General Permits (5770)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
JUL S 1.997 ' i
as authorized by the State of North Carolina, I I
Department of Environment, Health, and Natural Resources and the Coastal Res WCommission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name I rv— C 14 V �k Phone Number
Address 110 ls A Y, ber(- %-A fkr'
City P Stab
Project Location_(qounty, State Road, Water Body, etc.) Cl ( v- (_'0 vk A
Type and Dimensions of Project
(�Sl
The proposed project to 66 Gated ar con`structed 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.
zip c;'7(01
A r,-)
.."Ahis- certification of exemption from requiring a CAMA permit is
v6lid for go 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 (SCALE:
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.
-�Y
CAMA i i I— �signature
Issuirigdate
M5
Expiration dat
Attachment: 15 North Carolina Administrative Code 7K .0203