HomeMy WebLinkAboutGeneral Permits (192)A_ 1
-� CERTIFICATION OF EXEMPTrSEPPfqli
FROM REQUIRING A CAMA PERMIT 1219%as authorized by the State of North Carolina, 'I
Department of Environment, Health, and Natural Resources and the Coastalo missionn ,
in an area of environmental concern pursuant to 15 NCAC( Subchapter 7K _02-0 ..
Applicant Name 4 V LS/�� r ��u� i C�vw7�f 1�K t��� Phone Numbe(q�J)
Address 0.
City State id C Zip
Prpject Locatio (County, State R ad, Water Bod , etc.) w :> > A t -
( LL r /
�'�
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.
w p -) 7 d
C .H �, W k Idj
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: Vo+ !, ,( )
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.
/5-
I 4�
El
re
UAMA Utticmrs signature
r ..
Div
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .02CV_,1
'J