General Permits (7916)

CERTIFICATE OF EXEMPTION`. �s4
FROM REQUIRING A LAMA PERMIT 0 0 7-14
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Commission y
in an area of environmental concern pursuant to 15 NCAC Subchapter 7Kt✓,q-t�n-�7"
Applicant Name % itPhone Number 23-2
Address t✓ Tt4 fSA'VA5 Co ey
City f,-r -I -/
Project Location (County; State Road, Water Body, etc.) _
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State AJ C_ Zip
Type and Dimepsions of Project W41 e -2V ei2,45611 - A'AW ?
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The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit
requirement pursuant to IS NCAC 71K AC. a5i This exemption
to CAMA permit requirements does not alleviate the necessity of
your obtaining other State, Federal or Local authorization.
// 34-
This certification of exemption from requiring a CAMA permit is
valid for.-O'clays 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 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.
may. Applicant's r
CAMA Official's sign
e 6 /
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K