56679D - Boone

4CAMA DREDGE & FILL
3ENERAL PERMIT
7New E]Modification ElComplete Reissue El Partial Reissue
Previous permit #
Date previous permit issued
rized by the -State of North Carolina, Department of Environment and Natural Resources
:o1stal Resources Commission in an area of environmental concern pursuant to 15A NCAC :74. 1 u)
PKRules attached.
tName [� ,Wdd A r�n� Project Location: County
State
(110) Fax #
eclAgent
El Cw D EW Li PTA j ES El PTS
El OEA El HHF L1 llH El UBA El N/A
Street Address/ State Road/ Lot #(s)
� � U bv ku,� ( 1"U, K+
Subdivision IS6A (,&L�
City Svy� ct4,_ zip ALH',
'Wne# 10 ZtZ-22H:� River Basin Gui_,,
I
Adi. Wtr. Body 6AJ (AS tGI2&Anat r
El PWS: El FQ
_­\ Closest Maj. Wtr. Body
yes rn PNA yes /(fno Crit.Hab. yes /(I�)
I �y N V1 0 L"L k) 0A Ck I 4A!� Cy, 'Project/ Activity I I
J (Scale:
ck)len2th
1(s)
ler(s)
ngthEH■■■■u■■�■��■■■■-nber
OMEN
■■■■�■MEMO■■
Riprap length
distance offsho
x distance offshore
:annel
IN=
M�EEE■�■■■■M■EMM
NEE
INI
MM�ME
i"
I
1p
illdozing
ig permit may be required by: 13TEAA 1C (_ (4 El See note on back regarding River Basin rL
-7h llvT t, IT. z e-1 -1 - A. -A (.-I. - 1 1-.6t .ilw L - . , - t

ua ziizuiu zz:iu rAA
•
Name Of _n iti ideal A,p;�wyiz)g For�.t
Address 0_
(Lot or Street, St.o oz Roffi3, City; & Count"-)
I hereby certify that I owl' property ad
;efereriecr property. Vae - ndiv to tha: above_
dli l applyzrg for this perit M, has
3asc=ibeci to me as shown on the attached dra,,:lnq tkL devslopmo_;
they ase ,pragosimg. A descri.ptzoc or drawing, with d;imensiors,
sha 3 be Provided wi.:h thin letter.
I have no objec_ionr to this proposal
r'ry
V1mInCrt=_ lie,
~ 7
.. d-s-aace of :.S _: taa
�pe,:.ian access - uzaesa W&Ived by me. CIf i
s►a3ve the sathacr,. � T t - . y��= wis:. „o
�l l the aPP p� ie �e b1saY_ baJOw' - }
do W 5t. to waive the 15 13e-back
7 �2s2L wish to waive the _a speck regtiii�,nenc_
i+a te
Prat Naive Lt ♦ ,e

UJ-'Zl Zulu LZ:la 1.LU
CkivZ
pr 11 11 11,60e Buddy's Jewelry
91 M68-6439
'0 1
03-91/2010 io:ao FAX
OOZ/002
IV nv-.CWam-r-
NwW of IndIti-i9IUa2 APP!YinE;
FOr p'arlmlt :
Address Of. Property:
,Lot or s wxtiC if-, $L z� jload �t y t +� t � 1f.
wily}rJ
a
hereby dart t�s= Z avm ,rapers: 8d j aGlaC Lo the sbov@-
r$teramced prOPe=y- The individual applyi.ag tar this permit has
daocribed t'O me as shown aa► the attached dxyw► sag tba devetvpmat
th*y arA .ZmmP0ai=9. A deBGripCion cw dsawiag, with A -,me isioaa Gtsld prided Pith tbig :Lettar.
.� Save ao ab� r
V% r OO�iat� to 1:."
.idaritod that s pa sr. MC►e3�, =�,
�Q p�Ll�s. �Mtie+rsitar. bast
bmwe oz Bost 13rt mat be get.back � distance of zz' 0.
my sam wf =spaw;3,4it it:i7lm - UCISOs W""4 by �Z
Ys ':he D'etb&ek, 7m edit �-r4;:is4 t!u aryp=z ista 1�3aak balnv.�
i
�j
r✓.w �+, X 110 1►j.s$ mC7 vDAVS tbe i.7 , sataa�k =- Wme'a m .
rIn sat vibth 'tv Wawa the Is aerback ix t .
FM•a
slam bt�pme Dame
Print Mama ,
?plaph=e mom' wt= Area Coos
C.D.RWR

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Eraslley,,Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date 7
Na)pe of Property Owner Applying for Permit:
YIMO-ta �
Mailing Address:
rib 53(.0
WOLWQa I SG
I certify that I have authorized (agent) i l�Yh P i e to act on my
behalf, for the purpose of applying for and o taining all CA.NLA Permits necessary to
install or construct (activity) >a'Z ,
at (my property located at)
This certification is valid thru (date) .3D
PrnnPrty Owner Ciannhiry
ri L

03/21/'YU10 =25 FAA
Q001
BOONE REFRIGERATION
POST OFFICE BOX 536
WALLACE., NORTH CAROLINA 28466
910-255.3879 PH
910.285-4421 FAX
F,..CSI_ ILE TRANSMITTAL SWEET
�k ry. A PItOtr'.• ktOI�iNIL 1300N3f A,NG'.,LA jhSUii�K
CO7pAN1'. �T DATE: (i / , I / 201:
PAX NUMBER W TU1'AL NO. 01r PAGES INCLUDING COVER
3�,
PHONE NUMBER: $UNDER'S RFi?RRBNC$ NUMBER:
YOUR REFERENCE NUMBEII:
❑ UkCENT EZ FQ12 RL7VIRW M PI.EASE COMMENT C3 PLEwASE RE'PI.y O PLEASE 1LECYCLE
NOTES/COMMYNIS:

- I V
- R

C Division of Coastal P,19t, Habitat Impact Computer Sheet
,plicant: p(� (� Permit #-.
te: t
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other ❑
�)
>�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

LIGHTHOUSE MARINE CONSTRUCTION INC
PO BOX 2532
SURF CITY NC 28445-0028
PAY
DATE z
,/�
TO THE
ORDER OYnVC-0
C- /�
�F U (/
Bank of America
ACH R/T 053000196
FOR 7 /�7t���,y
i:0 5 3000 196i:
2 3 700 5 4 i 588 70■
DOL