General Permits (407)

CERTIFICATION OF .F__ �I' f;
FROM REQUIRING A CAMA PERMIii APR 1 1993 i1ol
as authorized by the State of North Carolina,
w
Department of Environment, Health, and Natural Resour�ss'and t�e"Coasta� ommission
in an area of environmental concern pursuant to 15 NCAQ,,aubChapier-7K_A203-------
dt Z
Applicant Name ri:- i;" Phone Number � ' 13}'-
Address
City State Zip 2--7Y/U
Project Location (County, State Road, Water Body, etc.) .-r�u _ I Cv < -' ' CA L,,4
'r,
Type and Dimensions of Project P
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 b_ -A /As. (SCALE: )
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted, will be in violation of the CAMA if there r c ��f
is a subsequent determination that a permit was required for the /
development. LAMA Official's signature
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 t
landowners certifying that they have no objections 7fo the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203