General Permits (3779)

CERTIFICATION OF EXEMPTION--�t��'
FROM REQUIRING A CAMA PERMIT ;1 J U N 1 9 1997'
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission A, ____y,_
in an area of environmental concern pursuant to 1'MCAC 5vbchapter7K :0203.
Applicant Name 5 4 3Gr'i�e�- Phone Number 4S4 •��� •�Y1k
Address cats\r.,k
City Statip a z
Project Location (County, State Road, Water Body, etc.) i ,k•. t Na?
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.
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.
This certification of exemption from requiring a CAMA permit is
valid for 9"ays from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Applicant's signature
CAMA Official's signature
7
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code-7K .0203