General Permits (3196)

CE-,GACT[0=Ny..O:F EXEMPTION
FROM REQUIRING A CAMA PERMIT (cdP
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 pur6uant-te-#5-NO-A6'S-ubehepter 7K--0i�o3.
Applicant Name S )_ . //l.'%�ra ., �; � �r' Phone Number J'fV_, 5 7d
Address •c� o
City iPra �.; State tie- Zip "'92S7
Project Location (County, State Road, Water B dy, etc.) ?: , a"'e
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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 pursoaraUo�4-r%-,NGAG-7.K=,0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
I SKETCH
This certification -of exemption from requiring a CAMA permit is
valid for -Se -days from the -date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
(SCALE:
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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 . ee2wtt:obairtedfrom adjacsrat
.landowners-.,.certxtying -that _-they-...have - _no•- objections.--to--the'-A_
proposed -work.
APplicani's signature
AMA Official's signature j 11 to
Issuing date WC V 1.9mi'
i-31-97 _
1
Expiration date�'M.r
Attachment: 15 North Carolina Administrative Code 7K .0203