General Permits (6225)

O
CERTIFICATION OF EXEMPTIO
FROM REQUIRING A CAMA PERMIT r)
as authorized by the State of North Carolina, �"
Department of Environment, Health, and Natural Resources and the Coastal Reso
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name t"# ('_. J J( rr (^y
Address
City i C% .�itUr�P
Project Location (County, State Road, Water Body,
and Dimensions of Project
D� V E
2 1997
COASTAL MANAGEMENT
Phone Number C5gel- C, 2 oe
State A)Q_. Zip
V­.t, t (AV-,0 ' tu' x Its' `�IiAh )A-1A.Ae-d P ,A a , 3'-W`t&) ctonr,res cZ8' )o%1Ga ,
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.
�w
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.
I SKETCH (SCALE: ) I
MArrc�L Cf,r\,r\ �
g u SA NOT 1EXCe P d
30 '/c,rr�F-� u�ou s
r?�V off bit 1 �ivc ,
0r I a 3q ��,� �e�f
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.
y �' V j�....
J.
Applicant's signature
CAMA Official's signature
Issuing date 1917
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203