General Permits (3164)

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CERTIFICATION OF EXEMPTI ►`
FROM REQUIRING A CAMA PERMITL,iLJUN 1 9 1997t�
as authorized by the State of North Carolina, I�
Department of Environment, Health, and Natural Resources and the Coastal M, *11.60; r�
in an area of environmental concern pursuant to-15--NEAC••Sttbebapter7K .0--
Applicant Name /'\ tJ/LL ; Phone Number
Address 70 U ciUA
City ,,1;f; -e,6e
Project Location (County, State Road, Water
®lain//([ /libnL AIARa U0Aa ell 1
, etc.)
State C. Zip 27k331
Type and Dimensions of Project x- 'i./ 72,
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,-7'KC-:0203. 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
vaiidfor'913•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: )
f/
I
P
II' A /j�,LKNfrlr9 �
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's;signature
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the r =
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1) the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent . J J
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 Nort1r'C'aroOn Administrative God- fiK :0203'