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Home My WebLink About22536D - Gibbs •Q 4 CAMA AND DREDGE AND FILL GENERAL N° 22536--6 PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 71/4/' 09 . / Applicant Name M�5' a' CIZV Phone Numbei01°) I7^ 13b Address yti` 11 (- City S/VeAD S Plelty State fr Zip a 6 D ?roject Location (County, State Road, Water Body, etc.)__Sibir-Q / 4c1JA-GP CflOitIef C K Of-Sidkv [_iD c'-i-i ti� A /P• 14A, 4D 'w . OP aril i G. Ty e of Project Activity ��"'hV�`' �h �� T r .7> -�v el; srt �inite p; rote PROJECT DESCRIPTION SKETCH �� ` n„�� ,� (SCALE: /�f 30 i ) Am-Pier(dock) length C l 1�'/�jjJ Groin length etUIe `�r ` 1�t>-� or ` 0 SE6 number eg a �_._... Bulkhead length jM11 i lj 1- max.distance offshore Basin,channel dimensions ' ,-02._ cubic yards Boat ramp dimensions Other 7"I' 4 D- Ilk ' '. 1 - - This permit is subject to compliance with this application, site fr drawing and attached general and specific conditions. Any (2 violation of these terms may subject the permittee to a fine, applicant's signature imprisonment or civil action; and may cause the permit to be c}444 - i 4.4 come null and void. i ?).----' This permit must be on the project site and accessible to the This officer's signature permit officer when the project is inspected for compliance. Ap The applicant certifies by signing this permit that 1) this pro- / - /O- / / d-io-00 ject is consistent with the local land use plan and all focal issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no -7 1�nu objections to the proposed work. attachments y �IVJ ONE F' COS 'AL iiii.NAcaxENT ADaAcgm RIPARIAN PROPERTY OM 1ER J OTI?ICAT;ON/WAIVER FORM Name Of Individual Applying For P !rmit: CJ�1J1i?2 $ gAbt1D -) Address Of Property: 4/4/,6 Lot or Street ), Street or Road, City e County) I hereby certify that I own pr )perty adjacent to the above- referenced property. The individ al applying for this permit has described to me as shown on the attached drawing the development they are proposing . A descripti n or drawing, with dimensions, should be provided with this lett: r. ✓lN I have no objections . o this proposal . If you have objections to what is ,eina oroped pease s +-it�, ie che. Division of Coastal Managements_ 127 Cardinal Qve ExtelaGion. Wilmington. North Carolina_. 2840 . or call 910 195-3900 wain 10 days of recejut of this notice, Ng reat�onse is cons dared the ear es no objection if YOU hive been_ d 7tified by Certified Mail. WAIVER S CTIQN I understand that a pier, dock, mc )ring pilings, breakwater, boat house, lift or sandbags must be se back a minimum distance of 15' from my area of riparian access un ess waived by me. (If you wish to waive the setback, you gust Lnitial the appropriate blank below. ) ,� > I do wish to waive he 15' setback requirement. i do wish tc waiv, the 15 'setback requirement . GOtace,;___Ae-cf Si raatl3re ate I T/%// ,9i-, /S ec e Print Name 9/0 -3V -Y1)/s Telephone Number With Area Code T� ^ Lj^ ^ � `^ O Q � Q3 48 r� 0 x) -� '- - --�� -�|- - ---'--- --------- - '----- ' - ' �Ze ' -- - - � -- - -'T- | � - - � ' ` U3VJSION OF CO1 1'AL MANAGEEUNT ADJACENT RIPARIAN PROPERTY O JER NOTIFICATION/WAIVER FORK Name Of Individual Applying For P ,rmit : �:62r/..�-� �j Address Of Property: .p/ go4J7 Ferys ,'e- (21y6z) :Lot or Street t, Str et or Road, City & County) I hereby certify that I own plpperty adjacent to the above- referenced property. The individ al apply i nc for this permit has described to me as shown on the $ :tached drawi.n.g the development they are proposing . A description or drawing, with dimensions, should be provided with this lett+ r. I have nc objections . o this proposal . If you have obiectiQne to what is �einc propose 1 please write the e Division of Coastal Manaapt`, 12^ Car anal Drriye ensi on,, Wilmingtpn. North Carolina. 28401 or _call 910 39 -3940 within Ja days of Keceipt gf this notice, Mc response is considered the pane as no obi ect_ior if YOU hove_ bAen vati f ied by cert i f i ed_Mail WAIVZR CTION I understand that a pier, dock, mc )ring pilings, breakwater, boat house, lift or sandbags must be se back a minimum distance of 15' from my area of riparian access un ess waived by me. (If you wish to waive the setback, you rust initial the appropriate blank below. ) I do wish to waive he 15' setback requirement. • t� I dp s202,1 wish to waive the 15 ' setback requirement . Si ature ate Print Name ._.. 540 972 Z5'03 Telephone Number with Area Code • CSM USA (RET) CHARLES H. GIBBS 3391 MARY F. GIBBS DL HIS 3756066 HERS 3418005 //�/� _�� 191 446 BENT TREE LANE PH 910-327-1369 66-30/531 SNEADS FERRY, NC 28460 Date Pay to the /1./ E /f/ J $ VO Orde f /v /v , 60 `' :4: Dollars �•• ,., J RST TIZENS 191 Kst-Cillzans Bank d Trust Company Bonson,N4 Y or V&Cfe 1:053 L003001:00 L9 L704858411' 03 L C`-Ip&aj 2^C'larkr Arrrerlcnn SEA iREFSURE•WiR