General Permits (5439)

CER IFIGA ION EXEMPTION
-� FROM REQUIRING A CAMA PERMIT
r,.
as authorized by the State of North Carolina, Cd/
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern put-seaftHe-*—NGAC Subchapter 7K .0203.
Applicant Name A/4. /v%.'r � �_ �);
Address C" I,;;
City
Project Location (C unty, State Road, Water Body, etc.) _ i
Type and Dimensions of Project�,y�
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pur-want'taJ,5..NGAG-7-* 02G3. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
Phone Number e2l> I7i = .37 (/1
State A)(:; Zip 11330
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: ,S- •; , )
, ll�rGG 2. la' !,j' V ! w� �.t bl,�-r c?-,�C_' 20 �V 2u
ti 4J' Ol 6-7 Slh„ -'41 ©G r G.s
d S_' 54) ` ))) 4-� s •-<, !*� �a��
i 1
A
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 writterrstaternent has been-obtai t df Grn adjacent -
landowners. certifying- Ihat—they. have -.:na. objections .to- tha
proposed..work:
App icant's signature .
CAMA Official's signature
k- 27 �t'
Issuing date
7-3e,g7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203