Pittman, James

CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT a 014%
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal. Resources Commission
< in an area of environmental concern pursuant to 15 NCAC Subchapter!0 .M
Applicant Name me('Phone Number
Address
City' State
Project Loccon,(Co,4nty, State Road, Watetr Boldy, etc.)
Type and Dimensions of Project r "
The proposed project to be located and constructed as described
above Is hereby certified as exempt from the CAMA permit
requirement pursuant to 15 NCAC75.'6,aJ0_. This exemption
to CAMA permit requirements does not alleviate the necessity of
your obtaining other State, Federal or Local authorization.
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.
SKETCH (SCALE: ill t (, )
1.
Any person who proceeds with a development without the con- t r
sent of a CAMA official under the mistaken assumption that the A lican/'s sign*,e
development is exempted, will be in violation of the CAMA if there ~>',•
is a subsequent determination that a permit was required for the
development: CAM _ Official's s'gnature
*" The applicant certifies by signing this exemption that (1) the ap- Issuin a e
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 that they have no objections to the Expiratidn— to
proposed work.
Attachment: 15 North Carolina Administrative Code 7K