General Permits (3224)

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El�T=Iµ�14Tti N�OF EXEMPTION 9
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, D /
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 71< a003.
Applicant Name C ?Wr"6 Y
Address /61 � fipo rrA
City
Project Location (County, State Road, Water Body, etc.)
Phone Number ;72W%71S('
State 1t,/G zip 7kS'(G-
Type and Dimensions of Project r0��{c+�r . �1 s�-s�lti«.t 54,
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant­4o-15-NG-A0 7K .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
valid for-904ays from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
G' P
I SKETCH (SCALE: a,:, ) I
;�;�5�/•�C-�,�� � va-spy ,
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 from adjacent
landowners certifying that they have no objections to the,
proposedwork.
y.
Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203