General Permits (3893)

Applicant Name
Address
City
Project Locatiof
e
C ERT-[RQA- =CE EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, CBl
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern puxsuaat49A6,NGAC Subchapter-7-K-0203.
i o
��L/f%• ,,, < ,, .>�,�, Phone Number 9/17 74YJ"-S_4U?
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 puxsmani_to-1.5 NCAG, 7.1< -0ne@3:-This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This ccrA�ation 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.
I SKETCH (SCALE: rr )
%`'y,�'' �i��/ rrr ,•1� ij (r:�r.�,-c.I "?t) 1r,�fC� �y�f•:.S �,i
iit i /�. `'f ?G�s.F� {� �fje � r bGr G •e `�1:,..r' t1'i S 'S'ii .s '��,, '"�i r �
./tJ��/rl.,, � .-�i'j.� �.:rr - �ar<I - Cyr. �^ �• � ' �/,
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 §tatement has.,:beenobtained-from adjeeent
landowners_ ,certifying --that they. have- no objections tb- th- e..
proposed -.work
r I - ,!
Applicant'- signature
CAMA Official's sign ture
Issuing date
J � 2 /997
Expirati6n date
Attachment: 15 North Carolina Administrative Code 7K .0203