General Permits (216)

CERTI=F1CATIONN-=0`F EXEMPTION
FROM REQUIRING A CAMA PERMITr
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-1-5 NCAG-SUbchapter-7K--0203.
Applicant Name Phone Number
Address A? C. -2 y ov s`
City a:1 f /i State zip
Project Location (County,_State Road, Water Body, etc.) 1112U. c - Nc• /r,•�:,„�
,f I e-y4d ey? i �f ..., 6 .,:�" Y" ^Y> • r h �b� / .� �r" -K Id: , i r
Type and Dimensions of Project ,ors..,- -J �x. '' / ?_S � :-� � f 4, •X
, I e ' , — /i f /,. ,.._ r1 / ? ' i -.. f n /­ 4%, i , ..* °i� % "2
The proposed project to be located and constructed asdescribed This cMficatron of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid foF!b4Aays from the date of issuance. Following expiration,
quirement .pursua,rtt.-to--1,5-NCAe-7K 70203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
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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 obtaina'd=from adjacent
landowners -certifying that they- have no objections -1o__-the. _
proposed -work.
Applicant's signature
CAMA Official's signature
8-/- Q60
Issuing date
7--9i- 91'
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203