General Permits (7764)

I
A CAMA PERMIT �Gr'E: ti���� ���'f�' • % f
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources CoJ6Iss0n3 2000
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. U �. C �3
Applicant Name QuA rL16 �"�u'! f '� Phone Number 4 ' d
Address f ' ' ? _ Lk „%? c�-
city 7 ;' :.' ( - , tJ State Zip
Project Location (County, State Road, Water Body, etc.) l•vI /32 e
f_7 t.. ) . Cr'9 lien' t'_
Type and Dimensions of Project .Y.: lv '1C
The proposed project to be located and constructed as described This MEMO
CAMA permit is
above " valid for 90 days from the date of issuance. Fo lowing expiration,
This a re-examination of the project and project site may be necessary
CAMA permit qMWNNMMWoes not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
J SKETCH (. (SCALE: AV 7j' )
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 UNNImM that (1) the ap-
plicant has read and will abide by the conditions of this INOW
and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
i
Applicant's signature
CAMA Officials signature'
Issuing date
Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203