General Permits (3847)

GEI - FTCATIC3N OF EXEMPTION
FROM REQUIRING A CAMA PERMIT d
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 -pursuarttto t5 NCAC Sutrchapter-7K :0203.
Applicant Name r 46 / 'Jrw<, -e _ Phone Number 7 s 5 61
Address
Citv
Project Location (County, State Ro
State zip 2, s "
d, Water Body,_etc.) i"
Type and Dimensions of Project /S
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant -to l'B"-NCA�7K-=.G20B. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
,4e e,- � "
I SKETCH
I
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.
-P ,' AM,
-°-- t---/d L G �i�c jf
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 obtainedlrom•adjaeent
landowners certifying that they have no - objections- to 4-he
proposed work.
(SCALE: °, )
I �__ � Gv•� ,L � S �31i- 6
+22u'
Applicant's signature
CAMA Official's signature
Issuing date
y�. 7`: _
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203