General Permits (4067)

CE_ T4FtC- T-f0- F EXEMPTION
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 pursuant to4&NOAC-Subchapter-7K .02-05,.
Applicant Name &/yor. OF. 4) /9tC_Qu
Address 'A0. &.r 11-0 b
City ,5L j2,. I do•
Project Location (County, State /Road, Water Body, etc.)
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 puma -le-+5- Ni 7KC-*8,g0a:- This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
ate
a.
Phone Number Yf& 7
zip 2d _ :P Y
This certification of exemption from requiring a CAMA permit is
valid forQ"ays 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:
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Ph SCE'►"^%' Or✓ f�0"' "'! (,</� .S2 6r�r L�/ � is+�lr d+"-j .
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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•wrhterrstatemen# bddffot ►ed-framadja entr-
landow, pgr1Uyiag., -that`-tWey�4ave--no--objeeNons--to--the-'
proposed 1QJj ._
j
Applicant's signature l
CAMA Official's sign re
z9- J0
Issuing date
7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203