Carolina (40)

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CERTIFICATION OF EXEMPTION
. • ter
FROM REQUIRING A CAMA PERMIT Q 09/9 /q A
as authorized by the State of North Carolina,
0 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 �wn c C�� //^ + �r4c Phone Number /-) "7 6'A 5A 44
Address h i A), )/• Jq 4 Pco- RfvcJ p
Cit .grr2 /nK r�� /. , State A/C Zi A OWT
Project Locati (County,St a Road, Water Body, etc) C 4 n t( Th f► v E ^o� -1 1, f- Pc r'w a / -
1 Ct,1Q ,/4fr5eL- ctdyG�l.� fl 4,, R4}/ Cyr.0 /r ,/ $te,1c
Typeand Di nsiopsofProject -eAci o1 e O5fsrt 0J-44/ I pipe °rs GI« orc)lK)
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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 Sct R 1-1' Cr L h..( CI (SCALE: )
A4, 4e) Dills ecein1 / I��;))A UJ �A rIk�/fj o ✓1) (/ )AP vVar- iS CIeS(.-r161c)
p /) +At sUbl*r /Jed Gn C/ ci Tr'kL Acc) f /44. ---\..,
— lks -C)„6«4,4l 0„ qv -i'1j r I 1-e) re i,c+ !r- W O r-- k cam„ t.
tt/hic c1cLo rcJ ii.Ar -I-, sti A p �411- CD/1if-/ 71..i<I lie cs"
71-AH,\ 5D o/j o T L //4e
p// t o.t-1 0 t o h Tci /A /'A . Gj 11 1 (i 5 J-
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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 Applicant's signature cT
development is exempted,will be in violation of the CAMA if there /� fis a subsequent determination that a permit was required for the (/l
development. CAMA icial' signature
The applicant certifies by signing this exemption that (1)the ap- ` ` D /
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

REPLACEMENT OF 26 LF OF DESTROYED I _ c-J b2 y
PIPE AND DUCK BILL VALVELiJ
'
THE ENTIRE LENGTH OF THIS SPECIFIC DISCHARGECl--1 I- `` AUG 302001 dj J
FI SYSTEM Q 1 f
IS OVER 600 FEET IN LENGTH. DIRECT WORK HAS ONLY
DIVISION OF
BEEN TARGETED TO 118 FEET OF THE ENTIRE LENGTH OF THE
� _,~ --1 - COASTAL MANAGEMENT
LINE. 118 LF OF MAINTENANCE OF DISCHARGE PIPING FROM CB #3 6" WATER LINE FROM PERIWINKLE TO
TO THE DISCHARGE POINT. AND CANAL DRIVE TO BE ABANDONED
LO TO 8" WATER MAIN ON EAST SIDE OF
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