General Permits (6909)

CERTIFICATION OF EXEMPTION RECEIVED
_Y FROM REQUIRING A CAMA PERMIT k MAY j g 2012
as authorized by the State of North Carolina, Aa
Department of Environment, Health, and Natural Resources and the Coastal Resodreepjgq__ }
in an area of environmental concern pursuant to 15 NCAC Subchapter 71<,.A DS
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Applicant Name 110 _��Givi5 'Mi(t I,,-) J�� it,
Address L • 1 C4 I (0 6 `+
City :� r
Project Location (County, State Road, Water Body, etc.) _1
Type and Dimensions of Project
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 ` qiG. 5'-IC `USio'
L'
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•obtairred-from-adjace nt
landowners-c-ertifying- -4hat- they -have•--no--ob*dions-to--the
-proposed-work:
Issuing dat
-:v, -7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203