Lankas

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
0 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.
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Applicant Name (Tflf tr1 k..A n k-A S Phone Number cii 0 3.1'7"341l
Address / 8 O in a+ 14 //Oki l.Fne_.,.
City ' I State IV di Zip c9.4.94I(fl 0
Project Location(County, Stat,a Road,Water B d ,etc.) I , '" n # cam.
tb r /fulto to Lt ev.._ o4f MxIce� rxo k (d .Sn d s g'' /
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Type and Dimensions of Project MAAJ pee_ ' t dock.- A-rnd F/DE1 f
F\Aror ¶ f -ke-r- Ay... ,-k- 3X/- 0633
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH (SCALE: MDT 1 U )
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Any person who proceeds with a development without the con- CI. 'Pi_..__
sent of a CAMA official under the mistaken assumption that the A I ant's signature
development is exempted,will be in violation of the CAMA if there �' _}.. y�y
is a subsequent determination that a permit was required for the YcJ� 1, 1
CAMA Official's signature
development. 4 rajW-
I 98
The applicant certifies by signing this exemption that (1)the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent

Z 456 218 222
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Z 456 218 220
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail(See reverse)
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M)JAC E NT IZTPARIAN PROPERTY OWNER STATEMENT
I hereby certify that. I own property adjacent to G
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(Name of Pr )-crty Owner)
property beefed at ele- Ar /14 j/6 /c ./%,-(Lot, Block, Road, etc!)
on /��
(Waterb � J� , m s� v�z%,� D� d
y) J� � , N.C.
town and/or Couuty)
• He has described to me as shown below, the development he is proposing at that laztion,
and, I have no objections to his proposal.
•
DESC ION AND/OR DRAWING OF PROPOSED DEVEUDPN T NT
(To be fzlle: in by individual proposing development)
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Signature
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Print or Type Name

•
M)JACENT Zm)A.RI N PROPERTY OWNER ST'ATEMEN'T.
I hereby certify that. I own property adjacent to 6///4„,_. GAt �
(Nrinie of Pr ierty Owner)
property located at 74 Gk � /f4 /r14 7,h1104J � e(Lot, Block, Road, etc!! ,/N � '�—
, 4 on �,m C�c � Si‘z, '1hr
�� 1)A "e✓ N.C.
(Waterb. :y) u wn and/or County)
• He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
•
•
DESC• MO ION AND/OR DRAWING OF PROPOSED DEVELJORN ENT
(To be filled in by individual proposing development)
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Signature .
Print or Type Name
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TPIenhnnP

THIS IS TO STATE THAT I THOMAS EARL PARKER BEING THE PRESENT ADJOINING PROPERTY
OWNER TO WILLIAM G. LANKAS, SR. , DO NOT HAVE ANY DISAGREEMENT WITH MR. LANKAS
CONSTRUCTING A DOCK ALONG THE BODY OF WATER IN FRONT OF HIS RESIDENCE, WHICH IS
KNOWN AS TURKEY CREEK.
/1)41?
THIS IS TO STATE THAT THE ABOVE SAID
DID APPEAR BEFORE ME AND SIGN THE
FOREGOING STATEMENT AND WITNESS MY
HAND AND SEAL ON THIS THE 22ND DAY
•
OF APRIL 1997.
Lntida-e- k
NOTARY PUBLIC 00,/ 00/

•
THIS IS TO STATE THAT I KEVIN JOEL NORRIS BEING THE PRESENT ADJOINING PROPERTY
OWNER TO WILLIAM G. LANKAS, SR. , DO NOT HAVE ANY DISAGREEMENT WITH MR. LANKAS
CONSTRUCTING A DOCK ALONG THE BODY OF WATER IN FRONT OF HIS RESIDENCE, WHICH IS
KNOWN AS TURKEY CREEK.
THIS IS TO STATE THAT THE ABOVE SAID
DID APPEAR BEFORE ME AND SIGN THE
FOREGOING STATEMENT AND WITNESS MY
HAND AND SEAL ON THE THE 22ND DAY
OF APRIL 1997.
NOTARY PUBLIC