General Permits (4425)

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. - ;...-F EXEMPTION C:E �tl�1T�fl�O O � �
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 pur-suamt-ta=15-NCt4`&-Subehapter-7K :0200.
Applicant Name
Address_
City �..
Project Location
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--NCAG7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
A
&"4ZJ
This ccrti ication of exemption from requiring a CAMA permit is
valid for G days 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:
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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•wFi temstatem nthasbeen.obtained-fromadjacent
landowners certifying that ttrey have no objections to he
proposed -work.
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CAMA Official's signal e
d' - % q K
Issuing date
3/ 7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203