General Permits (2905)

0`CERTIFICATION OF EXEMPTION
v
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 15 NCAC Subchapter 7K .0263.
25
Applicant Name f , ( k 5r , d.y T ` Phone Number 2.'� 2 ."��D. �"/�
Address
City State t Zips ;
Project Location (County,, State Road, Water Body, etc.) VCW J ���?/.'Vt / / /�' 1- -X2 < -S °mac cz�
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 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.
SKETCH
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.
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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.
s
Applicant's signature
CAMA Official's signature
flly
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

Nov 09 07 11:43a Ric Wright 252-330-4091 p.2
NDO-07-2087 14:09 From: 1 o:cf�c� tiul.11 -•�
CERTIFICATION OF EXEMPTION
- FROM REQUIRING A CAMA PERMIT
as authorizod by ilia State of North Carolina,
Department of Environment. Health, and Natural Resources and the Coastal Ro urcos Commieeion
L„ In on arse o1 onvlronmomal contain pure? t oh NCAC Sutxfta?Ier 7K P20.
S� 330. yM��J
Applicant Name ,� �� S.*arwcs I' l ''SS " Phone Number ZSZ ,33D. S'�if
Address �^ (-_ ►- fateA.1C zip
City _
Project Location (County, Stal oad, water Body, etc.) w G
74
`type and Dimeni—lons ojf roject
Tho proposed project to be located and constructed no doocribed
ef,ovo Is hereby certified as exempt from CAMA permit ro-
quiremont pursuant to 15 NCAC 71( 3. This exemptbn to
LAMA permit requiremonts doa9 alleviate the neceoclty of
your oblalning any othor Siato, Federal, or Local authorization,
SKETCH
This codification of oxemptlon from requiring a CAMA permit it,
valid for 80 days from the date of IaeUDMA, FoNowing expiration,
a ro•oxaminatlonof the project and project mile ay be noceomnry
to continuo thin certification, 12, /•C
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Any person who proceeds with a development without the con.
3onl of a CAMA official under tho miulakon assumption that the
developmont is exomptod, will t>o In vlolotion of the LAMA fl there
Is o aubooquont dotorminatfon that a permit wat: requirod for tho
development,
The applicant cediflos by algning thin oxomptlon that (1) rho ap-
plicant has read end will abide by the condltlons of Ihls oxomp-
lion, And (2) a wrhlon Gtatomonl has boon obtolnod from adjacent
landownars certifying that Ihay hove no objections to tho
proposed work.
CAM f0flicial'm sign uro
7,
laouing date
Expirallon data
Ahachmonr; 16 North Carolina Adminlstrativo Code 7K Fd3