2106_BETHEA, SUE_20121004

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CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT
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 104' ci Phone Number
Address .r: L,
City { ; +'.t Stcjte
I
,Zip
Project Location (County, State Road, Water Body, etc.) i 110-1 _iAA
Type and Dimensions of Project
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the LAMA permit valid for 90 daysfrom the date of issuance. Following expiration,
requirement pursuant to 15 NCAC 7K , i . This exemption a re-examination_ of the project and project site may be necessary
to CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining other State, Federal or Local authorization.
SKETCH (SCALE: )
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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 writtenstaternent has been obtained-€romadjacent_
landowners certifying-- that- they- -have---no--objections-to--the
proposed work..
Attachment: 15 North Carolina Administrative Code 7K