General Permits (4932)

CERTIFICATION OF EXEMPTI(
FROM REQUIRING A CAMA PERMIT �
as authorized by the State of North Carolina, C
Department of Environment, Health, and Natural Resources and t e Coastal R
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .02C
Applicant Name
Address
Citv
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
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.
16 1992
Phone Number
State Zip
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 (SCALE: )
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
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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F'j _ E '� A RED BY
PROFESSIONAL ENGINEER
REGISTERED LAND SURVEYOR
ORIENTAL . N.C.
DATE: FEB. lO , 1992
SCALE: l" = 50'
JOB NO. 1200
DRWN, BY AD
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Af' RIVER
VICINITY AIAP
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(i MPS - NO POINT SET
LMFyL -MINIMUM BUILDING LINE
DRI VE
A SURVE Y FOR
MA RCEL R. FL EURIDAS
AND WIFE
JEANNEE S. FL EURIDA5
DOLPHIN POINT
NO. 2 TOWNSHIP
PAMLICO
COUNTY., N. C.

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
3411 Arendell Street - Morehead City, North Carolina 28557
James G. Martin, Governor Roger N. Schecter
William W. Cobey, Jr., Secretary March 11, 1992 Director
Mr. Marcel Fleuridas
P. O. Box 734
Oriental, NC 28571-0734
Dear Mr. Fleuridas:
Attached is a Certificate of Exemption From Requiring a CAMA
Permit to construct a pier at Lot #39, Dolphin Point, on Bonito
Channel, at Oriental, in Pamlico County.
In order to validate this permit, please sign all three (3)
copies as indicated. Retain the yellow copy and the attached
regulation (7K .0203) for your files and return the blue and
green signed copies to us in the enclosed, self-addressed
envelope.
Your early attention to this matter would be appreciated.
WDN/dh
Enclosures
Sincerely,
W. David Noble
Field Representative
P.O. Box 769, Morehead City, North Carolina 28557 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to / 144etL
6L�L�,�'1IJA 5 property ,,// /
'slocated at�0—�'`t� ���� ,�} �tAJ �
lot, block, road, etc.
N(Tb UA)� in �t44-1 e0 �0 U��UT( , N.C.
(body of water) (town and/or county)
The proposal has been described to me as shown below: the development, a
pier/ bulkhead/ structure, and the proposed location, and I have no objections
�circle one)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do/(,do not `wish to waive that setback requirement.
(ci le one)-)
Description and/or drawing of proposed development: ( to be filled in by
individual proposing development.)
4vG--
MAR o 9 1992
(Original must be retained in the Inspection Department)
Signat re l
Name (Please Print)

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PROFESSIONAL ENGINEER
REGISTERED LAND SURVEYOR
ORIENTAL , N.C.
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'v E1P - EXISTING IRON PIPE
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L -MINIMUM BUILDING LINE
DRIVE
A SURVEY FOR
MA RCEL R. FL EURIDA5
AND WIFE_
JEANNE S. FL EURIDA5
I DATE.. FEB.lO , 1992
------ SCALE: I- = 50'
,JOB NO. 1200
DRWN. BY AD 11 NO. 2
DOL PH/IV POIN T
TOWNSHIP PAML ICO COUNTY, N. C. '

4 � �
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /'"(/..4�Lt-. /4)f1,5
's property ocated at O7- �0�� /a-� otA/ %
lot, blo k, road, etc.
on UrUc!a 41%A;f�in c0 eo(�--U �
N.C.
(body of water) (town and/or county)
The proposal has been described to me as shown below: the development, a
ier bulkhead/ structure, and the proposed location, and I have no objections
(circle one)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do not wish to waive that setback requirement.
circ e one)
Description and/or drawing of proposed development: ( to be filled in by
individual proposing development.)
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MAR 0 9 1992
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(Original must be retained in Ll pection Departme
Signature
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Name (Please Print)

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Or- SANDPIPER
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PREPA RED BY
A. HUGh' h1,4RI?1S , ,,//?
PROFESSIONAL ENGINEER
REGISTERED LAND SURVEYOR
ORIENTAL , N. C•
DATE : FEB. lO , 1992 JOB NO. 1200
SCALE l'" 50' DRWN. BY AD N0. 2
Vsl TF_ �
1 a n
m �
WU.SE RIVER
VlCINI T Y MAP
SCALE': l" 50'
`l O' 25' 50' l00'
'v EIP - EXISTING IRON PIPE
S/P - SET IRON PIPE
MBL - MINIMUM BUILDING LINE
DRI VE
A SURVEY FOR
MA RCEL R. FL EURIDAS
AND WIFE
JEA NNE S. FL EURIDAS
DOLPHIN POINT
TOWNSHIP PAMLICO COUNTY, N.C.