General Permits (5558)

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C.F R-TI-F A-`4 NOAF EXEMPTION
FROM REQUIRING A CAMA PERMIT f�
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-pu4:suarnt-4rr 45 . -03.
Applicant Name ZI-ki e2s //. fr5i e i'
Address
City
Project Location (County, State Road, Water Body, etc.) —
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the LAMA permit re-
quirement purs.uant-,ts tS--NCAG 6203.--This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
Phone Number
State �QC Zip
This ce jf'"jen-of-exemption from requiring a CAMA permit is
valid for98- lays 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-st-atement has-been obtai.ned.t.rorn-adjacent
landowners -certifying that they ftave._no _objections ­to A -he
proposed work_
I
Applicant's sigrfature '
CAMA Official's siE nature
f/I6,-yG
Issuing date
- 31 9 7'
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203