51167_PEADIN, LARRY SR._20080708

11 CAMA Ll DREDGE & FILL 51AF7C
GENERAL PERMIT Previous permit #
ONew [-]Modification El Complete Reissue El Partial Rei'ssu!ev 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 -1 1 Rules attached.
Applicant Name '\- ' y I 'n ..,/ 'I -
Address
City
State ZIP
Phone #
Fax #
Authorized Agent
El CW
El EW [2 PTA E-1 ES Ll PTS
Affected
AEC(s): El OEA
El HHF El 1H [I UBA El N/A
El PWS:
El FC:
ORW: yes / no
PNA yes / no Crit.Hab.
yes no
Project Location: County
Street Address/ State Road/ Lot #(s) V
Subdivision
City ZIP
Phone# River Basin
Adj. Wtr. Body inat Iman /unkn
Closest Maj. Wtr. Body IV �
ONME
M.
ME
�i■■i■■■■■i■ii■■■■v■■■o■■■■■M■■■■■■■■NONE
E■■■E■■■■■Eta■■■M■■■■■■■RIM MOMMMOMEMN
MR
7'a-T
Agent or Applicant Printedlqame
5.igr6ture Pease read compliance statement on hack of permit
Application Fee(s) Check #
PermitOffi er" - Rignature
Iss Dat Expiration Date
—7 r
UV9
Local Planning Juriscliction 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:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t�'40 zlx' 's
(Nam of P operty Owner)
property located at ��'/ �,qti� � �.�
(Lot, Block, /Road, etc.)
inONC.
(Water body) (Town an or County)
He/She has described to me as shown below, the development he/she is
proposing at that location, and I have no objections to his/her proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
33.81 -
l 3 Q - cr 3`
Date
Signature
Print or type name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to !,
(Nam6 of operty Owner)
property located at q/ i AA) L.0
(Lot, Block, /Road, etc.)
in L jainUONC.
(Water body) (Town an or County)
He/She has described to me as shown below, the development he/she is
proposing at that location, and I have no objections to his/her proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Print or t e name
Telephone Number

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date — --)- 09--
Ap licant. Name
Mailing Address
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAINIA Permits necessary to
install or construct (activity) O C
at (location) /�'y /� <' lc '5Z t,y
This certification is/'alid thru ( 4e)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consume., Paper

174
TR PRESCOTT MARINE CONSTRUCTION LLC 04-08
545 ALLIGATOR LOOP RD 252-745-7135 "� % , 66-30/531
MERRITT, NC 28556 Date 471
Pay to the
Order of a-ks
First Citizens
Bank
rstcitizens.com
For f' ; — - ---
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