General Permits (3238)

9 q
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT.
--has authorized by the State;of NorthCqroina,�� . . .
Department of Environment, Health, and N Resources
atural Resources and the Coastal Resou s Commission
in an area of environmental concern
Phone Number
Applicant Name 0 S:�==
-9 0 .Adcress IRT
-city., �� I h 1,1:r State ;Zip 2- 78 1 -7
Project L6-6ati-o'n (Cob_nik-,-State
Fload,wat6ri-Bod -etc.)F!�Aivl � -tJ i�r 8 j�, - T-
Y, r:2 Inv —
ram
I 1=10C Q W I W
Type and DimensionsPA� i Fz - of Project 1-1 x LT_
P F) J
E Y,/ or 4
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90=da" from the date of issuance. Following expiration-,
quirement This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this c ertification
your obtaining any 6ther State, Federal, or Local authorization.
SKETCH (SCALE:
8
)14
\06L,
C
n Mr-
Exts r)
==_R V
1 J
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 H 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) awritten statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.,
C PA 1 %2 r_: P_
V- 7V711`1�7`17 -TV, `W-1,
I% A j6
!'Applicant's signature
--C-A-YA rjtial'gnat re I
L=
Issuing date
C1 L Y -7
Expiration date
A= r`afiVe_-QQde=Z9�3