General Permits (4397)

CERTIFIG- TI1 I_.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 pumuaWWt 4&t4GAC Subchapter 7K .02Q&
Applicant Name :757y , S _,q. etr
Address !` ,'ter: c 44p_ .
City Ad..,
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project 4vnaT r 4
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement purst+afrt-to- 15--NGAE-744- 0285. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
Phone Number A0.,?--W,;'- A <��3
State r"7r Zip6�=e_4
iL / _ _
,�. Z, .
This certification of exemption from requiring a CAMA permit is
valid for..�from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
I SKETCH (SCALE ,;6 . ,; ) I
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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 beer> obtained from adjacent
landowners certifying that - they--have-so objeeti©ns• to- the
proposed work.
Applicant's signature
LAMA Official's signature
02 -,A- 9&
Issuing date
7- 3/ 97
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203