General Permits (7491)

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 1-5 NGAC-Subchapter 7K .0203:- :_;w- '.iy - fL-�
Applicant Name .I7pocs f l Al z4i SA, 1 f +f"i Phone Number 1'1/ 176
Address q V q J
City = - State U?7c'<., , 4Zip ) 3 a 3
Project Location (County, State Road, Water Body, etc.) ;rctx't,;� l'�uh T'1J 4l 3 G SP&A;C_ I
6"rp- t-)C /2 RIAgaS f1r`rf %# T4_4, T t c ,C , �L
Type and Dimensions of Project Cc' i j4 r,C O c- L XIS !S 1i <;
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-NOAC 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.
SKETCH O'-' M (SCALE: _ _ ._ __ ) I
.' Xl sr� 1�S N�gce.
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-ebtained trom-adjacent
landewnersµcerAif-yfng.__tbat-they- have--no--objections-.to...-th-e
propesed-work-
Applicant's signature
CAMA Official's signature
/ 00 C
Issui date
ExpiratYn date
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Attach m 11