General Permits (7000)

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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
r� in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name i_ � V5 6ti Phone Number ` 2
Address unt;/yTv ►
City State N C_ - Zip 2-7 5T
Project Location (County, State Road, Water Body, etc.) r°°>2c + .�.; ,.,4A;
70 0 e '/tf--k L: C,j n-- y �!
Type and Dimensions of Project (, t-v1 t. ; l �4 C i %c: t C": /t 7 !i
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of _ to continue -this certification_
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 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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Applica'nt's sig`natury (J
CAMA Official's signature
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Issuing -date T
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Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203