General Permits (3011)

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11 TN.
1997
CERTIFICATION OF EXEMPTION
_Y ,SUN 1 8
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, ___ r_.---- "-"-~
Department of Environment, Health, and Natural Resources and the Coastal Resources - Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name q k P Iz- _r aO LOW "To 9 K, E-a Do E ►.l Phone Number
Address ► f 9 u.J 0 r o M, L c T) if
City d,/ r--r(^., S 4 F A v State !U C. Zip s
Project Location (County, State Road, Water Body, etc.) ,D �1 R c: C� o u i , 1 o w .>J 0 A& s t
AC, �'ct�GEt� 4�3? �'cr�c►.jo-e
Type and Dimensions of Project -rqO q c e GA;,, rs A
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.
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This c(-rtification 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.
SKETCH h", �'.. s- (SCALE:
7' r'G it L) E77A t i- I = 46
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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.
plicant's signature
CAMA Official's signature
Jr1 _ir i
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203