General Permits (3604)

CERT--[F10ATtO`-N EXEMPTION
_Y 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 pursuant-te-4-5-NCAC Skibehapter 7K .0203—
Applicant Name f,m,.ill I
Address &3 f Moro
City �a�.tCJ+SLriry
Project Location (County, State F
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 pursuant4crt5-NOAC-7K ,0209-.--This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
SKETCH
Phone Number 293• 6 t<e/7
Zip
:v
This crtification of exemption from requiring a CAMA permit is
valid f =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.
iJ, p%�4
(SCALE:
rat
14TL _
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 hasbeen obtained from -adjacent
landowners certifying -.-that they --have no objections ta--the ---
proposed, work.
Applicant's signature _
/.mc/ %., �Q //
CAMA Official's signat e
t- 7 96
Issuing date
q7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203