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HomeMy WebLinkAboutGeneral Permits (7004)f 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 ComrTission in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .020a.- • u J.3 C mn.�L�f/F Applicant Name i_s�la J-,, So(Ji'rty Phone Number'J%�01 Address 11 ; r', N 4 1 U i 9 City State N Cam- Zip Project Location (County, State Road, W ter Body, etc.) i I l h1. Nc /?S�'� �'/U j ,rS1N+� Type and Dimensions of Project %12cL L ,� r / W/!✓Ai7cY4k14�T�z S ///,C- �rYn,DErr r e- o0li Z- t� �� /t/ TN, {N_[� 0r N7- r,7-Ai d f _ /-v) ,I 77Z /O' .4.4.-,17Z7- - - 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 exempti O amination of the project and project site may be necessary CAMA permit requirements does not alleviate the necessity o �inue this certification. your obtaining any other State, Federal, or Local authorization. /I�r,%AE.l-f?�'/r/Yi �,�' Ti'7/� °SANZ�_�GA✓C'�`�UST LE DCJNC 1N r9?r+�ic.",aivl'� iZ3 �� I SKETCH - Y/ , . I - , f (SCALE: 1 u,=7 v70 ° ) I e-1 x �s7snJ67 15pAi7e6 'iiE 4� i R i t G`77 r r IU _�,�p1- ICU _ ,- r•._� F rt.:. � Tt- or Duwc /91261-9 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. -,_U �� . Applicant's signature ; C A Official's signature i Issuing date Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203