General Permits (5882)

_-SAT+9N-=0F_ EXEMPTION
_Y FROM REQUIRING A CAMA PERMIT Cry
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 pursuant.ta..-l.5,UGAG�&ubchapter-ZK...92Q3.
Applicant Name 'Oyk61
Address 1/eo
City 4t/&.,i '. i
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuawl-to_155..NCA�7 .4203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
Phone Number L_'. Sa 7 v
State if) L zip S�©
/
This certification of exemption from requiring a CAMA permit is
valid for 98•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-writte"tatement has been obtained from adjacent
landowners--certifying—that they have no objections to the
proposed -work.
Applicant's signature /
CAMA Official's siq ature
/- /s -tee?
Issuing date
'71
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203