General Permits (5602)

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RO :I.�U F EXEMPTION k
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C.E RTI IC�T O ,�.
FROM REQUIRING A CAMA PERMIT (el
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;suaf4eM�5rNCAC Subchapter—A� .02Q.
Applicant Name x i Phone Number 700
Address S-
City State VC Zip _i 3
Project Location (County, State Road, Water Body., etc'.) 'e r U. 12,fn
Type and Dimensions of Project .. °� 2� • �.�• s,,/o«f'
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuaratAo 15-NGAO"7K .8243. 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 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
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 hasbeen obtained4ram-ad'}aeent
la.ndown.orsr. certifying that they have no -objections--to -the
propoq,eq;, g1k.
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Applicannatured"k,
CA A Official's signature
Issuin date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203