General Permits (6341)

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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, MAY 2 9 1998
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 J ��s'/t ' �C k l r1 iy W 5 Phone Number -2
Address 3 ;Z ! 6(:�k41, G',Id c j � ;-�0,
City '-+ E. I-) 0 State A) �' , Zip . -9y S
Project Location (County, State Road, Water Body, etc.) O H r-1, 0 C Lf w-r-Y 5/ / �f
Sc � t 7-t4 01-0 C /rt CrC,,y 1N4 e,?- IPL HCE 14 t1_,JA/7-JC
Type and Dimensions of Project [7 r'r Ac k) Ch 1-r t_ I MM / A)C U T i-T
57-RuCTLfrVL=
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.
r''=, 7 e /� o 5- J 5- / q 4
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, `� 1 f (SCALE: h'T.5' )
I
ir
t N•9�s _.
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature .-
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA Official's signature p
L�,
The applicant certifies by signing this exemption that (1) the ap- �A�'ll�l1" Issuing date
plicant has read and will abide by the conditions of this exemp- Fade A'14 A /A0'r / 2 N74in.✓ ke V cr ! M e a ,t'ir� r� -ro
tion, and (2)�a-written•staterrrent has been obtained•ftom-adjacent ;,,1� „ - 7; ; r, :,,_- A,'
--landowners--certifying-that they- have no- objections- -to the Expiration date
pmposed-wcxk, r_'r�NT f�C"7" I�r1 %/ 14
Attachment: 15 North CaWina Administrative Code 7K .0203
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