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Home My WebLink About58197_HOLLAR, LARRY_20110801a (j/ l ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 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 15A NCAC Rules attached. Applicant Name { �_ Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # O Fax # O Authorized Agent ❑ Cw ❑ Ew ❑ PTA Affected ❑ OEA ❑ HHF ❑ IH AEC(s): ❑ PWS: ❑FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Subdivision City �' ZIP Phone # (_) f j J /River Basin Adj. Wtr. Body ' (nat /man /unkn) Closest Maj. Wtr. Body Ji[■■■■■■■■■■■■■■■■1!�■�il�■■■■■■■■�■■■■NEE • IYI■■ -SEES■■i1■S■M■■■■■■IM■1r1�YL'�1■■■I■►J■■■lIMt1■■■■■ ONES ■■■■■■■SS11I i1111■�i■■■■■■■■■■■■■ ■ - ■■■■■■■■lf■M�iMil,� ��'_== M`.�l1■■■■■■■■■�i■■■■®EEL! ■iini��®��■■�■ii■■■i■■■■ii■■i■i■■■ �uW■NUM■iiiiM. ■■�1r:i�1■■■lti■ir■�a■■'■■1!L!:�[il■■■■.■■Ifi7F.�Li■ir'i■�i!!■■ MINEMENERE ■■■ist'�1■►'d■ll■■■■■1■Yi�i ■■■■■■!!■■■■■■■■®SEES![■■■ l[■■r■■■■itM■■■!■�1■■■■■MY■SEE■■■■■Msi[I.l1.1■! ■■■■■■■■IIM■■EEI■■1■■■■ice■■■■Z111!■■I!�JEESEE■■■■■ ■■■■■■■■11■ _ ■■■■■■1111■■■■l■■11•i■■■MEEY ■■■■■■■e1IEE■S1■N■EE■■■■EE!1■■■■SEE: ■■■■■■■■■�■■■■■■■■■■��I■Mv�M�■■®■SEEN■■■■ ■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■SEEM■ ■�I\'imil■■■■■�N■■■1■1!l191!!1'11[I■6tldl!�11MW II-i■■�1■■■MfAIM��(rMlr!1!EE i:ltf EE�il;PRO K Agent or Applicant Printed Nam Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature !_ Issuing Date Expiration Date Application Fee(s) Check# Local Plan ningJurisdiction Rover File Name Statement of Compliance and Consistency 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 or criminal 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 officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 f day, July 22, 2011 10:59 AM _ Tim Grimes (252) 247-6332 p.04 ADJACENT RYPARIAN PROPERTY ()WNFR STATE, AUNT (FORA PIER/MOORilY(-.- PLU7VGS1B0ATLLFT1B0A7H0USE) 1 hereby certify that I owns property adjacent to LeA gg e, ) I -!R= .s �j (Name f Property Owner) property located at -b C)A 1 � ' (Lot, Block, Road, etc.) �CCVW;aterbody) (Tovrn and/or County) Applicant's phone #_tea Maiftg Address: n Oq � fie has described to me, as shown below., the developrent he is proposing at that location, and, I have no objections to his proposal_ I understand that a pier/mooring pilings / boatlift / boathouse must be setback a minimum distance of fifteen feet (IS') from my area of riparian access unless waived by .me_ (If you wish to waive the setback, you must initial the appropriate blank below.) 46S I do not wish to waive `VA N'a I do wish to waive that setback requirement - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPN ENT: (To be}iff d in by individual proposing development) (Information for Property Owner Applying for Permit) ) I (-.§;)] Mailing Address City/State-/Zip (Riparian Property Owner Information) a J Signature Print or Type Name Telephone Number RECEIVED Telephone Number 7-aY—// Signature Date JUL 2 5 2011 Date DCM-NHD CITY JUL-22-2011 08:31 PM GARY&JOANNE COPELAND 485 6250 1 P.01 N. vo • - •-------.........— ADJA XA ' 'RIPARIAN pROPXRTY OWNER 8T,A,'rJ0MT (lrolt A rl��lNC�plrr�v�DpttXJF�dQaTsmms:� I hettby �+ that I own ptupetty �la�t � (Nlatgs tprt►p my Off) ° proPwiY 1*o at, (14% sbdI6 Road, 4tL) (R+atibodp) _ (Tewts and/or County) 1V.C. rr� is a pwme .• Mednp Addrem: I -lOf'l V tt>-* He tW dtw iWd to me, as shown below, tba devetopmmt he is pro have tw objecdoos W bis P A�►a$ at that 1pcatYon� "I'd,mlwr rr aat bank a WN Pt'°l� that aituoorinfto R P11$1� (it(wSii ! tioar6ouna ucrnived by me, (jrywe wfah to waa►¢ 'be (t ) � my Nm ofY Pwi n r m m uotsaa below.) k nrlust 1dtW tits appropt ist4 blank .ARM wish to wtrive rifle tD wttfve that letb&Ck reglhv,4oL i?RSi'AYpTi w ANDA A DRAWjm vat rjwr% xv DkvBLOpM NT; M' UAW it by i livWa*jpropatrng &weloppwo !fir Permtt) ;- City/8t,te,►zii, - 3� Telephone N=bet Tienattm m 112v Owaar Iafsrmartioa) Print or 'Ij Name r ii TolephoneNtmobet Date RECEIVED JUL 2 5 2011 DCM-MHD CITY f v fA ourm BAD J �x -F--- ) :2, ' --- N x F t- G' RECEIVED ,JUL 2 5 2011 DCM-IOHD CITY 31 Lp2 V-1 4�1 I rA2- FIRST CITIZENS BANK 4510 Lm=Lm OUTER BANKS MARINE CONSTRUCTION, INC 66-30/137 w rt�+ 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252) 240-2525 7/24/2011 1Ua PAY TO THE ORDER OF D-E-N-R_ I $ **200.00 D.E.N.R. A Q! C O N DOLLARS n d N N J d17 LL MEMO 11000 4 5 10ii' 1:0 5 3 100 300i:00 313 L 2 L8 2/ /2 71m OUTER BANKS MARINE CONSTRUCTION, INC D.E.N.R. AUTHORIZED SIGNATURE 7/24/2011 4510 200.00 - First citizens 200.00 applicant: Date: J� Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Narne DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp im act (Anticipated final(Applied FINAL Sq. Ft.[any disturbance. Excludes any restoration and/or temp im act amou } TOTAL Feet for. Disturbance total includes anticipated restoration or ternim acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount redge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ bredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill [] Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 2272.•;3Dill •2w' ,. I '838 1a100AST .., o,.ncr_I, ,!rnr,nn .... ..... `•1..namf ,.._.l-.v-4. 0 1Ye.,X,*A r