General Permits (3192)

C-E-R-T1-Ft-ArTi0f =0,F_ EXEMPTION
FROM REQUIRING A CAMA PERMIT ✓
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 purevant ie-4-&-N AG-Subchapter-7K-.42-WT
Applicant Name Phone Number v&S- 370-33e7
Address /�.3 �• �.c
City State 7 Zip 3706y
Project Location (County, State Road, Water Bod ,etc.)/y/ /.rG /� / i•,�! ,,
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 pursuant-to-t5--NCAi✓--74<-10299 This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
_'/ &� L
This certification of exemption from requiring a CAMA permit is
valid for s from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
S', f u/. ) r;
I SKETCH (SCALE: )
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-�%'77N CT /F/�.rivPj ►� 4S !1/�crs' r �b-+. ��S�G�, cti �
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.beenobtained from -adjacent
landowners- certifying---tt}at--they--have- no -objectio.rrs_ to --the
proposed work.
i
s sionature
1
LAMA Vmclal's signature
9%
Issuing date
i 3' 9%
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203