General Permits (5722)

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43
CERTIFICATION OF EXEMPTIO •,_
FROM REQUIRING A CAMA PERMIT i ,IUN 1 9 1997
as authorized by the State of North Carolina,
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Department of Environment, Health, and Natural Resources and the Coastal Resou c�' Commission, ; ; 'd , •-+,,�
in an area of environmental concern pursuant to-4"-9AG-Siib Wr 7KC X203. _1'-'' - - ' _----
Applicant Name ok. C V_`t(AS
Address IaL)l S ram, (�
City�,�
Project Location'(County, State Road, Water Body, etc.) --tnv
tr.... *, S i cols. A �� 1 \wr
Type and Dimensions of Project S L . coo \
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to M5-NAGAC -7K:.02A3. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
Phone Number q��• 14<,, -4k013
tv C. Zip 1k ) 66"t
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This certification of exemption from requiring a CAMA permit is
valid for-94�days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH
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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 that they have no objections to the
proposed work.
'Applicant's signature
CAMOfficial's signature t,
( `) \Wl
issuing date
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Expiration date
-Attachmo,htl 1'S1,KalFth-Carolina Adrrririt`st7atiVe-Code 71<--02a3