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HomeMy WebLinkAboutGeneral Permits (5306)CERTIFICATION OF EXEMPTION �', J1111L 81-997 g FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Environment, Health, and Natural Resources and the Coastal ResourceS Ge tssion------`---- - in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. f 0 :S,Y r. �-e L Phone Number yl C� f Applicant Name �it� A I c .: he <.: � C r.',�n..a.... ,- �. Address City t p Project Location (County, State Road, Water Body, etc.) Type and Dimensions of Project C /c r ... The proposed project to be located and constructed as described above is hereby certified as exempt from the CAMA permit re- quirement pursuant to 15 NCAC 7K .0203. This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal, or Local authorization. State A�- t LA_ Zip :•� This certification of exemption from requiring a CAMA permit is valid for 90 days from the date of issuance. Following expiration, a re-examination of the project and project site may be necessary to continue this certification. SKETCH e t, ti__ I(SCALE: a ) L Ike f' �M4 - ��� j t ' 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 (�-Yim P' CAMA Official's signature �.. r, f Issuing date Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203