General Permits (4510)

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1
-�r-- CERTIFICATION OF EXEMPTI 2a 1997FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, «""""" O"es••SewO&SPAIAW00ift
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern 3.
Applicant Name CAt1k-_ L_ 14E,&1-1_) Phone Number (q )9) 96 4 - �o
Address (08- Pl tJiE Gtz E c —
City 54a-)4
Project Location (County, State Road,
'71 , O E r 47 t= tY- r, s
State _?JC Zip Z-7 8U
r Body, etc.) dE,sux_-msz5- c� cf�F SR 1-7 3 '% „x1
Type and Dimensions of Project - l -
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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 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 98-das#rom the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH I (SCALE:
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14l'-t1c�7 RE?LAC V- S7EfDcw�Js
EXisna(, _ >
t`^L1CC PLasY<R*�
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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 been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
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Applicant's signature`
CA)AA ial's sin ure.
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Issuing date
3 1 ':Yu,, v t 9 q-7
Expiration date