26702_MARTIN, FRED_20001106 (3)

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GENERA!- PERM IT
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A CAMA PERMIT A NI D r t-L
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern
Applicant Name f Y? t_ `, t` jYTvl _i t t\T 4
Address
City
Project Location (County, State Road, Water Body, etc.)
Phone Number 1.2 �'� � �• jj j �
State e• Z . Zp '� rr'.)2Z�
Type and Dimensions of Project J; l ti c A.4 A ' r `7 '/ 7/)
The proposed project to be located and constructed as described
above ' --
oes not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This 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.
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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 amompbmthat (1) the ap-
plicant has read and will abide by the conditionsaUgwwommlo
iOm, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
Applicant s signature
CAMA,Official's signature
Issuing date
Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203
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