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HomeMy WebLinkAboutGeneral Permits (4962)CERTIFICATION OF EXEMPTION l 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 pursuant to 15 NCAC Subchapter 7K .0203. Applicant Name i.. ";fit,. Q?,., Address City _ `.i t State Project Location (County, State Road, Water Body, etc.) R' 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 NCAC 7K .0203. This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal, or Local authorization. Phone Number �/'S 1 - c 6Vy 4 Zip This certification of exemption from requiring a CAMA permit is valid fore 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: N 01 �1 �� �1 iTh 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 1d the Iseposed-work. lfilout:y) A16AM Applicant's signature/ CAMA Official's signature Issuing date Expiration date AttaEhGnent.-1.5--.Nor-b-Carolina Administrative=p estle:7X--4OW3