General Permits (2896)

CERTIFICATION OF EXEMPTION E011(_108
FROM REQUIRING A CAMA PERMIT
A
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 15 NCAC Subchapter-,7K-.0208.
Applicant Namei(ci}, j c; : Phone Number,�Sai 144- OS(o
Address I(DS C",, ate, K iwli
r City State Zip 4 0
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions 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 1.5-NCAC­7*�M3. 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_fo 9_ 4p s 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: N i ) 1
11101 i - ,
- t-----^ So---i------ '.50'---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 (2t)•a written statement -has-been obtained#•romadj'acent
landowners- 'certifying - that t•hey. have __no_.objectio.ns..,to_.th__e,_.•
proposed work;---
CAMA Official's signature
Issuing date
Expiration date
Attachment 15 North Carolina AcYmtryisTrativa,ttsdu-7K-020`.*-