2347_BRYANT, JEFFREY_20120502

CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT /02,147
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as authorized by the State of North Carolina,YA
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Department of Environment and Natural Resources and the Coastal Resour es C�5 ZROM
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K ,
Applicant Name f i< <t I li i
Address IC t i
City
Project Location (County, State Road, Water Body, etc.)
,
Type and Dimensions of Project ! ► ,,
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 ',.1 `_ . 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: i )
Vit\ xlx `
AX
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.
Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K