68527D - Boone

'iCAMA / DREDGE & FILL ` `48527 A B C �J
GENERAL PERMIT Previous permit#
`New ❑Modification ]Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the S t of North Carolina, Department of Environment and Natural Resources o�fj //,, ^
and the Coastal Resourceommission in an area of environmental concern pursuant to 15A NCAC VH• /�tJU
zz( 2 El Rules attached.
Applicant Name /!�oSp b1� Project Location: County
Address 2 (o5() ,n-4,�� (� �p d , Street Address/ State Road/ Lot #(s)
City (.J. State. ill ZIP Z 4 /()Y
Phone # (336) qt 8 - 00y:4 E-Mail
Authorized Agent C,J i II ( 2-: c.,L A 5'Q L\
Affected ❑ CW ❑ EW ❑ PTA )(ES XPTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /(no) PNA yes( no
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
umber
',�Bulkhea Riprap length 2�
avg distance offshore
max distance offshore_
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach
Other
Shoreline Length i 21
SAV: not sure yes (3
Moratorium: n/a yes ono
Photos: yes a
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
IAl II -�I.r11,
Agent or Applicant Printed Name
1 +
I Ion
'ite
Sign cure ** Please read compliance statement on back of permit **�
4 06 68 I
Application Fee(s) Check #
City 4ol Al &AaA ZIP 2 0o 4 (.1
Phone # ( ) River Basin L. ~
Adj. Wtr. Body ra "#. � (nat /ma1/unkn)
Closest Maj. Wtr. Body 14771, )L-)
(Scale: i
3d
❑ See note on back regarding River Basin rules.
SV
Permitpfficer's Pr' ed Name
Signature
to/IIIto/III I z i� Ifs
Issuin Date Expiration Date

Var
1211 Highpoint Street
wards
owner.
Bob Boone 139 Highpoint Street
133 Highpoint Street
Holden Beach NC

MCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. GreWn Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: Sept 19, 2017
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address:
2650 Country Club Rd
VWston-Salem. NC 27104
Phone Number( 336) 918-0047
Will Richardson
Agent's Mailing Address:
3235 Seacrest Ave. SW
Supply NC 2B462
Phone Number( 910 ) 367-0335
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
Replace bulkhead wall.
(my property located) at 133 Highpoint St, Holden Beach, NC 28462
This certification is valid thru (date) March 2018
�a
Property Owner Signature
C`
Date
127 r arcirtai Drive Ext., WGrriin on, No 234C5 -One
�. o-- o+n70r-7?iStFA7( 91i13r�n
95-3,0E4 lntemet:www.astalmanagffwr�t.ne, -One
Al __t....�//..

l k6oj
CERTIFIED iN AYL — RETU&N RECEIPT RE QUESTED
DIVISION OF CO AST_AL NL42NNAGEMENT
ADJACENT RIPARLMN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Bob Boone is
(;Lame of Property Owner)
property located at 133 Highpoint St
(Lot, Block, Road etc.)
on Canal , in Holden Beach N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: [phone] Mailing Address: 2650 Country Club Rd
Winston-Salem, NC 27104
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development mustfrll in description below or attach a site drawing)
Replace existing bulkhead wall.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCiY) in writing
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no obitgLi if you have been notified by Certified Mail
(Property Owner Information) (Riparian Property Owner Information)
Authorized Agent
Signature Si ture
Will Richardson
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
City / State / Zip
Telephone Number 910-367-0335
Date Sept 19, 2017
Ms Jane Edwards
Print or Type Name
Mailing Address
AIC 2-6'036,
City / State / Zip
Telephone Number 7L4
Date % - -) / / 7
127 Cardinal Drive Ext, Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet www.ncooastaimanagement.net
An Equal Opportunity 1 Affirmative Acton Employer— 5o% Recycled l 10% Post Consumer Paper

CERTIFIED IKUL — RETURN RE CEIPT REQUESTED
DIVISION OF COASTAL INLk AGETVIENT
ADJACENT RIPARIAN PROPERTY OWNER STATEINIENT
I hereby certify that I own property adjacent to Bob Boone is
GName of Property Owner)
property located at 133 Highpoint St
on Canal
(Lot, Block, Road, etc.)
in Holden Beach
(Waterbody) (Town and/or County)
Applicant's phone #: [phone] Mailiag Address: 2650 Country Club Rd
Winson-Salem, NC 27104
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
N.C.
DESCRIPTION AN-D/OR DRAWING OF PROPOSED DEVELOPMENT:
(Xndividual proposing development must fdl in description below or attach a site drawing)
Replace existing bulkhead wall.
iI you nave ONections to what is being proposed, you must notify the Division of Coastal Management CDC l) in writing
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no objection if you have been notified by Certified Mail
(Property Owner Information)
Uv & Authorized Agent
Signature
Will Richardson
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
City / State / Zip
Telephone Number 910-367-0335
Date Sept 20, 2017
(Riparian Property Owner Information)
Signature
Mr. Vann Pennell
Print or Type Name
Mailing Address
City / State / Zip
Telephone Number
Date
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX [phone] Internet: www.nccoastalmanagement.net
An Equal 4pportunfty 1 Affirmative Acton Employer — 50% Recycled 110% Post Consumer Paper

- �.
omplete-Items 1, 2, and 3.
rint your name and address on the reverse
:) that we can return the card to you.
Atach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. mztAX 147i1'!i�(•� 0 Agent
0 Addressee
B. Received try printed Name) C. Date of Delivery
r6tret,l7ltmb `�1L7 17
D. Is delivery address different from item 11 ❑ Yes
If YES, enter delivery address below: ❑ No
Mir. ann ern nEAi
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❑ AdulService gnaturre ❑ Priority Mail ExpM ssC�
11 ■■I ❑Registered Mail
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
❑ Certified Mail® Delivery
9590 W2 2021 6123 2933 79 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
"''— �`mhacl7ier�{er from service label) ❑ Collect on Delivery Restricted Delivery 17 Signature Confirmation-
?01� - ❑ Insured Mail ❑ Signature Confirmation
-- ❑910 �p02 1224 5525 -"^a+ il Restricted Delivery Restricted Delivery
PS Form 3811. July 2015 PSN 7530-02-000'-dWr — --- Domestic Return Receipt
r

MRO
Deft Roca"d
Doto Dsposbod
Chock From Name
Name of Permit Holder
Vondor
Chock Numhar
Chock amount
Permit Number/Comments
RecoW or RarundYReallocated
10/12/2017
Christophe (Chris) Snyder same
Will Richardson Construction Bob Boone
Wells Fargo Bank
499
$200.00
GP 69396D
GP 68527D
JD rct. 5063D
BS rct. 4922D
10/12/2017
BB&T
6871
$400.00