General Permits (26)

P
mu�"CERTIFICATION OF EXEMPTIO
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, -`
Department of Environment, Health, and Natural Resources and the Coastal Res,s��rrr�r�1 i2p M�
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name LU t I.- L I R" %U f
Address ? t._ 3 13 N 0 A P. eA� t7
City K{ L, t- Q Ev f l- i LL,
Project Location (County, State Road, Water Body, etc
.)
a 1.J?A a o Fr' Ai-r3. `A4IqLCi :Soup
Type and Dimensions of Project A 120� , �r9s-T"
E 5 Phone Number H BO — 0 �
I�tU1
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.
State ILO C_ Zip ','
i 5 &oPS rAuG
14 l e' L " S/l�i'� � i� Zit r tac,*ht ,
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.
SKETCH - �:�; •y _.
(SCALE:
CO�)JAL OFr (ALFiVAAAfLLt? % _.`,�_
Any person who proceeds with a development without the con-
sent of a CAMA official under the 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 (1) the ap-
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
proposed work.
Applic6n.t'ssignature
CAMA Official's signature
Issuing date
t.
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203