General Permits (6330)

CERTIFICATION OF EXEMPTION
�- FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, JUL 2 3 pggg
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 !_ 01 u v) r i i Ll Phone Number
Address o '* . , ! r u vt V) c- P 1 r c.'.
City j � i� 41" 1 -, 1� _:. 4�1 I State - - - - - - Zip -
Project Location (County„State Road, Water Qody, etc.) U' 'R rf -1-� L,�,� S �c� c._
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Type and Dimensions of Project f
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The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification. /' I ,
your obtaining any other State, Federal, or Local authorization. 1V w4L i J-0 Ir -a
I SKETCH 9-f-i (SCALE: k j'T } )
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• � 1
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applica s signature
development is exempted, will be in violation of the CAMA if there I
is a subsequent determination that a permit was required for the '
development. CAMA Official's signature
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.
�d
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203