General Permits (4820)

CERTIFICATION OF EXEMPTI TtT177
FROM REQUIRING A CAMA PERMIT 1991
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Usnurces-Qommission _
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name��-
Address 83 6 G Lvc r ��-
City
Project Location (County, State Road, Water Body, etc.) _
i.
State
Phone Number
z' 6 `AWAI'kcG _5F0 cl. __0
Type and Dimensions of Project ArggoseF✓v f L�F rL 4
i4
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.
Zip 33 ✓
This certification of exemption from requiring a CAMA permit is
valid for 60 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the �'` �1.74,
development. CAMA Official's signature
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.
i
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203