General Permits (8137)

CERTIFICATION OF
FROM REQUIRING A CAMA PER
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resour es
in an area of environmental concern pursuant to 15 NCA
Applicant Name V `!, Stto"
Address 4 F ' o0kk;�rr Of,) b
City nn
Project Location (County, State Road, Water Body, etc.) 3L K)A iA V.
Type and Dimensions of Project t_ t= l i, I
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.
A
_
AUG 0 7 1992
ilk
d the Coast�f»Fjgsqu;l;l%�,Pommission
chapter 7K .0203.
Phone Number
State _ N C_ zip Zr5 3 '
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.
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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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Issuing date
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Expiration date
Attachment: 1allorth Carolina Administrative Code 7K .0203
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