General Permits (3550)

CERTIFICATION OF EXEMPTION
_Y FROM REQUIRING A CAMA PERMIT
9
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 1.5-NCAG-5ubehaptQr-7K--:0263.
Applicant Name (V i2 Phone Number ')
Address Cr C"r? hic►il.
City State G'+� Zip ; ; Y S '
Project Location (County, State Road, Water Body, etc.) r i a
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Type and Dimensions of Project "7c2' GJIV k, L; Gti),LA-6 �. IL-
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The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement purrsuant=4o,:155i.-LLCAC_,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.
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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 writtenstatement has been obtained from -adjacent
landowners certifying that they 'have no objections•'to' the
4Y4sed work.
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Applicant's signature —,t
CAMA Official's signature
Issuing date
7
Expiration date
Attachment: 15 North -Carolina Administrative Code 7K-.0203