General Permits (2967)

CERTIFICATION OF EXEMPTION 9
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 t4CAC7&9bthapterVK,0243.
Applicant Name \z �; c•.� Nt,. \kor
Address
City
Project Location (County, State Road, Water Body,
Phone Number w;a
Type and Dimensions of Project
E_ t
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-Ef 70203. 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 for'9"ays 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 tha_mistake.n assumption that thg
development is exempted, will b irl violation of the LAMA if there
is a subsequent determination t 'iernhit was required for the
development.
MAR 2 1 1997 f
The applicant certifies by signin is exemption that (1) the
plicant has read and will abide
tion, and (2) a written statement been o _taine,�rom a�Lacent
landowners certifying that they have no objections to tSe
proposed work.
Applicant's signature
CAMA Official's signature
;5 i
Issuing date
Expiration date
-Attachment,15 No�h-Ca`rofina Administrative -Code 7K .0203