General Permits (4468)

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CERTIFICATION OF EXEMPTIO
DEC 01 1996
FROM REQUIRING A CAMA PERMIT - J
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-15 NCAC Subchapter-74< .0203.
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Applicant Name 1 ;�,r Phone Number -") P-1
Address :... I I IL-� t� Baru► _
City - r}�., �.. - State N� zip ZL
Project Location (County, State Road, Water Body, etc.) c;f 4* t '7Q 16't
I'/.. r A l_ I C u
Type and Dimensions of Project f AD :1
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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-NCAC 7K .0203. 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 days 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: I6rJ` ) I
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 signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 1.5 North Carolina-Administ•rative.:Code`7K--.0203