General Permits (5051)

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CERTIFICAT:LONOF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as auti o;rized be S y thtate of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
j -in an area of environmental concern.P ursuant to -
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_ - A• I�cant Name`s 1 ;G -
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Project LocafiiJ . County, State Road, Water Body, etc)
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Type and Dimensions of Project Sk;�h; orc�o,.� — r-e�\� �i, �, 4' k { 1la' G; 1(,` 1�' Z }gyp,
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-The proposed project to belocated and constructed as described This certification of exemption from _requiring a CAMA permit is -
above is hereby certified as exempt from the 'CAMA permit re- valid forte from the date of issuance. Following expiration,
quirement pursuant to -15=U= This exemption to a re-examination of the project and project site ma be necessa P 1 P J Y. ry
CAMA permit iequirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
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Any person who proceeds with a development without1h con-
sent of a CAMA official under the mistaken assumption thhTtm
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.
� icac�'s signature
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%lHN+N vrnciars signature v
Issuing date
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Expiration date
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