General Permits (234)

N
CERTIFICATION OF E
FROM REQUIRING A CAMA PERK
as authorized by the State of North Carolina,
J� Department of Environment, Health, and Natural Resou
in an area of environmental concern pursuant to 15 NCi
Applicant Name -Ufl t I a 11XuL f
Address eQQ (3 ---r,4 ukccj --Pot1d
City 6f I ^ ry
Pro'e t Location (County, State Road, Water Body, etc.)
^
001A 1.. t� 4 y ! A i A 11�: a l
Type and Dimensions of Project k_w F,..r Mac.1G.
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 7-K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
-PI'
a .�nd the Coastal Resou! ommission
bchapter 7K .0203.
Phone Number 919 cX 4— 1190
State
Zip CD'? 5-7
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.
I SKETCH (SCALE: Al,._ -r;
}
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.
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tD In v"'Kc.
p�op�� c1 1
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sianature
CAR1A O�cial's signature {
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Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203