General Permits (5659)

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 tan area of environmental concern pursuant to i-S' `C Subchapter 7-W:0203.
Applicant Name �=,D �N iZ,(:�, �.�1+��;� Phone Number` \0S - Li4c%Ll
Address ice:.}U L_,�\'k •� �� �_-
City State v i Zip1(tiC
Proiect Location (County, State Road, Water Bodv, etc.) ic��� - �- �r,c� 1UCw ht t.uc •l
Type and Dimensions of Project '�uC;Z_ ,7 i - `t X 1J ��
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to "f-5=NCAC 7K= F}203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
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.
This certification of exemption from requiring a CAMA permit is
valid for-:50=days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
plicant's signature
CA A Official's signature
Issuing date
Expiration date
Attachments 15-fdorth-earotinaAdministrative CodeF-7K,:0203