General Permits (4480)

O
ERTrF`IC T l��0= EXEMPTION k
FROM REQUIRING A CAMA PERMIT N
as authorized by the State of North Carolina, rm/
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name � �.f 7.,. #�Ji,--IA Phone Number
Address 43 ;// PA
City 11a'. W.-a.r.L,�a _ State !_ Zip VB5*7
Project Location (County, State Road, Water Body, etc.) /�- W � n�
I ype and uimensions of Nroiect
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement puf-suant-to-4-5••NGGAC 74�-020& 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-d"ays 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):e wfitten stati �tYWent-has^been obtairted-from adjaeent
landowners.-certifyingftat -they.-- have no, objections _.to_-.ffie
propose"ork.
Applicant's signaturb ,
CAMA Official's signature t �1 11 yl�;•
Issuing date
Expiration date y�)jj j--
Attachment: 15 North Carolina Administrative Code 7K .0203