38523D - Gibbons

CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
NNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/1/ZOO
❑Rules attached.
nt Name /77i//ec' .66e`n.5 Project Location: County 5rce,k5'Gt)/C/C--
;s CO Ca-a--i7'c.--6i-e /-C. ,oC c/ Street Address/State Road/Lot#(s) /6-
(.)//Se7/ State A/C ZIP --/89‘ (//ems /7)0,-54 LGyoc>,--, ,hc i rc
#( ) Fax#( ) Subdivisioniv�3
ized Agent C&.JG .--)cab 6 ,ce 'jiv 595 .S! CityC/Cear7 / k 6cc.6 ZIP .g8- 0
d ❑Cw cow szPTA ❑ES ❑PTS Phone# ( ) River Basin /l'r:
❑OEA ❑HHF ❑I ❑UBA ❑N/A
1: Adj.Wtr. Body .'7'LJ (nat
❑ PWS: ❑FC:
yes / no PNA yes / no Crit. Nab. yes / no Closest Maj.Wtr. Body /9/1.4)G!/
of Project/Activity .`-c/-7.574-uC 7 c' /uric W ii 2 -LI
C/ (Scale: /1
lock)length ,2$X '
rm(s) 0 x/4,
1
•piers)
/ t
f
length ! i ..
1
camber I 1 1 —
sad/Riprap length ? + _ — 1� I r
rig distance offshore ! .. _., 6 j —..., i _
rax distance offshore _____f.�O,A ' ___ I {
channel i 1 0 — _—
:ubicyards i
1 i. , v,,,, 41.jr to,_iv, .1_4, i
amp -- ! vi. 1.....ouse/Boatlik '
y —
y
Bulldozing j I ' i �'Z {
t
' f' ^'/51 '"J(
rig
.- -- i if, 0A . ,, f 4• 00r * y_ a.-.... �.......
line Length �d + 1 0-.....1 - i .-I_ 1 _ ' ._... --1---' _
—
not sure yes no ' I
;.. -_...a i _
ags: not sure yes P ��`,t P ji (.
:orium: n/a yes Q) 4��Jir
s: Yes 0 r__ G I L 1 _.-.._ t.._ I-_ a
r Attached: yes CD —
ding permit may be required by: OCG'ln.�/C CI
C«/7 . _J See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: /227i/t4 —s
ADDITIONAL NAMES:
AEC DESIG: .74.2 DEVELOP AREA: .��' PROJ DESC: P - /2
(Will only take 6) ---- (Will only take 1)
WORK: Pk 16 28
(Will only take 4)
7� 8, /to
MAINT:
(Will only take 4)
IMP: . D Lc) s�
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 5//i/p $//�/D y
CAMA MAJOR DEVEL REQUIRED: ':-3///ny U

I -DO?
k.,V),-)4), \91: "`0-D Dc)
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property
���--------------------�%�- ---------------
(Lot or Street #, Street or �p�d, City & County)
�
--~~- I hereby'- certify that I own property adjacent to the above--
referenced property. The individual applying for this permit has
_ `described to me as shown on the attached drawing the development thi
are proposing. A description or drawing, with dimensions, should bE
provided with this letter.
_J:____ I have no objectives to this proposal .
If you have objections to what is being proposed, pleas rite the
Division of Coastal Management, 127 Cardinal Drive Extend, on,
Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt
this notice. No response is considered the same as no objection if
you have been notified by certified mail .
____________________________________________________________________
___________________________________ ---------------------------
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boa-'--
house, lift or sandbags must be sat back a minimum distance of 15'
from my area of riparian access unless waived by me. ( If you wish t
waive the setback, you must initial the appropriate blank below. )
________ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirempnt.
- - -----------------------------1--------------------=-------------
--*-;Ir_-------------------------------------------------------

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SENDER: COMPLETE THIS SECTION
• Complete items 1,2,and 3.Also complete A.OSignature
THISMPLETE SECTION ON DELIVERY
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse ,
• L 1GL L1 _ .-1.--,L.,, Addressee
so that we can return the card to you.
BX Agent
• Attach this card to the back of the mailpiece,
or on the front if space permits.
. Received by(Printed Name
) C. Dateo�f�Delivery
1. Article Addressed to: D. Is delivery address different from item 1?� /`
0 Yes
\— If YES,enter ivery address below: 0 No
(co F'
6\Ci t\CI C -`
S
r
` 3. Service Typ
`1, 1 1
�q o n 0 -k jybti(Certified .• ❑kx -ess Mail
I Registered ► Return Receipt for Merchandise
Al 0 Insured Mail ■ C.O.D.
4. Restricted Delivery?(Extra Feel
2. Article Number 0 Yes
(Transferfmmserviceiab 7002 0860 0005 321,7 1,385
PS Form 3811,August 2001
Domestic Return Receipt
102595-02-M-1540
1
SENDER: COMPLETE THIS SECTION t
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,an. -: •mplete A. Signature
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X J Agent
so that we can return the card to you. �'/
• Attach this card to the back of the mailpiece, e e 0 Addressee
B. Received by(Prnted Name
) Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
05 dci �(,\v a-rne(A
'may\ l --6`p c\ S�
C\ \c, 3. Service Type
VC(\' �\„ \\ l�t g Certified Mail 0 Express Mail
1 `NZ I�( Registered Return Receipt for Merchandise
Z��L�3 ❑ Insured Mail C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Transfer from service 7002 0860 0005 3217 1378
PS Form 3811,August 2001
Domestic Return Receipt
102595-02-M-1540

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