General Permits (5244)

Applicant Name
Address 121
City .14,1 YG
Project Location (Cc
-CERT1FIC-ATT10 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 peraueeM,=te-t5-N(; rbchapter 7K .0293-
/ 11 /1/ C . d'`Ib114 Phone Number�407- 2/C3
iI State XC zip i s" t 2.
y, State oad, W,pter Body, etc.) %f� o6 y r� • c S ' f!3i7 ->� r� /-
/1
a:lla• cs. ?Gila T _ �iy:-r• QIM1111ll-'
Type and Dimensions of Project
The proposed project to be located and constructed as described This cerlif•ication-ofXemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for-90=days from the date of issuance. Following expiration,
quirement pursGaht-to-15`N'CA'C` 0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
I SKETCH (SCALE: , ;';,;._ _ ) j
t
A
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 fromadjacent
landowners certifying_, that they have no objections to- the
proposed work:
rW1 rr1_1�
SEP 2 3 19%
Applicant's signature
CAMA Official's signature
Issuing date
7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management 0
AO&I Ilk
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary ® �
Roger N. Schecter, Director
DATE: f/ 1996
_,4. /74 *v/d jZ� ..�//s
1-2/ 0QkWveo/ Uv
AV—Iloo(G Ak-- 2 PS-j--
DearG./�
Attached is a Certificate of Exemption From Requiring a CAMA Permit. In order to
validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy for
your files and return the blue and green signed copies to us in the enclosed, self-addressed
envelope.
Your early attention to this matter would be appreciated.
Sincerely,
Field Representative
/dh
Enclosures
P.O. Box 769, 3441 Arendell St., Morehead City, North Carolina 23557 Courier #11-12-09
Telephone [phone] FAX [phone]
An Equcl Opportunity Affirmative Action Employer 50% recycled/ ) 0% post -consumer paper