General Permits (5459)

CERTIFICATION OF EXEMPTION
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 pu���nbcilaFl erZ7_K=ftagg
Applicant Name 'A C` s R 1 :�-" ( Phone Number i9 I� i � Z Z - 3Q-� S
Address I rr 1 -r,, AN 1-Z
City . 13Ldyt.r'S '�: rZ FIrle State kic Zip .2-7JC14
Project Location (County, State Road, Water Body, etc.) �Fac�d�-r c, z ,, r C c 2 1 t 0 7-A r
l_-IZ S/ M 1 81- I J PL]M Ir �� 1?11� Fnvs Ri �Tf �f7�Gf�
I ype ano uimensions of Hroject t= ! 2 S,q' y (' p r-g. ± w- :X 7 Of 4-\ n } Ll Y 7 f/'
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The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement ,pa . This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
A — —
This certification of exemption from requiring a CAMA permit is
valid for 90-day4s from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH
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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 been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
/ �yplic ant's signature
C-AA Offal's sicnature
Issuing date
Expiration date
Attacf-rmen Vor �arofina- drri is�3tive�'—d 03