HomeMy WebLinkAboutGeneral Permits (5938)CERTIFICATION OF EXEMPTION q
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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 pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Number
Address
City State Zip
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 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.
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: )
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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.
Applicant's signature
LAMA Official's signature
Issuing date ,
Expiration date '
Attachment: 15 North Carolina Administrative Code 7K .0203
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06/02/1997 20:54 9196363127 FOLEY AND FOLEY INC. PAGE 03
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I horeby ti
VNXM ofpxopwty PMPetiY 10PAW at
Nor (WatmbWy) in New Bern/Craven NC
(TOWn aujiW CbttatW
Eb bas claftibod to mm, as shOm Wow, the devedopwimA I* is pmVosiog at
MA I bm no oNwocm to WX pvp)ud.
MSCREMON AMOR DRAWING OF PROPOSED DEMOPAHMP.
(To be filW in by hxhvi&W ptoposirla development)
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Permittee's Name
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Location: C-4 Field Rep.
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Phone : 5��� �� Date of Report: 2 p ho�
Description of Project:
Date Project Reportedly Complfftte:
(1)' Do the measured dimensions of the development/differ from those
indicated in the permit .and kKplat? Yes / Have all permit
conditions been satisfied? es / No
COMMENT:
(2) Sedimentation and Erosion Control: Has permi - seeded, grassed,
or otherwise stabilized all disturbed areas Yes / No
COPIaf.EENT :
(3) Future Monitoring and Tnforcement Agr,o Is`further investigation
or enforcement action needed? Yes / No
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