18759_SELF, JOSEPH & ARNOLD, LARRY_19971104

9 CAMA AND DREDGE AND FILL
GENERAL
PERMIT ,;5
�
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 15A NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.) —
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
mot'
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
State
attachments
Phone Number
Zip
(SCALE:
applicant's signature
t,
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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ADJACENT RIPARIAN PROPIMTX OWNER STATEMENT
I hereby certify that I own property adjacent to ,S e,7`-/7, 9- @ f is
(Name of Property Owner)
property located at f I
(Lot, BIock, Road, etc.)
on ZI /L , in �7-e. z- L �`t , N. C.
(Waterbody) (Town andlor 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To he fiffed in by individual proposing development)
i
Signature C�=
Donald & Junie Petty
Print or Type Name
910 421-0134
Telephone Number I
Date: October 22 97 I

ADJACENF RIPARIAN PROPERTY OWNER STAI'Vv=
I hereby certify that I own property adjacent to Joseph S . Self 'S
(Name of Property Owner)
property located at Lot 19 Blk A Section I, White Oak Bluff
(Lot, Block, Road, etc.)
on White Oak River J in Carteret County _ N.C.
(Waterbody) (Town and/or County)
He has describers to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
X y i
et/ s
�Tiature (1�
��►'� S W. 2��c.12sb�
Print or Type Name `
I`
Telephone Number I
Date:

Location:
Phone:
Descrioti
Date Proj ect Reportedly Compz`ete
(1)' Do the measured dimensions of the developm "iffer fro.TLI those
indicated in the pE=it .and lat?. Yes / No Have all pen -,it
conditions been satisfied? Ye / No
COM?=NT :
(2) Sedimenta4C1on anC Erosion Control Haer—,,,
Cr C L!;er-wise S taCll? ZEd all C1517 tured=_ are_ : Es � NG
i
CO?T`C"NT
(3) Fut��re MGni tcrinc and Znforcement Ac Is � furt'er i nv e s t i aatlon
or e:iforcement action needed? Yes No
COY-MTENT