General Permits (2504)

Applicant Nan
Address, --A
City
Project Locatii
e and Dirr
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 15MAG-SUbchapter 7K .0203. IV41
p
/.c"
Phone Number ) 4WO
i (County, State Road, Water Body, etc.)
f
isions of Project
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:7,f--: 20 ,T,his,exemption to
CAMA permit requirertrts�dos'rioYalteafe the necessity of
your obtaining any other State, Federal, or Local authorization.
State
11
WE
;�irsi� ���s,�ti��T.s..c' A�vl <"`�'i/�•fi'✓'d'.� �,Cif>�itr�
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.
SKETCH (SCALE:
none S-er m 6af quo urea Kn i— i�aaei'f�ax aie •�•"`�• —
—� Otter Creek Landin�
UKu0it,W",0= Yacht Club, Inc. alri-41
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26 25 1 24 ' 231 2z ' 21 1 Zq 19 118 17 16 A5 N 14 13 11 0 09 08� 07 � � 06
E
Otter Creek Landing HOA
741
UM a"
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•ri .i-. .i�l�f� f.I�y+^.� Y' �}jp .`i��,r�r"�F �'��G�;�✓IAFra"'.,�r.' "!✓?,�%^!� "�!I /E`i� IP� 4- L'3 r/l�G �CY:
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(Z),a.written statement has been obtainedfrom-adjacent
landowners cedSifxing.. that- they have no objections -lb "the
proposed work: --
Applicant's signature f
CAMAtIcial's signature
il/i • �
Issuing g -
Expiratioridate
Attachment: 15-North Carolina Administrative Code 7K .0203