General Permits (8297)

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
1� in an area of environmental concern pursuant to 15 NCAC Subchapter 7K :0203.
Applicant Name L, ti 11. �i i'A L•t I-N Phone Number
Address I `:-- ! R(ay) !
City j! lr State Zip
Project Location (County, State Road, Water Body, etc) )• i i c i, i 'c i; l t-
Type and Dimensions of Project ijuk I lr it i L,: y i i ;G, iCi r" !! S (k "A0,, f i.f Lit i d i
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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.
5
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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.
[SKETCH (SCALE: i ' &0 ) I
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 statement has been obtained from Adjacent -
landowners, _certifying: thaL-.they— have •-no. objections 4o--th4--
proposed-work.
�iU�l�t7}(i Y'r !�u�
`jT 6f - tot l
Applicant's signature
CAMA Official's signature.
Issuing date
Expiration d
Attachment: 15 North Carolina Administrative Code 7K .0203