General Permits (3679)

C. t ARM" -OF 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 purse 0 15 iVGA&Subchap*r 714=.0203: -
Applicant Name ('1b /e-$ L Cr 61 • Phone Number 77L S 6 /Y
Address 10 3 V ;W/! feoe W
City State AJ Zip r /1
Project Location ounty, State Road, Water Body, etc.)
Type and Dimensions of Project ' ; ,
S ° c
` ayY
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pwseafrt to-"35=WFAC 71( 0283 This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
/Vf"°-W
This certification of exemption from requiring a CAMA permit is
valid for-981dWsfrom 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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SKETCH (SCALE e.01—L )
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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 obtaine,&rdfftr'djacent----
Iandown. rs_".certifying that they have no objectroTfg 'td the
proposetf"tX6r`T:-
Applicant's signature
cr e
CAMA Official's signat re
Issuing date
3 ;
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203