45131_HOLLER, ADRIAN_20060403

❑CAMA / ❑ DREDGE & FILL IL 3��.
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
f'
Address—
city— e /
State
ZlP
a
Phone # O
Fax # O
Authorized Agent
E] CW ) EW
❑ PTA ❑ ES
❑ PTS
Affected
AEC(s): ElOEA ElHHF
❑ IH ❑ UBA ❑ N/A
❑ PWs:
❑ F
ORW: yes�no PNA
yes no
Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) len
Platform(s)
r
Finger pier(s)"
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes
no —
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no i
Waiver Attached: yes
no - —
A building permit may be required
by:
Notes/ Special Conditions
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
3_3 "Ylut
Agent or Applicant Printed Name
Signature Please read compliance statement on b
147) '� �/,� /�
(Scale:
❑ See note on back regarding River Basin rules.
-
9 200(PermitoffiRA
gnature
L�Z
city I Expiration Date
E
Application Fee(s)
Check# Local Planning Jurisdiction
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, certifythat this project is consistentwith 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

MAR-27-2006 09:46 From:TD EURE CONST. 2527284192 To:4 P.1/3
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Tel: [phone]
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MAR-27-2006 09:46 From:TD EURE CONST. 2527284192 To:4 P.2/3
Mar15.06 04z47p Annette Holler 252-726-202S p.2
FAR-07-2006 1z:01 Fram:TD EURE CDNST. 2M7284192 To=2527266352 �3
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ADJACENT RIPAkM PROPERTY 0VVN1M STNrUhf lW
(FUR A p1ER/A100RING p1UN6S/B0A7Z pT1B4A7'110USE) 4AR 2 7 2006
1 hereby certify that I vwh properly adjacent to A OR AN NY O(�_1��/ DCM
(Nnmc of Properly Owner)
property located at _11 15 _?T1. A Al fJ-C.,,,,,, S etc.0 C cL-C MW AV
—' (Lot, Block, Rood, etc.)
on UNA)- d in 4 rL41 Nfl l 65 , N.C.
(WAlerbody) (Town and/or County)
He has described to me, a9 shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlifVboathouse must besetbacka minimum distance of fifteen foot 05') from my arcs
of riparian access unless waived by ma,
I poi wish to waive the setback requirement_
✓ i iS Wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF pROpUS> D DEYCI.ormENT:
plo be filled in by indiridual proposing llel elOpmenl)
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Prim or Type Name
Telephone Number
Date: �Glo
MAR-15-EW6 05:41PM Fax.[phone] Yd:TD ELRE CONST. Peve:002 P095%

MAR-27-2006 09:46 From:TD EURE CONST. 2527284192 To-4 P.3/3
--Mar 15.06 04:47p nnnette Holler Z5Z-7Z6-Z029 p.3
tb=ift-07-2006 12:01 FrDm.TD "E CONST. Z5?72041.92 To:252726052 P.2.3
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ADACENT WA.R1AN rROPERTY OWNER STA.'1'1E
(FOR A P16RIMOORINC PILINGSIBOATLIFTI90ATHOUS0 t�
MAR 2 7 2006
1 hcrcby ccnify that I ,9wn pmpeny adjacent to A Pt iA At Na �. 's
(Npnte of Property (),A1)t-r) %J1,ty Dc A
PrapcAy toCatcd at 3115 AT 1d4 NTH/ G SP.aC ,AS
(Lot, Block, Road, etc.)
on LA NAL opg OGG u ,sue un in A rLA 47%- at N N C_
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing al that
location, and, I have ao objections to his proposal. I understand that a pier/mooFir+g
pili ngabcx2dift/boathpuse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do nvl wish to waive the setback requirement.
✓ I dQ wish to waive that setback requirement.
---------- -------- ------ ----------- ------ -------- -----
]DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
F6 hr_ruled in by irtdivirlual proposing devefopmegf)
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PR O P d A E 0 1 R SM&V4 rl o V
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Signature
Print or Type Name
Tetephonc Number
Uwe:
MAR-is-2006 05:41PN Fax:[phone] Id:TO EURE CONST. Paae:003 R=95",

BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NORTHCAROLINA
T D EURE CONSTRUCTION CO., INC. ^ 40662
PH. [phone]
MOREHEAD CIITY,650 02301
NC 28557 ss-112301
PAY TO THE DENR 4g�_
ORDER OF
Two Hundred and 00/100**********************
DEivR
151-B Hestron Plaza
*********** DOLLARS
Hwy 24
Morehead City, NC 28557 e
MEMO 70 West / Adrian Holler
11404066 211' 1:053 10 11 2111: 1 23 100 24 281I'