General Permits (7680)

GENERAL PERMIT
Previous permit #
New ❑Modification ElComplete Reissue ❑Partial Reissue Date previous permit issued ) I'
uthorized by the State of North Carolina, Department of Environment and
Natural Resources -7 j
the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
[9Rules attached.
licant Name �' �� .S
Project Location: County
y
ress 'a i� . - .� o t '':
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Street Address/ State Road/ Lot #(s)
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i, t' States �- ZIP :_�`0 7
ne # (l , � j Fax #
Subdivision C11 d-,rf_V t_ if -i�- �.• f <'. ! '
iorized Agent I�t!t,S"1
City i ' 1> t �,t ti ZIP
cted El � �� _'i�'PTA • j�1f5 ❑ PTS
Phone # River Basin
❑ OEA ❑ HHF ❑ IH p UBA ❑ WA
(s)•
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Adj. Wtr. Body
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i �..�, t'- w F=i'.-� t� /man /unkn
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❑ PWS ❑FC:
Closest Maj. Wtr. Body
W: yes //� .H no' fiNA no Critab. yes /•(or
)e of Project/ Activity
!r (dock) length�`J' 4,
itform(s)
iger pier(s)
oin length
number
Ikhead/ Riprap length
L _
avg distance offshore
max distance offshore
sin, channel
cubic yardsi
at ramp --- — --oc0
athouse/ Boatlift - -- ---- -
ach Bulldozing-
r \ i ,►
her
- - — — - tJ WX-
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areline Length
V: not sure es N. �.Ga
idbags: not sure yes no-
>ratorium: ri7a�. yes no.,,-
` _ !"
otos: yes n�
giver Attached: yes ;n¢
wilding permit may be required by: € e ;`�! �_ (� 4 j' }� See note on back regarding River Basin rules.
,tes/ Special Conditions
C
it or -Pop -idpi: Printed Name 7r Permit Officers Signature
attire Please read compliance statement on back of permit Issuing Date, rt t xpira#in Date t

B. PRESCOTT MARINE CONSTRUCTION, LLC
NC MARINE CONTRACTOR #67655
January 14, 2011
Mr. Brad Connell
Division of Coastal Management
400 Commerce Ave
Morehead City, NC 28557
RE: Kedjierski — Permit Update
Dear Mr. Connell,
Enclosed is the updated Adjacent Riparian Property Owner Statement from Mr.
Klingmann. Mr. Stanley's Certified Mail Receipt of the updated owner statement should
be on file at your office.
Please let me know if any further action is needed in this matter.
Sincerely,
Brandi Prescott Robertson
Project Coordinator
B. Prescott Marine Construction, LLC
PO Box 874 • ORIENTAL, NC 28571 • PHONE: [phone] • FAx: [phone]
W W W. PRESCOrrMARINECONSTRUCTION.COM

I
I ,
I '►ER: COMPLETE THIS SECTION
■ 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:
�, i i ►�� mc��h
Yif in�
1
❑ Agent
Y81)),leceived by ( Printed Name) (C Date of Delivery ?
J' -) I
D'. Is delivery addreA differ4tt Ekn 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
2. Article Number 7007 2680 0002 8365 1490
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102W502-M-1540

UNITED STATES POSTAL SERVICE
First ass
R.05taae & IF Pe", aid
Ljsps�'
• Sender: Please print your name, address, and ZIF44-irr tfi'i*s box •
<6KRTS(0-� M ao nc.
�ZA
NC_ cg"L

ADJACENT RIPARLAN PROPERTY OWNER STATEmEN'T Mai
'AN 8
I herebythat I own propertyaci anent to I /� CIK rS �- - 201
(Name of Property Owner) ',jebjIeadC ly0CU
property located at -A- i
/a /))e. .
(Lot, Block, Road, ebr.)
on U Chayd Cre e- in i 1 m1 a I, PQ-rI(KhCD , N.C.
(Waterbody) (Town andlor County)
Applacatnt's phone #:: I Ci - d
Iailiang Addrew- aq � Pen ins ula Ae .
6rieydra, 1V6 6?V7I
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
1 A J
UAJ
�lin9mann
Pro PC Y+y
.! J. r .fr:e'F J J ° f l •;J... .J - } ,i'�1'�J1;i7 J:.^' .-�S JiJ ,; ?!a .7. Yf
rc vs
CJ c-ey-,,>
Prc2� •
PI I' •
•
'r��lj Ie�sl�� ��yprrf
ffaformateon for Property Ovmer Aw
for Peacoat)
aq'� Pe- nI►'sU�a
Mailing Address
Qrirhial, WgCg )
City/State/Zip
a1qa-1?�5
Telephone Number
Sig utare Dale
.5+e ph e hso h
Pro pe(-t--
n ft%m-ty Owner Wormation)
S1g1181IIie
t or Type Name
phone Number
Dare

13,'Gu l MAonc, Com+-
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14 JAN 2011, F"M
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