General Permits (3891)

r_
P.001
1
CERTIFICATION OF EXEMPTICE7 I L9 E
FROM REQUIRING A LAMA PERMIT �'� -7 �-�,� � � A �� �t4r
as authorized by the State of North Carolina. (' J
ry [ Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
r in an area of environmental concern pursuant to 15 NCAG Subchapter 7K _0203_
Applicant me Phone Number �►� �f� --L
Address Wt D
City m 4' State Z S g
P ject Location (Gov ty, State Ro d, Wader Body, etc-) � r9,ur f A 1
LLB PF nA 7 6.�
Type a Dirnensiorts of Pro'ect -� e .�
;O ed
i
> he prtsposed project to be boated and constructed asdescfted This-ocriif"ion of exempts( from requiring a CAMS! permit;is
I drove is hereby certified as eme-mpt from the CAMA permit re- valid for 8o days from the date of issuance. Following oxpiraatian,
quiremem pursuant to 15 NCAC 7K _0203_ This exemption to a re-examination of the project and project site rsray be necessary
CAMA permit requirements does not alleviate the necessity of to co4rw*this certiFicaftn.
your obtaining any other State, Federal, or Local authorization.
SKETCH ice` % (SCALE_ )
I `
I �
_..._.._..:_._.- ......... --- -
- - --
Any person who pro a with a development Wdhout the con-
sent of a LAMA official under the mistaken assumption that the Appri s s
development is exempt , will be in violation of the CAMA if there
is a subsequent deteTrT 'nation that a permit was required for the G MA Off iciars signature
development. 1716
The applicant eartifles by signing this exemption that (1) the ap- issuing date
pricant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent - j r ?7
landowners certifying that they have no objectknis to the Expiration date
proposed work_
Attachment: 15 North CaroGna.Administrative Code 7K .t7203

r
• : State of North Carolina
Department of Environment,
Health and Natural Resources • •
Division of Coastal Management
James B. Hunt, Jr„ Governor O C u
Jonathan B. Howes, Secretary C r-7
Roger N. Schecter, Director
'A� /�. '/' O�( r "
•
DATE: )J1996
Attached is a Certificate of Exemption From Requiring a CAMA Permit. In order to
validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy and
the attached regulation (7K .0203) for your files and return the blue and green signed copies to
us in the enclosed, self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
sl
Field Representative —�
/dh
Enclosures
P.O. Box 769, 3441 Arendell St., Morehead City, North Carolina 28557 Courier #11-12-09
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ I Cr% post -consumer paper