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HomeMy WebLinkAboutGeneral Permits (4181)CERTIFICATIO-N OF EXEMPTION qA FROM REQUIRING A CAMA PERMIT (-Of 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 pu-rsuanHo-15 NeAG--Subchapter7X­.,0203. Applicant Name Phone Number Address City /;,. .,.I f. / Project Location (County, State Road, Water Type and Dimensions of Project etc.)/- The proposed project to be located and constructed as described above is hereby certified as exempt from the CAMA permit re- quirement pursuant- to 1,5­NCA0 7K .0203. This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal, or Local authorization. State 4 1 Zip This certificdonef 'exemption from requiring a CAMA permit is valid for 9"ays from the date of issuance. Following expiration, a re-examination of the project and project site maybe necessary to continue this certification. ( - C""'� />)-,I ISKETCH (SCALE: 4/(,,,,, ) I (QAj). C, C' /I 111�� f:; _4 e� 412 4 ell 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)­arWrit-ten statement -has been -obtained from adjacent landowners certifying --that they have- no --objections to the - proposed -work. Aoplicant's signature CAMA Official's signature Issuing date Expiration date Attachment: 15 North Carolina Administrative Code 7K.0203 * ' State of North Carolina Department of Environment, Health and Natural Resources Division of Coastal Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary Roger N. Schecter, Director 70. ao,F- scs Dear .14. �i/aks IDEHNR DATE: d-�C'l ZY , 1996 T Attached is a Certificate of Exemption From Requiring a CAMA Permit. In order to validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy for your files and return the blue and green signed copies to us in the enclosed, self-addressed envelope. Your early attention to this matter would be appreciated. Sincerely, Field Representative /dh Enclosures P.O. Box 769, 3441 Arendell St., Morehead City NC 28557 N%4 C An Equal Opportunity / Affirmative Action Employer Voice 919-726-7021 FAX 919-247-3330 Courler 11-12-09 50% recycled / 10% post -consumer paper