General Permits (49)

�U)
CERTIFICATION OF E ,wry �1
FROM REQUIRING A CAMA PER �'''/
as authorized by the State of North Carolina, ? JUN 1 9 ��
Department of Environment, Health, and Natural Reso and t e Coastal Resou Commission
in an area of environmental concern pursuant to 15 NC 4�gr7t(_,04
Applicant Name 1 %N %Chcel �\�\
Address Nc. c %
City
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of
�V.tN 'Nxtr
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.
�■'"""'�""'�'"PYtone um er- 9 vi - cm - SI.i 1
State rC Zip Z7
c,C SL 1 ,1-1
c. tt' \ 4 ` CJ t, ►r' \ i on
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 (SCALE:
■�■
T%�I
i�ii
■
t
_
■■MINORKim
E
■■�
►
-■�
■O-�MEN
�•
■■■■■■
■r■■■■■r
r■��■��■�■■�
■■■■■■■■
EPEE
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.
Apelicant's signature
CAMA Official's signature
Issuing date
v,�6u� i5�14
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203