27085_HOLLER, ADRIAN_20001214

CAMA and DREDGE AND FILL ZOO$ J
PERMITE � Z-01a 3ai �-
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 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH J.
Pier (dock) Length p � f
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
I
State
Phone Number
zip
(SCALE:
Boat ramp dimensions
other _ #
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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 j applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and /
may cause the permit to become null and void. �i �`
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local issuing date a piration date
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. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

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R ADRIAN HOLLER 5654
ANNETTE J HOLLER NCDL 3227719 6g-112/531
309 BROOK LN. 252-726-5244 'Date! 11/a� 02301
NEW PORT, NC 28570-6505
L 'Pay to the 1�, l d
Order of t
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O BRANCH BANKING AND TRUST COMPANY ��... c o o
MOREHEAD CITY, NORTH CAROLINA
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i:053LOLL211:52L1,9L86L9ti' 5654

12/14/00 09:28 FAX [phone] T D SURE Z02
T. V. EURE CONSTRUCTION CO., INC.
POST OFFICE BOX 650
MOREHEAD CITY, NORTH CAROLINA 28557
PHONE: [phone] PROJECI
FAX: [phone] rn , I MO / NOTE!
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DIVISION OF COASTAL MANAGEMENT COASTAL MANAGEMt"
MOREHE D
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/W Fps `
Name of Individual applying for Permit: -A) tet AA) u-- Q
Address of Property: C'LZf® 7t�t�i'�0� UU, ��(�'6oNrcJ2S Ci ,rS0q—, -4)
(Lot or Strut p, Street or Road, 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
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Maza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of 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, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me_ (If you
wish to 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 requirement.
lZ-1%-0-0
Sianath+e Date
isNq'4-
Print Name
2 S 2 3 Z( -
Telephone.Number With Area Code

3EC-13-2000 WED 09:S6 ID: TEL: P-01
DEC-13-2000 08:5? BIG Rr" STURM. [Nc 919 ?26 8352 P.01
,@ E C 14 2000
olvam QP COASTAL, K4MAGOOM A TAL MANAGEMENT
ADJACENT' RVARMN PROPLRTY OwM M07MCAlTOIW�Y MANAGEMENT
o
Nato of itltlividual GWA% for Pttvdt: 'J�LtAA) `
Addtant of P mpcny: t'L w p CN�. PdoN � Sou�-i
i')/i Oak R C4TJ aj C,
(t at or sheet 0. skirt a Red, COY # c" tyj
I hetttby Md y OW 1 cmm POPIrtyROOMis the ibOm rd6V"=d property. 7U individual
*8 for tide permit htut dit=*W V a w as ahowa as to aftr* d drawing the 6mew
pomm
MeY am P= 11- A dmz*on at dmWiq, wih ditrter *.., shoLld be P O gdod with true
low.
_-_1_ I Mire rap *octi= W this ptup W.
I -xw hm pocam 0 fYha to bda A JbP�JmA��/ *"mwins she Dtm d& +r of coaaw
M�j PAW Jy, 1J1-A ftw mh and 0% NC, 28S$Y or mg 052) M
2ii�t1 lMtt' IO dk* Of #MOO V t* addbt. No m0frtq tr OmMaid tk c xm# as ao oltjectiaR
t't'.imm Mare beat era jaiW by diet MAL
WANERacnom
I m derft d the . 09f; dndr, mca ttR pWgw brealctrrsW, boat hmm. U or andbap must be
set bade a miedmwo disuse at l S frc my Uta of tOarM aroe= unha waived by aw (If you
wish to waive
--the m4mck you taut Wdxl d a "Prolx +tte bknk below.)
1 do wish to waive the 13' utbeeh ram.
I do tut wish to Ym vta the 13' n *uk requkuaa t.
TOTgl... P.01