General Permits (4183)

CERTIFICATIO ��OF EXEMPTION
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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-to-15 •NCAG-Subehapter 7K-.0203.
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Applicant Name ;`r f�•r: -, [ , f ;H '"/ .:/�Yro' Gt�i/u.ns Phone Number Y10 32 '�— 25f'7�
Address
City —fit > State A. Zip ' �C fl
Project Location (County, State Road, Water Body, etc.) 7 ��'� /; a ;
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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 pursu.ant.to 15 NGAC-7K.0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
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This cer{� Ication-of exemption from requiring a CAMA permit is
valid for 90,ftys from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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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) awritten statement -has been -obtained from:adjacerrt
landowners certifying- that they, "have no objections to the
proposed work.
Applicant's signature
CAMA Official's signature
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Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
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