General Permits (8281)

CERTIFICATION OF EXEMPTION
,(�­Y-)
RECEn'ED ,:
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, OCT 2 ee
Department of Environment, HerMth, and Natural Resources and the Coastal Resources Commissi3n 20>>
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
DCNI-
ApplicantName i E�. Lt��i L-f�u/w j`Lt-t Phone �,:ZM pryS7S r%
Address f ! i I ; /(1 14 l n. ( Il e1Y[Y7
City it i ! , ; r State zip 2
Project Location (County, State Road, Water Body, etc.) I L4 V bt itV` ' ;
I' A I 12_I�II bi(III./ti i�i II Y I-kzklA,I I )li,•I; - r, AIr A) /`T'7;/.t/
Type and Dimensions of Project
I II 't
1-3 1 1/ 1 1.
The proposed project to be located and constructed as described This c^rtification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re-,` valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to '-� a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of-' to continue this certification.
your obtaining any other State, Federal, or Local authorization.
SKETCH L l �/ lei (SCALE: IV )
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v
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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) a -written statementhas been obtairledfrom adjacent
landowners._cettifyjng.-that.. they ha�e_m—.obje. Qns to_She_
�Nv ellJvy, Li
Applic,0nt's`signaturbJ��
CAMA Official's signature
Issuing date
Expiration date
proposed -work.""
Attachment: 15 North Carolina Administrative Code 7K .0203