General Permits (5205)

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CERTIFICATION OF
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FROM REQUIRING A CANYA PERMIT
aaauthorized bythaStatoofNorthOoro|ina,
Department cfEnvironment, Health, and Nouund Resources and the Coastal Resources Commission ( -
inonarea cdenvironmental concern pursuant to15NCACSubchapter 7K.02o3.
Project Location (Co nt State Road, Water Body, 9tc.) L-a,:7
Type and Dimensions of Project
The proposed project oobelocated and constructed andescribed
above ishereby certified as exempt from the CAMApermit re-
quirement pumuunt10 15 NCAC7K.O203. This exemption to
CAW\A permit requirements does not alleviate the neoanody of
your obtaining any other State, Federal, orLocal authorization.
State zip Z
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This certification ofexemption from requiring oCAK8Apermit is
valid for gOdays from the date ofissuance. Following expiration,
are-examination ofthe project and project site may benecessary
vucontinue this certification.
SKETCH (SCALE:
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Any pe ` n who proceeds with a development without the con-
sent ofoCAMAcffkcialundarthemistakenmeumptionthat the
development isexempted, will bo\nviolation ofthe CAMAif there
ioasubsequent determination that opermit was required for the
development.
The applicant certifies bysigning this exemption that (1) the ap-
plicant has mad and will abide bythe conditions of this exemp-
tion, and (2) a written statement has been obtained f rom adjacent
landowners certifying that they have no objections to the
proposed work.
osiomatum x // ,-
CAMAOMicia[onignakune
Issuing date
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Expiration date
Attachment: 15North Carolina Administrative Code 7K.0203