2407_CURRITUCK COUNTY_20121212

RECEIVED
CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT DEC 19°20 ;
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources ContM#"11D CITY
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K
Applicant Name
Address
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.
SKETCH
cc, I- <. 1
Phone Number
State 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.
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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 obtained from adjacent
landowners -certifying -that they have no objectidrig".to: the
proposed work.
(SCALE: )
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Hppucam s signaiure
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CAMA Official's signature
suing date
Expiration date
Attachment: -15 North -Carolina Administrative Code 7K _