General Permits (4218)

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CERTIFICATION OF 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 to-1.5 NCAG Subchapter 7K,.0203.
Applicant Name �`J/a7'S/rlJ�% �r�•+,�C Phone Number
Address 'Po //„:✓. /.rr. �.� xi.
city State 141 C_ Zip ;
Project Location (County, State Road, Water Body, etc.) %�7 l rlBF t'v • o::� ,c• %
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 pursuant to 15 NGAG• 7K :4203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
i_ n".i
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.
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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 written statement has been obtained from adjacent --
landowners certifying that they have no :objections to -the
proposed_work.
Ap licant's signature
CAMA Official's signature
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Issuing date
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Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203