General Permits (4989)

CERTIFIGATFO�N-,0F EXEMPTION
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•pufsuant•to-f -t4CA—S-ubchapter--iF-.-02-03.
Applicant Name_ 4-6rF,.:< ��./" ' %2s),1 Phone Numbertk-'
Address '��C "r.�os llz4
City —::- ' ; ., k .//Y State Zip �4 4ry
Project Location County, State Road, Water Body, etc.) t �. - o� �` 2 ✓��.•,.
• rY'r ,L�i i^ ffCrir � /a >Gr >'ta .. ; �'uc � c-ti r: /' .S"'r2 1S`S 3 n�-/ o •.�'�, � � /`%� �-�% �
Type and Dimensions of Project rrz,rt'rIr
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement-pursmnt-tcs-1'5•-NCAC 7K-:10203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certifisat Gn-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.
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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-hasbeen obtained from adjacent
landowners -certifying that --they have -no objections -to- -the
proposed -work.
Applicant'ssignature
A, !'
CAMA Official's signature
/e A hG
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203