26903_WHITEHURST, LOGAN; LARRY ARNOLD_20000913

{
CAMA and DREDGE AND FILL 26903-
G E N E R A L
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Phone Number
zip
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

16 80011
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POST OFFICE U.S. DOLLARS AND CENT
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A T-I CENTRIpARIAN PROPERTY OWNER STATT1 LEl'�Ti�
7Z��`�6
I hereby certify that I own property adjacent to --
s
'
(Name of Proper` v Omer)
prope^ty la�-ated at _ � � ���.� � � y�� ���
(Lot, Bloc , Road, etc.) on C4 y 4 / R , in 67�'e1 J 6 -' � � ��z • %Crr e
- — _.._� _ N.C.
(Town and/or C'ova - 7)
He has dcsc,.�be to we as shown below, the development he i� } rn ,�7cin.P, at that location,
a7id.; I hay..., r r :�,;�.:, ions to his proposal.
� 'TON AND/OR DRAWING OF PROPOS tL: NT
(I n be J711ed in by individual proposing
LI
Signaa re
Print or Type Name
I
Telephone Number
Date: o a
r
N�
X

ADJACENT RIPARIAN PROPERTY OWNER STATENEENT
72- �— V- �d
I hereby certify that I own property adjacent to
_ s
(Name of Property Owner)
property located at / S z �� �� I� y r�
/ (Lot, Bloch, Road, etc.) '
N.C.
(Waterbody) (Town a-nd/or County)
:tle has described to me as shown below, the development he is proposing at that location,
ant, .1.(avc no objections to his proposal.
g:SCR MON AND/OR DRAWLNG OF fR
. f`-`)SFD DEVELOPMENT
(To be filled in by individual pro.;������r;; development)
FX
Signature
Print or Type Name
`72Is--�0 �Y
Telephone Number
Date:

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PERMITTEE' S N
LOCATION:
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMIT #
FIELD REP.
PHONE: ! 4CA _ DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION C)
1) Do the -measured dimensions of the development differ from those indicated in the permit and workplat?
YESNO'Icircle one].
COM ENT:
2) SEDIMENTATIQN\& EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? /NO [circle one]
COMMENT:
3) FUTURE MQMIORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES �7 [circle one].
COMMENT: