General Permits (2346)

t. J. CERTIFICATION OF EXEMPTION
_Y FROM REQUIRING A CAMA PERMIT
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 15 NCAC Subchapter 7K .0203.
Applicant Name
Address , , Toy �,�Vz
City i
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
)� > > Phone Number 1/ /, d: ; i- y /3?
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.
State
cA` / ;,,
Zip S"70
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.
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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.
Applicant's signature
CAMA Official's signature
Issuing date
I O tl �
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Expiration date
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Attachment: 15 North Carolina Administrative Code 7K .0203

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ADJACENT RIPARIAN PROPERTY MWER STATEYaNT
I hereby certify that I own property adjacent to
Charles and Catherine Emrick 's property located at
(Name of Property Owner)
Lot 15, Hardesty Farms, Sect 1 144 Shell Bank Road
(Lot, Block, Road, etc.)
on Newport River , in Carteret County , N.C.
(Waterbody) (Town and/or County)
lie has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
DESCRIPTION AND/OR DRT,WING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
We intend to build a rip -rap seawall at the river bank to
protect the trees from erosion.
We would also like to build a dock.
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S�cnature
Norris W. or Rejeanne T. Ridgeway
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OKNER STATEY=gT
I hereby certify that I own property adjacent to
Charles and Catherine Emrick
(Name of Property Owner)
's property located at
lot 15, Hardesty Farms, Sect.1 144 Shell Bank Road ,
(Lot, Block, Road, etc.)
on Newport River , in Car Pr omnty , N.C.
(Waterbody) (Town and/or County)
lie has described to rle, as shown below, the development }ie is
proposing at that location, and, I have no objections to his
proposal.
DESCRIPTION I1ND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be tilled in by individual proposing development)
We intend to build a rip -rap seawall at the river bank to
protect the trees from erosion.
We would also like to build a dock.
Signature
Gerald R. or Glenda Crosby
print or Type Na,Tle
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