General Permits (2761)

CERTIFICATION OF EXEMPTION
1 k i v'�'--Xogfi h-
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, /0 13,9u t-� /?�p� 1AP�p 14S F/—
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission 3q f ?y
in anjer
area of environmental concn pursuant to 15 AGt�u6chapter 7K .0203.
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Applicant Name V� d IA�b b t LC Phone Number 302 U7 "
Address Icr
___F s Off r RE-5 W
City State !� zip
Project Location (CQunty, St�tp,�oad, Wad Body, etc.) c �l L
Type and Dirnp_n ions of Proj t f �lCLC vi' t��
The proposed project to be located and constructed as des C- ibed This ccrtification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the,;OAMA`permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 1=5=ftl'C%r- C 7K-:O S�.-This• exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
our obtainingan other tate, Federal, or Local authorization. pj
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Any person who procE- '-
sent of a CAMA officie
development is exemp
is a subsequent deterr
development.
The applicant certifies
plicant has read and v
tion, and (2) a written s'
landowners certifying
proposed work.