General Permits (3037)

'- Il/tRRtCA�,1i. Ffzo,4,si,..,
CERTIFICATION OF EXEMPTION
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 e ZJS.�03.
Applicant Name ,'�.1/�L—'�TC�i>,► �� Phone Number �� Iq� Z37 - 3�
Address 3 �c ? ► R13-oo►
City j,�i I t c ri ;.] State , ►c Zip 7 5
Project Location (County; State Road, Water Body, etc.) ► F& ).:-�),p , - �� S � -7-A ;
YLtjE t--rz GS? 1 C C) -R iIQ
Type and Dimensions of Project j?y,ACIS -r 24U r5'q " �I ' R j,�; XZsZ• �' NE �a� r �r �x I(.'
�flc/n:li1 ► Cyr l(. cly=PDc"I Jc --i A 'Ki ri 57 1 tVP0 Jr.! �4 2'�r3ci c Ail�✓aC lc d,`, P
? =1P4i 12 t -7Sf 1`70AR
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for Y�from the date of issuance. Following expiration,
uirement q .This exemption to are examination of the project and project si
te may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
SKETCH
(SCALE:
G
�,n � S
�TYsor--3
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the /VApplica
development is exempted, will be in violation of the CAMA if there I
is a subsequent determination that a permit was required for the
development. C WA
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
12 S�?T_nE
Issuing date
SI -UIl -X f9 -7
Expiration date
Attu Norib:Q=Jma-Ad=wustmtive-eode,7-4�--p2p3