58326_YOUNG, DAVID_20110824

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification El Complete Reissue El 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
Address
CityState ' ZIP
Phone # O Fax # (- )
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
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) A River Basin
Adj. Wtr. Body nat man unkn
Closest Maj. Wtr. Body i
-
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ME-
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■■■■■■■■■■■■■■.�■■■■n■■■■■■■■■■■■■■■■■■
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature f
Issuing Date % Expiration Date
Local Planningf urisdiction Rover Fife 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 I) 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 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

TR PRESCOTT MARINE CONSTRUCTION LLC
545 ALLIGATOR LOOP RC 252-745-7135
MERRITT, NC 28556
Pay to the
Order of_
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
n;
I hereby certify that I own property adjacent to sTANLF-V `/0U J(.r 7 LS 's
(Name of Property Owner)
property located at-2AAS T d Q0-0 K�
(Lot, Block, Road, etc.)
�j 1
on /VeV-Se- tJQ-✓Z ,in yvi11 C,O & I ,N.C.
(Waterbody) (Town and/or County)
L1 l - 7-.> " 1 Mailin Address: `� � `13 5
Applicants phone #: g rn
He has described to me, as show below, the develo ment he is proposing at that location, and, I
have no objections to his proposa r
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(To be filled in by Aoperty owner pi
-------------------------
(Information for Property Owner Applying
for Permit)
3 5 Pk /,) lei
Mailing Address
City/State/Zip
Telephone Number
Signature Date
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MJ 11r. V rLVrAlr IN 1
developtMl)
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-ty Owner Information)
k Signature
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Print or Type Name
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
D.
I hereby certify that I own property adjacent to S rM LF— V '/0 LP AXr 77�Z-S 's
(Name of Property Owner)
property located a8e-Q 5 a�4.i I EtQO R3)
(Lot, Block, Road, etc.)
1,
on —kiJQ t ,in 1 1 (p ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: �&3 -tel "l -73 � i Mailing Address: 4313 S. P Pk IAJ kL
He has described to me, as show below, the develo ment he is proposing at that location, and, I
have no objections to his proposa
---- - O- -------------- - ---- u
DESCRIPTION AND/OR "AWING OF
(To be filled in by p operty owner
(Information for Property Owner Applying (Riparian
for Permit)
Z13 X3 6. -P/
Mailing Address
Z-4ACL4�nZ4 << 33k/ l
City/State/Zip
F5 (, 3 -- & / ? -- '7 3 /
Telephone Number
Signature U Date
OSEXYDEVELOPMENT:
develpxgnt)
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,Welr In-ormation)---
Signature
Print or Type Name
Telephone Number
Date

NCDENR
North Caroiina Department of Environment and Naturai Resources
Division of Coastal management
Beverly caves Perdue, Governor James H. Gregson, Director Gee Freeman, Secretary
Date 7-&- l/
Applicant Name 12) You n (s�--
Mailing Address !!b k r�
ZA, <6—L,4Y v D, FL -WR lI
I certify that I have authorized (agent) _1,—wRLey to act on my
behalf, for t}re Purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 3DAT LIFT ,
at (location) TANIA-:- 0 !za iAJ-PaUKL.I cp C-buty j:Y
This certification is valid thru (date) 'T",je, zo 1 1
11� DSignature
�1
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www,nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled t 10% Post Consumer Paper