General Permits (2656)

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CERTIFICATION OF EXEMPTION VED
FROM REQUIRING A CAMA PERMIT 5EP 2 8 201
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Fks ,qp Qmmission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K-:o203---- i - ; , ; U';: �. y
Applicant Name Rt'e t. c a F . Mt, L't 1,yo%a b lY i Phone Number
Address_
City r,. State i'; Zip 1-3 t f
Project Location (County, State Road, Water Body, etc.) I Lt I L),; < F- I<g1 , Loi I
Type and Dimensions of Project 49010 M let L^ -i__ 4 y c - 3 f u l
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 ccrtification of exemption from requiring a CAMA permit is
--valid-for90 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: ' ) I
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.writtenstatement has been obtained from-adjaceat-
-landowner.s..certifying--that they have -no- objections--to--the
proposed work.
_ _s
lm
Applicant'sture
CAMA Off icial's sibi
Issuing date
Expiration date
Attachment,: 15 North-Carolina-Administrative..Code_7.K_0203.--