General Permits (3597)

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QER_-T--F1&AT40W01F EXEMPTION
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 pALi;suar,WG-14-NCAC§,wbc apte.r.ZK...,02,W.
Applicant Name ,,� K .�7 7Q.
Address o ,. f
City
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 ptrrsuaAtAo 16AiQAG�F%,„02c3. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
-4E C- C'
Phone Number �/G . e 23 - S /, +E
State c- Zip Z77o
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5: - At" i�
This certification of exemption from requiring a CAMA permit is
valid for.QQ4 ys 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:
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=wxitten°statement has been obtained mm-adjaeent­
landowners—ze4ify4ng that they have no objections ..to._ thB_„
proposed-woxk-
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CAMA Official's signatute `
i/- V- �1"
Issuing date
7" 3y' l 7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203