General Permits (5556)

CERTIFICATION: -OF EXEMPTION q
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 pursuant -to 15,MAG Subchapter-7K :Gn3
Applicant Name<f��r� ��� ! c�`� Phone Number
Address 1�. Q. ,dOX y-Vy
Cityyn/' iIf I "e State Zip ;Ptsr-f
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Proj`e'ct
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant •to- 45•NGAC-7K-.D203. 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•90t-d-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) 4-written statemant has;been obtained 46m -adjacent'
landowners- certifying -that they hcI've- no oI dctbwn to -the" -
propos,a&Work.
Applicant gstgnature
CAMA Official's sigriAture
/>/. '. � ti
Issuing date
7-3/- 7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203