55072_LARKA, GARY_20100108

I CAMA / 1-1DREDGE& 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
O Rules attached.
Applicant Name --
Address
CityState ZIP
Phone # O Fax # (^ )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant 'rated N! PermitOfficer's Signature
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Signature* Please read compliance statement on back of permit Issuiing(Dat ( E iration Date
Application Fee(s) Check # Local Plan ningJurisdiction Rover File Name
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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 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 (252-946-648 [)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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(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: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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 08/09/06

NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director
J
Plate
Applicant Name
Mailing Address 4-7"'f% 6
_6
Resources
Dee Freeman, Secretary
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location) X/1' v 4 Ll�
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
�Dnrr'-,
109 PO'W'Isc
Havel 0& , Nc- 2 ��
❑ Agent
❑ Addre
B.,R@ceived by (Printed Name)
D. Is delivery address different from item A? LJ ?re:
If YES, enter delivery address below: ❑ No
3. Se loe Type
Certified Mail ❑Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 2680 0002 8365 1483
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt �(C��1 ��L 102595-02-M-1540

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UNITEQ.,9 iM id
5 . ........
• Sender: Please print your name, address, and ZIP+4 in this box •
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USQS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
B. Prescott Marine Gamut,,,,
PO Box 874
® Oriental, NC 28571

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
-L-:)�kv �S
"}ID Oldcawo� fin.
Hwutff-l-
A. Signatyre
X
B. Received by ( Printed Name)
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3ice Type
Certified Mail ❑ Express Mail
XRegistered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 1350 0001 L537 9410
(Transfer from service label)
P Form F rm 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
EB. ott Marne Constructn874
l, t4 28571

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
P ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
I 1. Article Addressed to:
5�5mr-'
01 pmaike, C� .
OA,La", nC. ats33-
2. Article Number
(transfer from service
A. Signature
X ❑ Agent
a_ ❑ Addressee
B. Receive (printed Name) P. Date of Delivery
D. Is delitry address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7004 1350 0001 6537 9427
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

.
B PRESCOTT MARINE CONSTRUCTION
PO BOX 874 252-249-0149
ORIENTAL, NC 28571
PAY
TO THE
ORDER OF
1796
DATE an
66 30/47
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B. PRESCOTT MARINE CONSTRUCTION, LLC
December 15, 2010
NCDENR
Division of Coastal Management
Attn: Mr. Ryan Davenport
400 Commerce Ave.
Morehead City, NC 28557
RE: Larka Permit
Dear Mr.Davenport,
DEC 17 2010 1
eGvr'Y./.Qmr W.abew n,y ly ��
We would like to request an additional boatlift for approved permit #55072. Enclosed you will find a
copy of the original permit, a copy of the Adjacent Property Owner Statement with drawing exhibiting
where the proposed boatlift is requested and a signed Adjacent Property owner statement for one
neighbor and a signed Green Certified Letter Receipt from the other neighbor.
Please let me know if you need any further information. You can our office at 252-249-0149 or myself
on my mobile at 252-617-9797.
Thank you for your assistance with this matter.
Sincerely,
NAMN1000-1-
Brandi Prescott Robertson
Project Coordinator
B. Prescott Marine Construction, LLC
P O Box 874
Oriental, NC 28571
252.249.0149
www.prescottinarineconstruction.com

ADJACENT RIPARIAN PROPERTY OV44M STATEMENT
I hereby certify that I own property adjacent to
// ,, /h� (Name Property Owner)
property located at ` I u V H ick aujc, 41,
on ,US 1�z� , m Ciye-E �,�C - .V��U�� 0). , N.C.
(Wgftrbody) (Town indlor Con>:ty)
Applicant's phone M.
Mailing Address: fi')-ln C,
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his pmposal.
1 I. ' .%r:�, t • i'.G!-. r. � /' 1'17:,'r 1::' h. ^ ._!.I ; :.J 1 '
Vc p(s �Tr
9 ba- i I -(+
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.� D_L .1
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({Iunfornmatiom for Property Owner Applying ( property owner Information)
for Permit)
41co JjLd o, Line,
Mailing Address
�C�
city/State/zip
Telephone Number
Signature
Print or Type Name
Telephone Number
Signature lie lie

ADJACENT RIP.AR AN PROPERTY ovmm iATENniNT
I hereby certify that I own property 4awntto Cfav—vc c , 's
(Nance f Property O nWy't % 2010 y
property located at `" U D H iM (. w
0-04 Block, Road, etc.)
on r l��;S2 i�1�1z ,in Ud0(V1 C: aQM ,N.c.
(`�'a ) (Town df r Cemty)
Applicant's phone #: Mang Address:- - ` 10
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
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(InforMSIBOn for Property Owner Applying (tea Property owner arm)
for Permit)
Mailing Address — Signature
City/State-zip U1?�
Print or Type Name
Telephone Number
signature Dais
Telephone Number
///-.I 6—IM15f 0
Date