General Permits (3071)

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- ERTIFICAT-10N OF EXEM sS_ Tr~MB `P
FROM REQUIRING A CAMA PERMIT f J {
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asysuthonzed by the State of North Carolina << -
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Department of Environment, Health, and Natural Resources and the Coastal Re§ources Commission
to an area of environmental concern ;
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I Applicant Name _ %J f. `'V �1">i �C' -.one
Number �� 3 Ph6 7-
,Address E 3 S
City _ �. � >• State �''�J� �., -�,� i7,n � r; ��� ;.
Project Location (County, State Road, Water Body, etc.)
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Type and Dimensions of Project 21C-- 0 er -; �� � X Lr - p� �o � � ���� • � i,-�
` The proposed prolectto be located and cones rutted as descnbed This certification of exemotion from requrnng aCA(AA pe m i+ s
above is hereb certrfied as exempt. .the LAMA permit re- valid for 99dgys from the date oftssuance ,Following expiration,
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quirerrient a `This exemption to a re=examination of the protect and protect site may be necessary
CAMA permit 'requirements does not alleviate the necessity of to'continue this certifica#ion
,your obtaining any other State, Federal, or Local authorization.
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Any person who proceeds with.a development without the con �( /Y I -� .. D� ��
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sent of a CAMA official under the mistaken assumption that the ppli a is signat� ¢�
developinenf is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. C fficiaV s� n re Gc�
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the Issuing date
conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent I 1 q %
landowners certifying that they have no objections to the Expiration date
proposed work,
minis ra i 3