General Permits (3025)

I
I jPt I P�
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.
L '
p cant's signal e
CAM Officia's signature '
Issuing date
Expiration date"
Attachment: 15 North Carolina Administrative Code 7K .0203

• .• CERTIFICATION
OF EXEMPTION
rtFROM REQUIRING A CAMA PER
y MIT -
�.as aufhor�zed by the State of North Carolina,-;:.,
Department of Environmerit; Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern ursuant to -
P -
f.i
7.
i�i :f• i 7i I _ - ---- tL - ---
Any person who proceeds with a development without the'c'on-
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.
CAMA Official's signature
S I: CV\
Issuing date
Expiration date
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