General Permits (5726)

CERTIFICATION OF EXEMPTIO JUN 2' `
-Y- 3 1997 jiJ,
FROM REQUIRING A CAMA PERMITj'
as authorized by the State of North Carolina, ...,.,,,�...� .�v�1
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name V l R' 6 / V' it i i<. _. Phone Number 23,2
Address t- 1A3 61 F1 0
City . i..' .�C'' , 7-; r State C.
Project Location (County, State Road, Water Body, etc.) "'f.�kk / ra r l� ✓'C, a/:iJ t'r t ��1,4 Z
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Type and Dimensions of Project A /J
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
I F-7— ti. Jir -J R aL 4- C ,' fL
This certification of exemption from requiring a CAMA permit is
valid for 90 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 P-7—, L= %i� tii (SCALE: -i )
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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
CAMA Official's signature
L: l l i,7
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203