General Permits (6470)

CERTIFICATION OF EXEMPTION ,_,
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 1-5 NCAC-Subchapter7K .0203_._.. < - ! . 7 ? E aA P
Applicant Name L L �, Y b 'rn.-� Phone Number 7i'E 114y�i
Address 10 r hA 0 SA • t I to � v
City x`. , ..) State )JC Zip 7
Project Location (County, State Road, Water Body, etc.) t'C_.4 u-t ua > r , r r
IAA"CC Sr'c)'eti- 4tAtf C (+, VY tir
TypeAAand
♦Dimensions of Project s ►" V( tit c zc:
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-NCAG 7K-.'0203._This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
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.
ApplicanKsignature
CAMA,M)tial's/Anature'�
Issuing date
1�f_C.FA-4
Expiration date
Attachment:-15 North Carolina Administrative -Code 7K -.0203--