General Permits (4177)

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C.AT I O N ,=O F.. EX E M P.T
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_ --:FROMREQUIRING A dAMA"PERMIT
s`authorized
b the State of North Car Tina -
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Depaitmerif of Environment, Health. and Nat ufal Resources and the Coastal Resources Com - mission
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Project Uocation (County, State.Road, Water Body, etc.) W4u'�,RT c u. o�F S'2 `1 1-76 t >, PAML, �
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r The proposed project to be located and constructed as descrbed This certification'of exemption from re uirin a C
7 above is hereby certified as exempt from the'CAMA permit re valid for p q. g AMA permit ter
�9-day►sfrom the date of issuance Following expiration,
quirement:'� 4 This exemption to _• -a re-examination of the protect and protect site may be necessary
LAMA permit requiremerifs-does not alleviate th_ a necessity of to continue this certification -
o your obtaining am other State Federal br Local authorization Y _
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Any person who proceeds with a development without the con-
sent of a CAMA official ender 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 statement has been obtained from adiacent
landowners certifying that they have no objections to the
proposed work.
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Applicant's signature
C6MAfofliciars ignat e
Issuing date
Expiration date
-03