General Permits (7546)

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CERTIFICATION O
E 1V1L
FROM REQUIRING A CAMA PE IT
as authorized by the State of North Carolina, F E B 0 2 2000
Department of Environment, Health, and Natural R so rces and the Coastal
in an area of environmental concern pursuant to 151
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Applicant Name
Address L„
City State
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
Commission
ine Number
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The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid 4or--94days from'the-date•ofissaance. Following expiration, „
quirement pursuant'to 15 NCAG-7K-.02.03: This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
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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.
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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.
Applicant's signature
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CAMA Official's signature
Issuing date
Expiration date
Attachment-:-1-5-North-Gafolirta-Adminfstra�ive_Code-7..K 02p3