018-97_Kuhlman, Henry_19970307

CERTIFICATION OF EXEMPTION o t
FROM REQUIRING A LAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment. Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name 1 L PM A ^/ Phone Number J-9 / - S7, 1
Address lO4- (.t124_c4s D t Q- t,Jes 1" j-f R.e ✓td
CT-
citye S -I- A c 7-. State Z•1
Project t_ocatlbn (County, State Road, Water Bndv, etc.) _ �c-"t"- a. R o t
14 of-,? c- T7? h1-C 4 . S' rx A � ►q © 6 I-j, • i / Pra 7-e_ eJ. /9,c 1,�- Sh v r
Type and Dimensions of Project , 06 4 Sy' '71' S j � & - - , Ck UA_'e I/ -
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quiromant 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.
This certification of exemption from requiring a CAMA permit is
varld for 90 days from the date of issuance. Following ovi iration•
a re-examination of the project and project site maybe necessary
to continue this certification.
SKETCH 1-ril I
l (SCALE: )
APR 2 4 1997
36/
3 s0
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 it 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 road and will abide by the conditions of this exemp-
tion. and (2) a written statement has boon obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
7=21's
10ure
/n y
signature
3-7 7
Issuindate 62 c
- 7-7 7
Expiration date