General Permits (549)

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CERTIFICATION OF EXEMPTION Om �,zr �L
FROM REQUIRING A CAMA PFRPIT2 2�Q(�' _.�... u-1
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as authorized by the State of North Carolina,
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Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to.15 NCAC Subchapter 7K .0203.
Applicant Name _Z:NCA\A QUO" 1 z_ Phone Number ��- ^ 'Z SS -JS 10
Address c�a r1 Oaf Savbcak. �4 r.
Cityyra.a.��:,\� _ _ State fiJ C..< Zip X)
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Location ounty, State Road, Water Body,, etc.)
Type and Dimensions of Project C Q'r'S h oi ",
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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.
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This celtfic lLpn'of exemption from requiring a CAMA permit is
valid f&r 90 dayR>m the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH (SCALE: I) N % )
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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 obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
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Applicant's signature rJ
CAMA Official's signature
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Issuing date
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Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203