General Permits (8007)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
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. ii%G /t, 3 S, 6
Applicant Name % V % r3 r v %l' U A'r Phone Number
Address o 4 A->c, Ei
City ; "',�' State 4,. Zip
Project Location (County, State Road, Water Body, etc.) = NG tu,/I�J c 7'-Y'
J%f Ix t/ i U * J .2 24, pr 10, 11,4 hi o � &e C4J
Type and Dimensions of Project ,(:- ' tf. �� EX! S i EJikI i kt L�1_
Atli /43 -
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-NOAC 71E .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
I SKETCH (SCALE: ) I
Ji
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 obtainedfrom adjacent
landowners certifying that--th,6 - Nave no - objections- to- the
proposed work.
Applicant's signature )
CAMA Official's signature. cemil0.1
vCi ) r 1//7. 0
Issuing date d
Expiration date
Attachments 15 North Carolina Admirii"strative-Code-7K .0203'--