General Permits (5905)

7.":7.
CERTIF-IGATIO9,=O-F EXEMPTION
_Y FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, r
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern.pumw,, r S-14(-!�A-e-Subchrapter-7K,0203.
Applicant Name �,'*c. c t�; ; i:. .. if,
Phone Number
Address '�C�• ► i ?' Y
Citv
Project Location (County, State Road, Water Body, etc.)
State /YC
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 pursuantAo'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 ,i/1
This cettifieafl csf exemption from requiring a CAMA permit is
valid for-99-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:
i
t Ev;
Y
i
M.... .,kr r,rnnnnAc with n Havainnmant withnnt tha non- - --
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 beerrobtained from adjacent
landowners certifying --that #hey --have no,, objections tar -the
prnpet �- verk.
Applicant's signature
CAMA Official's signature
.!
Issuing date
q _3-, - 97
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203