General Permits (4223)

i
CER.TIG-T-I=F EXEMPTI
-Y
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal I
in an area of environmental concern pur.scent.,te.A" bchaptev-7�<..O�
7AUa S 1�
Applicant Name 10r/oS l Phone Number
Address '�> 0 :tea A,
City :A ; Ile State Aut
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project /U ;V, sf r w.� ,dam /B `k-1 2 ' "`
The proposed project to be located and constructed as described
above is hereby certified as exempt from the LAMA permit re-
quirem entpursi=t._te_1-5_N.CAG.rK 03. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
f" e
SKETCH
This ccrtf' i�tion of exemption from requiring a CAMA permit is
valid for s from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
(SCALE: jV0j,,, )
iIV rG),-Air
f
e'_ /fD k V
/�1 �Gi
/ i �-/ •'D3�
%�! /Cj r-�-O
Off` �Y� {/�yc� s
p.
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.
Applicant's signatLKe
CAMA Official's Sian ure
S-1-/ e�
Issuing date
-7'3-97
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

State of North Carolina 'T a
Department of Environment, F19MA1
Health and Natural Resources 4 •
Division of Coastal Management
James B. Hunt, Jr„ , Secrnor
etary
E) F F1
Jonathan B. Howes, Secretor C
Roger N. Schecter, Director
DATE: Ct 1996
�0F•
_ _ ` •
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 and
the attached regulation (7K .0203) 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 Represen tive
/dh
Enclosures
P.O. Box 769, 3441 Arendell St., Morehead City, North Carolina 28557 Courier #11-12-09
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper