General Permits (3338)

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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT MAR 1 9 1998
as authorized by the State of North Carolina, s
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. __-.... ..._.
Applicant Name u N 4 Phone Number�—
Address Pc_-' ge k
Cityrx!�1���E:::
Project Location (County,
e Road, Water Body, etc.)
State r, _ Zips 7 Y.-Z .d
L-7t/ L'c�c (tom i t 4 v T* 6, Ile 4- 5 L3n'WC !r
Type and Dimensions of Project ? S' X /0 ' A-,, 7-t k �; , 1) i t N, .
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
RO.:�06/S 4
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH F 7_4 (SCALE: N i <• )
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.
T
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has.
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Applicant's signature
2, t
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CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203