General Permits (5668)

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CERTIFICATION OF EXEMPTION
.:.FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, l
Department of Environment, Health, and Natural Resources and the Coastal Resources Commisi r�
in an area of environmental concern pursuant to 16t+tGrrb®I�aptC—kt2Q3.. /
Applicant Name 1 f Phone Number Q%i°1-'144 - 3311
Addresses - =r. 1-c `% rYtiS
City 1 State N C_ Zip a")
Project `Location'County, State Road, Water Body, etc.) Cam. i i) ti
C�v�3
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 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 967d: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 development without the con-
sent of a CAMA official under the
erg pssumpjion that the
development is exempted, will beon of the LAMA if t*he�e
is a subsequent determination th :wae r uy r t
development.;'u'
The applicant certifies by signing'('
plicant has read and will abide by rdiiisms•of+ttni'�T
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
si atur
� 1
cial's signature
Issuing date
Expiration date
AttachmGAP45-North Ca,LolinaAdminis"0263