General Permits (3912)

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CERTIFICATION. -OF EXEMPTION
FROM REQUIRING A CAMA PERMIT rdh
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 pursuant4o-16 NC—AGSubchapter 7K- 0203.
Applicant Name 4t nL-v �°
Address irk' Ab
City g,A* ,S-�s.sr.+
Project Location (County, State Road, Water Body, etc.)
Phone Number q-10 '.326 'fZ2 7 t/
State AiC Zip .0,fs-S V
et t.
Type and Dimensions of Project - �<.- r -0 /50 , Y6 ey r_� = rr ;?�.
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-NGAG 7-K­-,,43283 This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
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.
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).awritten -statement has,,,b.eie.n.obtained from adjacent
laodowners.... certifying that they -have no objections 3o—the
proposed, work.
Applicant's sighature
CAMA Official's signs ure
r zo- 06
Issuing date
Y 3/- `%7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203