General Permits (7459)

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Applicant Name
Address_ t �-i
City K: 7
Project Location
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
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 pursuant to 15-N.CAC-Subchapter-7K-:0203. // 3r/ --/ I � - S 6 .f
Phone Number 2 5al -19 9 !; - FL4S
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r: State A> c Zip 2 9,Sc/
(County, State Road, Water Body, etc.) 0,0 t-ou t- T , `bra �12. 5; /* S/'k[: C
4 A /t /-4 ,41 S S r/t%iZ-.e 71 . rJF6 - ,&t G 12 4 G S fq .�-A 0 -
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Ty e and Dimensions of Project 419)1411c Lt;���� �=sc .� r�►,t'�.;r����
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The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant tG45-NGAG 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.�b 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: _ -- - )
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Any person who proceeds with a development without the con- 77-.
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted, will be in violation of the CAMA if there -7e i 1
is a subsequent determination that a permit was required for the
development. CAMA Off ici I's signaturo
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp- OI
tion, and. 2)-a-written-•statementhas been-obtained-f-rom-adjacentw� G i
lafrdmmws- certifying--that--they--have --no -objections -to -the Expiragon date
proposed -work:-....._._
Attachmmnt-t"orth-Carc lina-Administrativ .