General Permits (7920)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, �v� .� �0�3
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. y
Applicant Name / X/1144 } , J i,a Phone Number
Address -- 10
City ` F t ' /- State ;�,i<= zip
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Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project F>u, c „�� 8 x i7�',s ✓>> E h ��evt,>iz_ / tiGS t1 Ny ei�rC�f?
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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 for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. 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.
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.
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LAMA Otticlal's signature
Issuing date
Expiration date
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Attachment: 15 North Carolina Administrative Code 7K .0203