General Permits (5705)

CE-RTIFICATIO-NI-OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
0 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 purstxarrMTIaNC'A""ubch�apter-7'K�0208.-
Applicant Name P:, ., Phone Number 211
Address 1,
City State Zip ;=.e_'.!s ; <
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project y ,- . -: r 0 !f, y
F /1'rj
The proposed project to be located and constructed as described This cer�tiff-catron-of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for-90 days from the date of issuance. Following expiration,
q uirem ent- pursuant. to-15 NEAG-7K 40203. This exemption to a re --examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
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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 has been obtained from adjacent
landowners certifying 4hat- they have no --objections to the
proposed work
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Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

State of North Carolina
r - Department of Environment,LT.
Health and Natural Resources 4
Division of Coastal Management a
2 - 2=9"I
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary LD
Roger N. Schecter, Director
DATE: 1996
Dear 4.
Attached is a Certificate of Exemption From Requiring a CAMA Permit. In order to
validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy for
your files and return the blue and green signed copies to us in the enclosed, self-addressed
envelope.
Your early attention to this matter would be appreciated.
Sincerely,
. /4d
Field Representative
/dh
Enclosures
P.O. Box 769, 3441 Arendell St., Morehead City, North Carolina 28557 Courier T 11-12-09
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