General Permits (5832)

CERTIFICATION OF EXEMP-LIVM .R 10 1997
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resourcesl7o~mmission
in an area of environmental concern pursua.nt to 15 NCAC Subcha ter 203.
Applicant Name 'i 1 t t L� I PvSU'1"� Phone Nufi,ber­'� T :4 • (�C%� 7
Address jvC, ( I -- LrM,4)SW\ Ck
City 4 i t 4-7.
Project Location, (Count , State Road, Water Body etc.)
Type and Dimensions of Project to j_t� 4,--e S1 A- rP f 4
e
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.
zip _—)_
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 (SCALE: v )
I J O
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.
CAMA Offici l's signa ure
1-7
Issuing datg � p�
Attachment: 15 North Carolina Administrative Code 7K .0203