General Permits (4326)

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 I-• -a ue^�"'^� ��pte�- �3.
Applicant Name _ 1 tJ C-,, � Phone Number !9 Ici )a113 - Z 3 -4
Address 1�Z 1
City _ Z�� State f.Jc Zip I
Project Location (County, State Road, Water Body, etc.) p , , , P .- ,, r, ,--C i , 2
Type and Dimensions of Project c-t-r,rc, -A L� P\ r I, t - --� � �A� + �� ; �,
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement p - �. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90:cEays from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH (SCALE: rl U t\I F )
9
Imo- ZINC-tp tip
C-
C _Y LC-- I;� t�1ZUi_
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.
(ti AC E 1 t+�4 D-
Applicant's signature
CAMA Official's signature.
Issuing date
1 JI rL�/ )' t�i
Expiration date
-A•.achm<�nt�Qr3tx�at9.ljt� a-Adrn in ist rative--�de�$�