Carolina (34)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
h Department of Environment,Health, and Natural Resources and the Coastal Resources Commission
Y� in an area of environmental concern pursuant to 15 NCAC Subchapter 7K.0203.
Applicant Name 101AA'1 Of* CAV O I t Yt A Cie (i Phone Number 4004541)—257.61
Address IILII N_ LI,IKQ PQYK OW
City ss avotuvi7,t c3e7fua State NG Zip 2814-7 ,
Project Location(County, State Road, Water Body, etc.) O jSfrr She it In at Canal Dr
Gcd j G C e vi i- t'D y a t i t ba&u1 Carol 171._ Ilea c..h ,Al en) Han otx CpuV1t\i
Type and Dimensions of Project repair ('atL i b1ikyis and Stir V4 trftir ('IYQ.IYL LIYI S per
Qrtuthect plat
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH (SCALE:
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Ooncettois-its tXevn?ben ou+lnor ins oil) -tom. wort; deSCVtTec1 oIA -thc
Sulorm- (t. and art-athfd at
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1 oemftov\ dD?s nck 1'e vte*NI applkcost a4-
Yesp(oSook1'.-h1 Q17 (W1 1& am) oTher la.ta t k rar -Eeci(I
au.i hoY 17 Oil unS,
1 6 e x-C\10iov WW1% ri. c r epa\r aart ma_v ri .wilt¢ VvO K
oviLy wtn.aCh accuvd.tvai _TIt . Vial- 0IonSi Wss -har;
Say° S-br vi Wa40- dvauh sjs4-emS
Any person who proceeds with a development without the con-
fig .
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there j n
is a subsequent determination that a permit was required for the ,j {1 VI GA/N....„
development. CAMA Official's signature
r Z-IX--D2
The applicant certifies by signing this exemption that (1)the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent ram--jR-0Z
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

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