General Permits (7027)

CERTIFICATION OF EXEMPTI(l
:.:FROM REQUIRING A CAMA;PERMIT :=
as authorized by the State of -North Carolina,]
Department of Environment, Health,"and Natural Resources and the'Coastal lli�$i�efrrrrnssiri,(� ,
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K-e2e3- s �'� `11 '3 - 3"� =
Applicant Name C� c ��'
�e-r-�.,r' Yt'ia�.G/',.� � .;. ._PhoneNurrtber
"Address , 522 ecAs-� j C45etn � AAen4: -1 D2,g�sa►-i Rat Ncr ,17-0a vi,A/C 2-A447
C y -- ►�,o-3rr- i, *-� cr,-L-ova " State 6/7 Zip !; 'f+.?�%
Project Location (County, State Road, Water Body, etc.} MLA ';v e r iri 15 r ,
Arl ,6 t6' f�4 ►i-� �ea� �,,� r3� sl c�i ..
Type and Dimensions of Project VVIa,-A4ev,.ar,tC C-N152;,v'r:-� .:�•
S-I+'
The proposed project to be located and constructed as described
above its hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K 12,O his exemption to
CAMA permit requirements does not a`ajjlevia e t tM' necessity of
Our obtaining any other State, Federal, or Local authorization.
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 maybe 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 - Applicant's signature
development is exempted, will be in violation of the CAMA if there
.--is a subsequent determination that a permit was required for the��
develo
CAMA QQ Official's pment. ignature
.The applicant certifies by signing this exemption that (1) the ap- Issuing date
,plicant has read and will abide by the conditions of this exemp-
tion, and (2T,.�
farrdooan m_cer3ifjci that the rye-4e--he Expiration date
w- A=r? mnnt• 1"Qdb C,a Uaa Ad{}i4tive'Qit TK-O2O3-