General Permits (45)

Applicant Name
Address
City
Pit Lopation
11
CERTIFICATION OF EXEMPtrM0iq"1Tr -
FROM REQUIRING A CAMA PERMIT
as authorized by the State of !North Carolina,
Department of Environment, Health, and Natural Resources and the Co "Resources C ssion
in an area of envi nmental concern pursua to 15 NCAC Subcha ter �` f
Ph be
Zip
Road, Water
Ira► _ ., ..�� �- , _ ,,1A111.'�
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.
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 maybe necessary
to continue this certification.
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the nature
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. AMA Official's s" Ulf
The applicant certifies by signing this exemption that 1 the ap- Issuin date
licani has read and will abide b the conditions o i exemp-
- lion, an 2j a written statement has been obtained from adjacent ,
andawners certrijrin`e eve no objertic_ ns _ to _t `e Expiration da e
proposed work, -'