General Permits (5430)

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C:ERT-IRG:AT=ION-OFEXEMPTION
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 perse"44o4.5-f &S-ttbehepter-7"2.03.
Applicant Name is,Ci 5 }'�. AX"; tt>y Phone Number ? 0- 1 f27
Address < <
City r; le / State Zip :26-7/
Project Location (County, St/ate Road, Water Body,
,eetc.) :rV_ 1��.
'
Type and Dimensions of Pr fect 192 :W t­V,• L,.
The proposed project to be located and constructed as described
above is hereby certified' as exempt from the CAMA permit re-
quirement puwsuarit.-te-15-N6ACv-7K-0243. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certifacati®n--of exemption from requiring a CAMA permit is
valid for 9&days 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 Applican s signa ure-
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1) the ap Issuing date F N�� 2 5 '��
plicant has read and will abide by the conditions of this exemp- ,
tion, and (2-) a wfitte"tatem.ent has-been obte+ned•from adjacent �r r %
landowners: ,certifying—thrat-they,:._Piave.-, no...objections•sto_ -the.._. Expiratidn date'
proposed:wofk- ..---nwwwwwwwd�
Attachment: 15 North Carolina Administrative Code 7K .0203

S.tcte of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
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Dear /�%/i�i•a„J
W�
0JAW
4,
IDEHNR
DATE: 4a d- 16 , 1996
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
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Enclosures
AW
P.O. Box 769, 3441 Arendell St., Morehead City NC 28557 NZEWC6 An Equal Opportunity / Affirmative Action Employer
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