General Permits (8234)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission +
in an area of environmental concern pursuant to 15 NCAC SubchapteF,74< :020a. 1
Applicant Name IVI fit, t hj-i * t Y F
Address lbi 1j*l-./q
City
Project Location (County, State Road, Water Body, etc.)
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Phone Number (451� Ir 1§_I_Lt I 9ff
_ State V F Zip ,Z�� ii
Tyype and Dimensions of Project P, u , ,r- T, { r t' sxto . an rt s7ia � � o� �- �� -AI WA
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< .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
C' 'a. li-.;,A (sxb O
This certification of exemption from requiring a CAMA permit is
,valid4apc94,.days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
I SKETCH (SCALE: 1 ) I
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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.)awr+ ten-stat-ement-hae-been.obtained-€romadjaeent
Iandownefs-•-certifying- than"`t d* haJd'no` objections-"tc'--the
proposed -work:- -
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Issuing date
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Expiration date
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