General Permits (3899)

CEEF i-TI-F1CAT1ON-.CIF EXEMPTION
-Y
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 pursuantuto_455 N,I�AG.Subchapter 71K:a203.
Applicant Name W . � " rrr Phone Number 774 7 7SV
Address
City State .tic Zip ?drI7
Project Location (Count(Y,/StateJioad, /Water Body, etc.)
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i
Type and Dimensions of Project
c4 y e n/n
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement puraWar*4,o "� CAC 71103. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
<,,, i.I- r.), ,
This certification of exemption from requiring a CAMA permit is
valid fAordays from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
,
SKETCH (SCALE:;%;,.. _ )
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-writtao statementhas been -obtained fr6m.adjacent
landowners certifying that they have--noobjections to -the
proposed -work.
Y - 2 - +! Ewa G--fi
Applicant's signature
CAMA Official's sign ture
Issuing date
;% 3 /' '2 7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203