General Permits (6273)

CERTIFICATION OF EXEMPTIO4AR
9 1998 '
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, COA 'a! ���=,- Ggwua
om Department of Environment, Health, and Natural Resources and the Coastal Resources Cmissioh­----__,
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name R O✓ k A j-l) k i. L J- V Phone Number 7 1";'
Address O V 5 /
City M Jl� T ?_7_ k 4 5
Project Location (County, State Road, Water Body, etc.)
Te and Dimensions of Project HE yifUeRT ;er41N6- Z. x-C
I T pr-T
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.
State
7 /5
APP 1
EGA r
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.
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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.
mpp scam s signature
IssuingdateT—�
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203