General Permits (3497)

CERTIFICATION OF EXEMPTION rd
FROM REQUIRING A CAMA PERMIT �►; , t f..
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 pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Numberq' � / (� ,
Address
City State Zip y_.
Project Location (County, State Road, Water Body, etc.)
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 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.
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.
I SKETCH (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 (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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AWA i T JUMN=AN
I bereby certify that I own property Adjacent to
-- ' • Property located at
rot,
block,
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to Wis. as
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"m e�e2spiaswt� IM �a
proposing
at that location,
and, I have
w objections to his
proposal.
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W-ACIWT RUARZAR IN No
I hereby certify that I OWn pr%mcty adjacent to
ty c��er
's property located at
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OR C , in c &r-r- , N.C.
i&�'" tree
oft Me d0mufted to no, a• *hewn below, Ofte dw"ISPOWMIAlay &a
propcmiag at that location, and, I ravel no objections to his
PC-gas•1.
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