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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