General Permits (7158)

I �
CERTIFICATION OF E OW,`"�;
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, S-F y�
Department of Environment, Health, and Natural Resources Coastal Re � mission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .020Y.
M.rdirw.ea■.m. dtlr.rr. rertll�4e1 �..:,/
Applicant Name W A Y t, z L ��K �� Phone Number 336 52�5
Address .1''>-1 SA I L rx_.,AT '�' - ✓)
City <41 f. D ►4
Project Location (County, State Road,
✓, I i-v;
Water Body, etc.) C11 if—
Type and Dimensions of Project c i l L ,,�Z 1
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.
0.
Zip 1:4z #--
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.
SKETCH (SCALE:
■■■■■■■■■■N■1■■■■1■■!'-"
IONmoommoommom
!�■■'■■!��
NN
■■■■■■■■��■���■��■�������
ONES
�■■■■■■■■■■■■�■��■�■r����+�r��;
NOON
■
_
--
■
_ ■N■
■■■
E
-ION■
►
■■
ENNE
0■■■■■
Or■■■■N■■■■
■■■■EEMNONNNNENN
■■■■■■■■■
E
■■■■■■■■■■
NOON■■■
®
ON■
:NOON■■■
■
=
■ - ■■■
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.
Apply nt's s ature
CAMAofficial's signature
Issuing date
Expiration date
f h
Attachment: 15 North Carolina Administrative Code 7K .0203