General Permits (5775)

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CERTIFICATION OF EXEMPTION,
FROM REQUIRING A CAMA PERMIT
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 pursuarrtfto 15-11JflAC-Subchapter 7K :02,03.
Applicant Name .��, (4e�rt /4Z) -
Address 311
City _99aew- C Xo, a
Project Location (County, State Road, Water Body, etc.)
xsSve%�,-, .40''. Phone Number /' .3i3- 7/-t A
State
Zip .yyeq Y
Type and Dimensions of Project iiFc.,-sNr i>/.� slro:�n,%.fie, ,�:etiK 1 bci<. frc�,J.
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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-;0203r•This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
mil: E_ ziJ
This certification of exemption from requiring a CAMA permit is
valid for-38•days 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 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.
n�-
1997
NvA
Applicant's•sigriature i
CAMA Official's signature
/_ fey.47
Issuing date
. - _J/, .�
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203