General Permits (8099)

FL
CERTIFICATION OF EXEMP �N 5 199z
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.
Applicant Name wt to ► P I i r' Phone Number 26
Address CG � _ S �-
City State Zip _Z290,
Project Lofrpation (County, StaRoad,rater Body, etc_.) f
Type and Dimensions of, Project
• v
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.
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.
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.
Applicant's signature
CAMA Official's signature
Issuing, , to
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203