General Permits (5228)

-�r- 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 pursuant to �5 V Inn^ ;
Applicant Name .� c�`L moo(,Phone Number Q14� . q"1-c�,
Address P o C; ,, '\ib
City r;' �( - State t,� C zip Z:)-i t 4
Project Location (County, State Road, Water Body, etc.) C. CAL c,� `n I�aa a \ 0�` ^ �\\\�c,
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 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 aQ=dzaM from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH o
(SCALE:
A
__I 6 ' N a0 — - — i
--------
1 Gar\� W - ►���r-.�+- "-ram ' ---�? - - � ---� !
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.
Applicant' signature
v. \,. N �
CAMA Official's signature
Issuing date
Expiration date
Att�ctrr��; � S��.rh r.��i��s�gdminist�ative�ode�2p�,