General Permits (6760)

CERTIFICATION OF EXEMPTION LJ
_Y 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 environrr�ental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name J a! ti N If0 7 1
Address 10b VASS -SR J - 'T—
City i'A"A O V rn* C A -
Project Location (County,/State Road, Water Body, etc.)
to �, ' o ,C 77-f w E s- R t v E k
Type and Dimensions of Project G o t,l !G-r' i
( I I4 44 ;:*. )
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.
Phone Number ;� S_4T< 09 /
State A/ C, Zip
/U A t-IMAW L '.' A h,J A 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.
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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.
kppiicanrs signature
CAMA OffiEial's'sigiiature t
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203