General Permits (5108)

CZPrTtPtM7f3T4:GF EXEMPTION
FROM REQUIRING A CAMA PERMIT C61
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an aria of environmental concern pa?ws
Applicant Name i> P h o in e Number .6" Z,:V-
Address Cep ?6 7r,
City IYAd &V, State Nc Zip 7'fY4 (10
Project Location (County, State Road, Water Body,-qtc.) /Yk'#-0 /If-
X , Re-,
Type and Dimensio s of Project ";f,
?_Arf'r'71 14"'( e e-, -" dw K0 ' Y
The proposed project to be located and constructed as described This ce"f­exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid foTV" Ys from the date of issuance. Following expiration,
s exemption c, .'.'-rir6-examirTation'ofthe'pr'ojeictan psite maybe necessary
quirernent zpur-6�Wo-45This and
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
SKETCH JrO (SCALE:
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Any person who proceeds with a development without the con-.
sent of a CAMA official under the Mistaken assumption,lhat.the
A' cant,(ibrr44briEr
development is exempted, will be in violation of the CAMA if the re
rT
is a subsequent determination that a permit was required for the
AMA Official's sig-6ature
13f_1
tw
development.
4j
The applicant certifies by signing this exemption that (1) the ap-
has and will abide by the conditions of this exemp-
Issuing date
plicant read
frorry
V-31- 497
tion, and (2)zvgmtj-n7-siate-pient-has-beeFt.(>btaI ned adjac-ervt
--that -they _-_hav9_nc�cLbjectio risr-to-If-te-
Expiration date
a 4 10 'A 0 6 0 13 OW10"A POO 0 0"M
Attachment: 15 North Carolina
Administrative Code 7K.0203