General Permits (3145)

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CERTIFICATION OF EXEMPTION,
_Y J U L 0 7 1997''
FROM REQUIRING A CAMA PERMIT '
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resource's emmnrissivrr---------
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Number
Address / - / r)TL �4 r /� 1 V (=
City k /1ZA <14L) (' 1'4 \/ State N C Zips 50�.
Project Location (County, State Road, Water Body, etc.) PAS 4; & z-,T,*9 ti; i- 9 A7 E ,-1 ,-f
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Type and Dimensions of Project ' !'L fl CL- / /C'L P,q /8 /i ) ( K O e/ L k bc) i T- H
14 V /Q I)cCX , It ICeI f4AJe /r=/� A &) p f,4
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 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This c(-rtification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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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-frorn-adjacent
fandownefs-eeAffying that-they--ha-ve-..no--ebjeetions--to--4he-
prepesed-walk.
Applicant's signature
Jit shy � -,ZF-
CAMA Official's ign re
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Issuing dad
31
= (�
Expiration date /
Attachment: 15 North Carolina Administrative Code 7K .0203