General Permits (7955)

ter% lam/ a ✓ ! T ION "d OF E_'. `,%�o E { ,� 10
FROM REQUIRING A GAMA PLRM(T
as authorized by the State of North Carolina,
"> Department of Environment, Health, and Natural Resources and the Coas'.ai Resources Commission
in an area of environmental concern pursuant !o 15 NCC. Subchapter 7K 10203.
Applicant Name - _ I-kA� �+A
1 C n)rI Oro v y7
Address
--_ �_
City ° --
Project Location (Ccunty, State Road, Water Sod , etc,)
� ..... .fir_ ...
Type and Dimensions of Project
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 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
K-11_
State
This certification of exemption from requiring a LAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site maybe necessary
to continue this certification.
SKETCH (SCALE: j i t AL ! )
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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 vioiation 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-
lion, and (2) awritten statement has been obtained from adjacent
iandowners certifying that they have no objecticns to the
proposed work.
CAMA Official's signature
issuin date
_% ' --
Expiration date
Attachmtint: 15 North Carolina Administrative Code 7K .0203
6