General Permits (5333)

CERTIFICATION OF EXEMPTION
-Y-
��)FROM REQUIRING A CAMA PERMIT
FROM
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 15 NCAC Subchapter 7K .0203.
Applicant Name a.� �`�\ i 1L• Phone Number �1°` • a 'tltLte
Address Vi,
City 'x, State N1-- Zip
Project Location (County, State Road, Water Body, etc.)j'_�>o. `•�:: ACC `�ti, t'S1 �� a y�Rsr.+�r�ott�-.
Type and Dimensions of Project _I
�:. .�' \(,. :)•.+ �11 lA (jar pj,,
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.
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 (SCALE:
Any person who proc
sent of a CAMA off ici
development is exem
is a subsequent deter
development.
The applicant certifies
plicant has read and v
tion, and (2) a written s
landowners certifying
proposed work.
Waiqu the con
Fith
iitim that the
C` if there
alter fit req for the
ItAi4li("f) the ap-
P��►wtli�s exemp-
em;enthas enobtained from adjacent
that they have no objections to the
Applicant's signature +. — ! 1
CAMA Official's signature J
i �S. �� 0�1 r 1� \ Co
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203