General Permits (7395)

CERTIFICATION OF EXI
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources a
in an area of environmental concern pursuant to 15 NCAC Su
Applicant Name CE` t-9 ±__i 0035E
Address 1 •
City ta2 S ,1,_ C
Project Location (County, State Road Water odyetc.) 1 > "
C', Qi- ail PC: �� c :t;,i% UtTL-, t�', i=-a�
Type and Dimensions of Project c�(') x A Vc A,?4 jivA LJ, i
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.
AUG 0 6 2001
in
Phone Number c 52`� '`
Zip
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:
vp
e11,
Any person who proceeds with a development without the con-
sent of a CAIVIA 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.
CAMA.Offic a signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

r 4 ,
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: �1 5 Zi PERMIT #
LOCATION: FIELD REP.
PHONE: q C1 S DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION4D
1) Do th easured dimensions of the development differ from those indicated in the permit and workplat?
Y /N [circle one].
COMMENT:
2) SEDIMENTATI & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed are
Y /NO [circle one]
COMMENT:
3) FUTURE MQ9TORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YESr O [circle one].
COMMENT: