General Permits (392)

t ' '77 7"
-� CERTIFICATION OF EX PTIO
FROM REQUIRING A CAMA PERMIT JAN 993
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 14NCAC Subchapter 7K .0203.
Applicant Name 11?_t L ; L r t e�a Phone Number 7o Y- 479 a _bq
Address fo
City <711,- rye r L -c 0 , C~ State Zip
Project Locati n (County, State F�Oad, Water Body, etc.)
. :A �c T_U Lk) vk c,, e—,A-.1A t St <_ T mow. 'n .. .
Type and Dimensions of Project
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 7K .0203. 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 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: )
Dec V__ _
H 6 cx S
Any person who proceeds with a development without the con- �'.,_
sent of a CAMA official under the mistaken assumption that the AF
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the —
,AP,04 Ace, ►�T N
wrl) Wa ,L6 V*1
j� t�N rrr�mX'
7n
rl IT,tt+� q uY It
ant's signature
development. CAMA Official's sig ature
The applicant certifies by signing this exemption that (1) the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent �p
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15,,6rth Carolina Administrative Code 7K .0203