General Permits (5367)

-Y.
FICATION�f EXEMPTION C:E=F�TI
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 pursuanUa.1:5..UCACSubcbvapter 7kG,.:02A3-.
Applicant Name A/, - - Phone Number / SOO- JY/2 SIZ &I—
Address ;W, V ila �;,2
City _�6nState N G Zip s
Project Location (County, State Road, Water Body, etc.) J r'r
Type and Dimensions of Project
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-7fF�:0203: This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
F
This certification of exemption from requiring a CAMA permit is
valid for.,g"ays from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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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 -beers obtained-fr©m adjacent x
landowners certifying -,that- they -have no -objections--to--the
proposed -work.
Applicant's ilignature
CAMA Official's signattfre
r
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203