General Permits (6354)

CERTIFICATION OF EXEMPTI `s' IL
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_Y FROM REQUIRING A CAMA PERMIT JAN 1 6 1998
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resour'ceg='CcStfirtilISSOAAGEML iT
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name 6J ii r A is ;`' i c L ,( y 1 j &I Phone Number?
Address 3 - 0 4 GAD
City r� ,,:� r ' a;r r 2= � C14 State VIA C A// 4 Zip:Z :5c/,5 '7
Project Location (County, State Road, Water Body, etc.) /i A' l �� 8 c�rj fJ
��'6,6iV1,510IV � � ,r. ' 4h L- 0JG'i /�k►��,.tf0� � �'fi��L s� /Ar
Type and Dimensions of Project S ' X S F /­ 6 E-r u-,4 Y' , /6 'k ` L
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,l -04� /;©/iZ/ 74
SKETCH N ) ' l t✓' f & j
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.
(SCALE: i '' - . )
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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
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203