General Permits (444)

O
Applicant Name
Addressers
CERTIFICATION OF EXEMPTIO r- -=
FROM REQUIRING A CAMA PERMIT A 0 6 1993
as authorized by the State of North Carolina, Lf-� 7
Department of Environment, Health, and Natural Resources and the Coastal Reso Jqgp�
s
in an area of environmental concern pursuant to 15 NCAC Subchapt 7K .0203.
(6fI`7)
I -I KA����r hone Number ;�32- 2731
1 .r -%
City « � ur_tr_
Project Location (County, State Road, Water Body, etc.)
1 ie; J �= r l ►fit o�, r-I 1 - C A J,
State
Type and Dimensions of Project i �U-NI Cy i
I li. ' V 1 '"� kk I" i f cl { . c
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.
L"w __ �_Wavi�i11l1rm��
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 i i S (SCALE:
�-4Or
v
�`2oA -S(�,)Fjr L
-
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.
L
LAMA Official's signature
2'�
Issuing date
9 - Z% ,- 1 `�
Expiration date
-T-J"o_4
,Przop.
Attachment: 15 North Carolina Administrative Code 7K .0203