General Permits (8264)

CERTIFICATION OF EXEMPTION
�- FROM REQUIRING A CAMA PERMIT APR 2 6 2011 '
as authorized by the State of North Carolina, 1
Department of Environment, Health, and Natural Resources and the Coastal Resources Co�mi s'
in an area of environmental concern pursuant to 15 NCAC Subchapter--7K .0203
Grt
Applicant Name • L��,� C' hr,;�n,� Phone Number
Address HaS UA e r 1, i i fZ A
City ', • : CState Zip 1 �'O
Project Location (County, State Road, Water Body, etc.) 16
Type and Dimensions of Project eM njr kL� p�t�i �, (�axtu
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.
MA G3�fry,
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.
I SKETCH (SCALE: ) I
�,.ir to ttvs 1
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 {Z).a..written statement has beermbtained-fteni-adjacent
landowners--eertify-ing-IIrat-they--have- no-•-objectiens---to--the
proposed work
ure
nature
Issuing date
Expiration date
Attachii d-hl'16ND-rth-Carolina-Administrative Ccrde-7t<-.0203--