General Permits (6387)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT MAR 16 999
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environme%ntal corfcern pursuant to 15 NCAC Subchapter 7K .0203.
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Applicant Name F_-a n . /i `t� , i ( r Phone Number
Address G -4 t r �� l�r ✓
City State _
Project / Loc,a/tion1, (County, State Road, Water Body, etc.) % Y �( <<r (I' -
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Type and Dimensions of Project b d4 ~� r 1 h►
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.
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.
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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.
Applica ss gnatOtte
CAMA Official's sigbature
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Issuing date
Expiration date
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Attachment: 15 North Carolina Administrative Code 7K .0203