General Permits (3154)

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C E RT IFI-CATION _.O F EXEMPTION
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FROM REQUIRING A CAMA PERMIT U ro/
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 pursuant to 15 NCAC Subchapter 7K :0209.
Applicant Name e 1`4_4
Address F . A a,,�..
City �War, G, /
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State
Phone Number 7yf" //r110
Project Location (County, State Road, Water Body, etc.) A-4.1 %t',: ,.z
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement.;p.ursua*fro,-1&=F AC'7K :W,,@9. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 944ays 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 (glawritten statement hasbeen-obtained from adjacent
landowners_. certifyjng--that they have no objections to the
proposed work.
Applicant's signature "
A
CAMA Official's signafure
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Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203