General Permits (3038)

7ii T t/:
CERTIFICATION' OF EXEMPTION
FROM REQUIRING A LAMA PERMIT
as authorized by the State of North Carolina, a
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern�prtrsuant-te I"GAE-subchapter --0203.
0 %
Applicant Name rr:� I �� � f.. ,�`.. (--.. --.�-�- i✓`e
Address _'/ c , Z / //,,
City _{
Project Location (County, State Road, Water Body, etc.)
0r
Phone Number ')` - 1
State zip
Type and Dimensions of Project ,fiat%
i'G C./� f" .') sCf
eG S i"ry . 61, - r� f':
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursua'nt,10 15-NCAG,7"K�'0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This co, r icwation of-6emption from requiring a CAMA permit is
valid for-9e-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:
Ali 'cex�• t 11; iWA-11!
�/6 f r(i,14 rl.., (' ,+ Ll
i-
r
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.
CAMA Official's signature
1�- / 3 - `F&
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

I 0-T nrl W-- u L
.. ........ .... ....... f 7
77'
mc�
+
919-
a L
V-- -
I .
T-1 ------- F- 24. y
Pou
Vc
;,co
4
Na -
jT?
1 -�f---
Awl
n-V
Olt
pm.
IIRSINP--
. . .........
N-L-- -57AE51LIZA�
ION -
E-
-F LAN
F--HEAZ CLT**Y
40
ujlll'I*S architect
..,_,
-
809 BRIDGES STREET POST OFFICE
I
BOX 3648 MOREHEAD CITY NORTH CAROLINA
28557 919-726-7091
''