General Permits (5343)

CERTIFICATION OF EXEMPTION IE3 1 ® 1997
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 77m
in an area of environmental concern pursuant to 15-NCAC Subc4ap1er-7K-o203:-
Applicant Name E l.a 0-1- Phone Number cNOa-'3 ,- 2014
Address
city State N'�- Zip 1 \ u
Project Location (County, State Road, Water Body, etc.) ,V, \ns ca
Type and Dimensions of Project p.- �,,kr-.. a �� ' A -u ti,p �:ll
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 1-5._14CAC 79 :02d3. 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 ays from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Any person who proceeds with a oeveiopmeni witnoui ine con- i — r v -�.--
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted, will be in violation of the CAMA if there _� �• (� t_Q
is a subsequent determination that a permit was required for the -
CAMA Official's signature
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.
Issuing date
Expiration date
Attachment.-- 5 North -Caro ina niinrstrative Code 7K_0203