16667_SIBLEY, ALTON L_19970605

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CAMA AND DREDGE AND FILL
GENERAL
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 15A NCAC
Applicant Name `'' Phone Number 2—
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity , %W
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
1
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Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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(SCALE: ` )
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Other
fit
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
pplicant's signature
i
permit officer's signature
issuing date expiration date
attachments
application fee���

ALTON L. SIBLEY NCDL 3491646
JUANITA H. SIBLEY NCDL 330182
2400 N. HLLS DR. PH. 638-5071
NEW BERN, NC 28560
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531
1193134935
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ADVAN
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NEW ERN, NC 285600
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I.05310L12Li:i1931 35ii' B062-----

• ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to - ' 4 y s
(Name of Property Owner
property located at
Block, Road, etc.)
(i -P l� , in on _ P/P1 �f C' Ci �` (�' , N.C.
aterbody) (Town 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
Ng)'7e)(- 5`�4
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 4 �i 'z ; 's
(Name of Property Own )
a
property located at 6
(Lot, Bld'ck, Road, etc.) r
on V'r f' �- , in _ ` C� L- , N. C.
(Waterbody) (To 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.
DESCR=ION Al,ND/ OR DRAZ'VING OF PROPOSED DEvELOPWNT
(To be filled in by individual proposing development)
zt -
Signatur
Go, G. (f re 5-S C,,e�L
Print o Type Name
q1R
Telephone Number
Date: V - / Z - q7
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