General Permits (7178)

CERTIFICATION O N
FROM REQUIRING A CAMA PE 4N 0 3 1994 /
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural urces Commission
in an area of environmental concern pursuant to Subc apte�7K _02QQ
Applicant Name c)be.-t Munt f) t;U C--, Phone Number 80o Wk,
Address - /U 2 5 vu d In MA r r n
City G 1-1 � h r D State hJC..) Zip a 3
Project Location (County, State Road, Water Body, etc.) (61, Slot) C o,.: Diu � :Pot -1P�c�r {a��g, ��; ✓�,r
Typq 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.
! ',
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.
I SKETCH (SCALE: A)„-r T, `-,,-n lF )_
f7'
fL
:Zw -Z Ver
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.
Applicant's signature n
CAMA Official's signature
Issuing date
-- f C C�
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203