlmra and the 4.istance betmot arch pOtOpei'1yy Uns bird
%he rater.
KEV1S�D 6--- l-qf RADED 3'h h1wP-ik4 �IUNb
tlAY-01-1995 10:39
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