13059_SIBLEY, ALTON_19940428

n
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
`V 0 `
Phone Number'f '
Address ";
1:• ',-7
City
�i -r �- State
�✓
Zip
Project Location (County,
State Road, Water ody, etc.)fi t z `
C'c"'t° /r' .f
Type of Project Activity f
PROJECT DESCRIPTION
Pier (dock) length �Q
SKETCH r tx /7 /` l01
BB .
_.. _ tI
IF i�, ...
I
` (SCALE:
P.
1'
/�/1
)
Groin length
number
Bulkhead length
ax. distance offshore
e
-i-
I
Basin, channel dimensions_
)
�- / r` /
,bial>
cubic yards
i I
Boat ramp dimensions
C4
Other
i
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.
6e applicant certifies by signing this permit that 1) this pro -
,is consistent with the local land use plan and all local
nances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
A
application fee--1 ��

6G112
ALTUN L. SIBLEY NCDL 3491646 531 6490
JUANITA H. SIBLEY NCDL 330182
2400 NORTH HILLS DR. PH. 638-5071
NEW BERN, NC 28560
$
1 !o litc onlrr r� Gj
�Z' d �ujlw
B11W
ltW HEXN. NORTH CAROLINA 205W J
iiriira � G Jr�uvun•
G
I:05310 11 11: L 19313493511' 6490
0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that•I own property adjacent to
e Y �. r� J ��>c; f% S, 6L�c, 's property
Name
located at .4e —,6�/-
Lot,/Block, Road, etc.
ko �At,r33
, on
f� -ems ins%ica , N.C.
Water Body) (Town and/or County)
He :as described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to Naive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN rBY INDMDUAL PROPOSING DEVELOPMENT)
-tf r z
C��o o
7 J1 I n: A A
Signature
Name �7 Q
r 9 19
` a(p S-59
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that.I own property adjacent to
9
Name
's property
located at -41 .__�, Sccda�r�rS✓e� STD /35Z on
(Lo , lock, Road, etc.)
in P .1 -./l C , N.C.
(W ter Body) (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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDMDUAL PROPOSING DEVELOPMENT)
If
-Ott t � z 4
1 Signat4lee
Gary Cry ssLL
Name
Phone Number
QJ
LC

11D