General Permits (79)

61 roe
E C(h OF EXEMPTION
-Y 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-1'SNGAM-- cDapMr- 0203.
Applicant Name k- l it or�,e `' Phone Number 9r1- 2 a 3-S"z.P
Address 6x;"( dal
City " < State Z ip PIS' 742
Project Location (County, St to Road,rwate� Body, etc.) Cw. /!tir
Type and Dimensions of Project
l % IYzsar�Si d�. f ,
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement purwant,1a-I&WGAG 71<� 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-deys from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
- r`'. �✓_ /� is
I SKETCH (SCALE: )
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.
""401 47 6�9)2 -Ia -0/w
I
It' f
Applicantts signature ;
CAMA Official's signat e
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203