General Permits (7726)

CERTIFICATION OF EXEMPTION
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. t ? y "•e,
67
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project r
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 c^rtification 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.
I SKETCH (SCALE: 1i. ) I
A
AY
I _
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.
s signature A__'
t'
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

I do not object to the placement of rock rip rap at the water's edge on the Edward
Pond lot in order to protect the shore/bankhead and reduce the erosion of property
immediately east of State Road 1368 at Davis, NC.
I understand that the rock rip rap will be placed as approved by CAMA Permit and
entirely on the Pond lot beginning at the south most rock jetty and running northward
for approximately one hundred feet along a line in the vicinity of the high tide line to
join the rock that was placed by the NC DOT to protect the eastern edge of the
SR1368 right-of-way.
I own the lot on the shore south of the Pond Lot described above.
Signed
Date

I do not object to the placement of rock rip rap at the water's edge on the Edward
Pond lot in order to protect the shore/bankhead and reduce the erosion of property
immediately east of State Road 1368 at Davis, NC.
I understand that the rock rip rap will be placed as approved by CAMA Permit and
entirely on the Pond lot beginning at the south most rock jetty and running northward
for approximately one hundred feet along a line in the vicinity of the high tide line to
join the rock that was placed by the NC DOT to protect a portion of the eastern edge
of the SR1368 right-of-way.
I have reviewed the planned wo�and)have no objection to the project.
Date