General Permits (5029)

CERTIFICAT-10WOF EXEMPTION N „t
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, r W
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pttmuaf44o-4€& CAE -Subchapter 7K•:02.03.
Applicant Name ,'cl
Address 2'�PA
City /.
Project Location (County, State Road,
Type and Dimensions of Project
Body, etc.)
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.
I SKETCH
— State
Phone Number :5�9- 3 )I/
1 1' '2
ICJ ..
This Gertification-of.99emption from requiring a CAMA permit is
valid #ors© -days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
CS
(SCALE: ,; )
'�?/'',i„�l!/ r��°J ''�,.�,r �� S�c7/.L ih�k.'� .c �-�'�7 f ��•� �'..+ �ft.� ��/�fl ai
ph 3, 641 /G C r ✓ r� > G4�� 4AA CAP-
/
i
i
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.
/J f
Applicant' signature
Al I
CAMA Official's sigdature
.,-9C.,
Issuing date
9-
.3efi' 9 7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

- 1.47,�
— - r woo.
-
-
i
jk
:i�"1 � ._�, � , 'r .�r.•!t y � �-t- I III, '��� ;'_"j---i'—r-;- -I f
'._
•�a.`-_'--4-�--'; �i-- 1---�-,,,l�j: .1.._ ' - � - f _ alp •-r_ �--�:1�1{ -�� � '_r--- �I--�--rl---F-,{--r--;
I �s • }•� � � '1' • 1� �—, �,,, - ` \� ! - � � I it +
'r— * -�- I - 1. •--•1:;-,� — = '�---r—_.—_-r_- —!— � ' - - .
i IZ�-Cl..liLt� '�� !At_,l. _ ' , • l `� . � . l � � I- I p _ . ""'. � �17
I � ��M •
~s i dl
-I--
Lo
H �Q - I I l I• j , 1—T mod. _ . ��i�GcS�//2 1. iZj
i
I ' I I
I i
I
—ice 1• � r--
�-
:M1i •
�J
i
_ IlJ1�
a
--------
I
I _a�ltl:-�ilDop-ftrt�r,� y i
Willis architect
809 BRIDGES STREET POST OFFICE BOX 3648 MOREHEAD CITY NORTH CAROLINA 28557 919-726-7091