General Permits (8229)

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CERTIFICATION OF EXEMPTJON
Y 1z
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, CNI']� D C"T,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K :0203. , :,i �_
Applicant Name Mc. v, -i U c L.c f Phone Number�t ocf \,4.x1-Tqy
Address l'i 0 e,�
City _ - 1 , State zip
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project Jx �+
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 .0.203 -This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 daysfrom the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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).awritten-statement has-been obtainediromadjacent. .
landowners -certifying- that- they- have- no --objections •-to• the
propos'ed-work.
Applicant's signature
LAMA Official's signature
Issuing date
:xpiration date
--Attachment•:-15-North.-G. ar-G4n&AdministrativeC-ode-7K-.'0202