HomeMy WebLinkAboutStrahm, Charles• w CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resources mmission in an area of
environmental concern pursuant to 15 NCAC Subchapter' or NCGS 113A-103 (5) (b) (5)
ApplicantName
City
Number
State ., Zip
Project Location( ounty, State Road, Water Body, etc.)
Type
The proposed project to be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. 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
RE
pie ® i�Un,
or 120 days from the date of issuance. Following
�✓ a re-examination of the project and project site may.
be necessary to continue this certification.
JAN 2 6 2017
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Any person who proceeds with a development without the con-
sent of a CAMA official under 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 the
applicant will abide by the conditions of this exemption.
Applicant's signatu01
`
%� ►-
CAM Official's signature'
d -,
lssuin6 date Explr tion Dald
Applicant Name
Address 1
City ;
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resources $mmission in an area of
environmental concern pursuant to 15 NCAC Subchapter 7KVor NCGS 113A-103 (5) (b) (5)
};
J
one Number
State x ✓3, Zips f
Project Location (County, State Road, Water Body, etc.) R
Type and Dimensions of Project
TI F,1 V,lW. F!1 VJGVL LV - IVL aLGU Q11U L.VI IJLI U%,LVU Qinl
described above is hereby certified as exempt from the
CAMA permit requirements. This exemption to CAMA
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
1111b ce1 unaauvn vl exumpuvn Irvin requiring a %.Hlvw perml>
is valid for 120 days from the date of issuance. Following
expiration, a re-examination of the project and project site may
be necessary to continue this certification.
E."
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Any person who proceeds with a development without the con-
sent of a CAMA official under 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 the
applicant will abide by theconditions of this exemption.
Applicant's signatuFe`,,' ;° f
X
pi
CAmk6fficial's signature
Iss i r16 date l Expiration Dade