2335_BERRY, CHARLES_20120806

RBC13TVED
CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIfUu 0 9-2012 d�
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastatkcio" CCP;;nmission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K c; 4 46
Caia>� �6
Applicant Name Phone Number
Address
City State tti Zip a I g 3 9
Project Location (County, State Road, Water Body, etc.) 6 T
Type and Dimensions of Project ttG h2 6 ,jt V r d L -40,
.c' 1
s.. \o.A1
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 . This exemption
to CAMA permit requirements does not alleviate the necessity of
your obtaining 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.
Any person wnu piuuecua wun a vcv—villcu...,., ... -
sent of a CAMA official under the mistaken assumption that the Applicant's signatofe
development is exempted, will be in violation of the CAMA if there -- i
is a subsequent determination that a permit was required for the r ia J'
`- GAMA Official's signature
development.
The applicant certifies by signing this exemption that (1) the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion, and (2)••a -written staterrrent-iiasbeenobtainfldfr-Qm adjacent
landowners- certifying -A -hat -they Aiave --no-objections.-to.__the Expiration date
proposed_ work.
Attachment -i 5-NorM'Ca-tVrfa-Administrative C -ode 7-K -
A