General Permits (5093)

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-� CERTIFICATION OF 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-p 714z2203.
Applicant Name c G a < Phone Numbed 71 I " 3- 1�-l95
Address 217
City Zt"Rz "? State r,tc. ZipZjV,�
Project Location (County, State Road, Water Body, etc.) bAu�r.fZT �, �� �_ , I -� z , �.-
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Type and Dimensions of Project �;z _ ±4&0,x S ' v t r.-z �, , n
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The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement p++r�+,a_ynt-t�1C,a� �kg. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 8: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 has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
Applicant's signature
CAM ctat's/.! � I gri�t�` /
Issuing date
� j --T( I ( I 'l 7-:T
Expiration date
Attachm fr 15 NOCaren► Ra-Admigistrative-Gode--�iC-�8203