Carolina (36)

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CERTIFICATION OF EXEMPTION
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
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name 1 own o f C a► o 1 0. P.,eCAC h Phone Number 1(11 -15$-2571p
Address 11 Z1 N LG1C.7.- PO, K 131v d
City iCQroIUY1Ci t aC.h State NCB Zip ze9Ls
Project Location(County, State Road, Water Body, etc.) en 1(11 Or mid Luau be wLP n 5arr p Lr and
55eahorse 1 v, adsa( et1+ to.aLht &aSU1 Caro Unct l� ,li' �Ov eac ,tvau) ty`art j
Type and Dimensions of Project t?spa.lr eul'Cl pocUiS flrii Stow nix rx-I-ete fl Lt rvOS
y E r CA i Li l i t i t IA CA 1-
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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bp l l Ne c1 a na cOac.
1A-11 Ini K s11011 be ffrorrnect tviluvi ihe. TVuin o C0rv1UT'
detach r19 of- 1)u199
This C'v ern rrhovk duos rflt.QLt -t-he a7pllcctni- of -q-Lk
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t1(qrY49-h0v1CAU+iitoViu5 Y el,akr at A rnavhltl,,,A _1u irk
(1Y1L) wkt Y auvecl no +v -th e1al- Cons+-t-1-u s IHss r7
s0', of si-or wo+e r clr h S3.s-1-eons
Any person who proceeds with a development without the con- f' E(1 ' . f sent of a CAMA official under the mistaken assumption that the Applicant's signatureVix/-j\-14
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the 'vf ' t a)
q CAMA Official's signature
development.
The applicant certifies by signing this exemption that (1)the ap- n �—)�f`0Z
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
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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