Town of Emerald Isle (6)

CERTIFICATION OF EX ION
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 r
in an area of environmental concern pursuant to 15 N AC Subchapter 7K .020� a
Applicant Name �► M P� ���� Phone Number
r Address
City U 7 J State C zip
Project Location (County, State Road, Water Bod etc.)
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` ` Type and Dimensions of Project s c.f ':r F : A rr
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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.
SKETCH
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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.
(SCALE: )
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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 Applic
development is.exempted, will be in violation of the CAMA if there
R. is asubsequent determination that a permit was required for the
r, development. GAME
The applicant certifies by signing this exemption that (1) the ap Issuin
plicant has read and will abide by the conditions of this exemp-
signature
vial's signature "�-- ----�
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the Expiration date
` proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203