1043_MCPHERSON, VIVIAN_20031013

CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT 010 -/A
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K
Applicant Name Phone Number .24' ? — S% 73 23f P
AddressD. sox fO i
City State df G Zi 79/
Project Location (County, State Roa , Wat r Body, etc.) r�!Cr./ �1� _`
Type and Dimensions of Project eV) - '5'4'
a
2 -
The
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit
requirement pursuant to 15 NCAC 7K e)7 /-k-.. This exemption
to CAMA permit requirements does not alleviate the necessity of
your obtaining other State, Federal or Local authorization.
-AEr G
This -certifcatiomof- -exemption _f[om. r"equirlg,a. LAMA-peritiMs
valid -for 90 --days from the date "oflssu_ _
agge91lowing-expirattoli,
a Te ezaminafion of the -project and. project site-may,be-necessary.,
to continue "thls certification:. -
SKETCH (SCALE: )
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-� .` yQr.✓LTJ t� P y.,,i f, {" i<� /y' l� c / I fJ i SS �'✓
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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 thisoxemptionthat (1-)-the-ap-
plicant has read and will abide by the conditions of this-exemp-
tion, and (2}a writtenetatementhas been obtainedfrom-adjaeent
landowners certifying that- have -no objectior7s to the
proposed -work.
pIic nt's-signature /
all
CAMA Official's signatu�
Issuing date /
Expiration date
Attachment: 15 North Carolina Administrative Code 7K