General Permits (7280)

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CERTIFICATION OF EXEMPT W"""
FROM REQUIRING A CAMA PERMIT JUL 1�94
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coas4 e e hintiS' '
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K•9""-"""""--�--- aaaaw.
Applicant Name Kl►'`'I 6 SAn _Pp'`Lu Phone Number (9)GI)_330— ZU3C7
Address H S C %CIA kT`� > —
City G;U?_N Cr`� G (T State Zip -Z-90�
Project Locatii n CQunty, St to Road, Water ody, etc.) i� S t1 Ly� S �U� 1<i 12_ cv —
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Type and Dimensions of Project �) 7/ CYX ((
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.
t'dZU{°�C VC/N';T—
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 P-l— fj kK(, F-,,- S, (SCALE: `'' !, rjv " )
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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.
e__
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203