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HomeMy WebLinkAboutGeneral Permits (3024)CERTIFICATION OF EXEMPTIONS -'1r- FROM REQUIRING A CAMA PERMIT i' #)i as authorized by the State of North Carolina, Department of Environment, Health, and Natural Resources and the Coastal Resources'Zo L. in an area of environmental concern pursuant to-t5-NC-­AC Subellapter 7K :0203 �""�`° ' '"""""g�'� ••«3A�►u�. Applicant Name Address 1 0410�v.r City Project Location (County, State Road, Water Body, etc.) State Phone Number a\R `)-� > '` 1 Type and Dimensions of Project J }. T) �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- NCAG=71<-%0203. This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal, or Local authorization. Zip --17 c� This certification of exemption from requiring a CAMA permit is valid for go -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 (SCALE: ) it f tr- f e. �c_Q Ca �S> 4 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 (2) a written statement has been obtained from adjacent landowners certifying that they have no objections to the proposed work. ,A71icant's signature CAMA Official's signature Issuing date =A —S \ ":� \CiC-�� Expiration date ac mehl: 1.5"North Carolina Administrative Code 7K .0203