General Permits (3225)

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' CERTIFICATION OF EXEMPTION
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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 p=uaat4c,451 -�a
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Applicant Name T oIi,IN WI,WCL r, ,,Z
Phone Number (7S 7)
Address 31 d -L 1 A �
City CgfSAPEAKtc State V/a 3-,
Project Location (County, State Road, Water Body, etc.) [St c. �a Ft�rt r e � � F S1z 17 22 A i .Zip 2 _ ?, 4
�L It C 1VF . (ilt�( 0�J Pk/WC>0 I?IVE7< Nl�-7D� 1(_IIAVEKJ
Type and Dimensions of Project R i� Em k > IEa e (, Nc� w ,A n c �) ►Su' x 4" Pi F ,z
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement p1++4*+a*+tt0=t_..:N 7 03, 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 ftdays 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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SKETCH
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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 (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
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Applicants signature /1G_r'v 1 <ciC iJ,_1e6fy<
CAM,A Official's signature
Issuing date
7
Expiration date
Attachmzv::T -North2earoiirraAdministrative Gode-7K-{0203