General Permits (8296)

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CERTIFICATION OF EXEMPTION j-
-Y iZECENEb
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, SEP 2
Department of Environment, Health, and Natural Resources and the Coastal Resources commission /
in an area of environmental concern pursuant to 15 NCAC Subchapter-� 3. 6 >.
Applicant Name 3,o ,,i Lb Phone Numbe S�'as - a L�-f6
Address 104 b0%Fu r LZru
City ?" ' .E / K State ^.: Zip a'l 4� Lt ti
Project Location (County, State Road, Water Body, etc.) 1 = r<. r „ i7 s -J A
k,i4y a _•� �.. '}..r,.. ,� t',�.� Nu�„Y r� .
Type and Dimensions of Project I e vi t n, �,b -a a, n 4 70. N-§
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to,1.,5.,N.CAC-7-K--.0248:- This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local author(zation.
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: ( = 30' ) I
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16
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A P t —
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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-staterneat-has•b"n-obtained. Is= adjacent
lii6a wners certifying-`iha iey Have no objecrion-s`10 -the
proposed-vc"fli:"""'� ""_.-.
Issuing date
Expiration date
Attach rnent:-t5 NUrtb Cer7i a_A_dFni trs ative 5de-iK .M3•