General Permits (6788)

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AMA PERMIT JUL a 3 2000
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 15 NCAC Subchapter. t
Applicant Name Phone Number
Address [ /tI✓,L f r:
City '
Project Location (County, State Road, Water Body, etc.)/
State
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_Zip 2. 7 `/ `%
Type and Dimensions of Project ; .' v t!� l % / ^ +'
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Cit.if
The proposed project to be located and constructed as described
above i .
LAMA permit requirements doh alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
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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 ftlopft that (1) the ap-
plicant has read and will abide by the conditions 101011111M
I=, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
This 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.
(SCALE: LIZ1'_ )
V
Applicant's/signature ---- f
CAMA Official's signature
i
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code ftrjaW