2354_BRANTLEY, BOBBY_20120424

Applicant Name
Address
City
Project Location
CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT
RECEIVED
APR ®N-/023_54?
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources"CommissianTY
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K
FW 66 b rt h N j L Er 7 Phone Number
Type and Dimensions of Project
i' r � Ci h -g r l r,4,.ri
Road, Water Body, etc.)
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.
State
Zip
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.
SKETCH (SCALE: )
0
NUTL e RVtAC6,n 0VT flirt f K - i2 -L 9
C;,V LP(�-fk Q ECOA) t f
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.
P
L -ET
x
w
RUTHORIlla
R&fLACD rtk'r
App scant' natuq
1
'ti- act
CAMA Off ici 'ssig ture
l
Issuing da
-�
Expiration date '
--Attaehtnent -4-5-North-C-aroliria-A-drr mistrative-Eode-7K-