25700_HICKS, ALBERT H_20001025

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CAMA and DREDGE AND FILL l n700 �c
G E N E R A L r,tQrF,
PE R M I T K # T-I 02 SZOA
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 15 NCAC 12 ,O
Applicant Name rr- ias Phone Number `t'`c a 175- V 3 k
Address .a tj'
t: A+'
City ti State Zip 7t�i a
Project Location (County, State Road, Water Body, etc.) - u -1
ihl `/AL.A1^f /i,uMtt/t/t"1 1�''�f'ri 4 �1`"" t r.� f7� � �...FiC
Type of Project Activity rie C A?sn t, :c. A) o !t,' ; !6' j ti z'1i + . /t r�r1 G r ANn
and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
issuing date
applicant's signature
r
f
permit officer's signature
expiration date
attachments
In issuing this permit the State of North Carolina certifies that this project d
is consistent with the North Carolina Coastal Management Program. application fee

DEREK S SMITH (DBA) NCDL. 7836496 2 0 4 2
BOGUE BANKS MARINE CONST
800 NORTH GATE RD PH 252-247-4428
MOREHEAD CITY, NC 28557
Pay To Order
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/ 7 — -Z 5 o 66-1521531 CC
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Dollars
ac ova —"k, N.A.
Morehead City, NC 28557 �-
Memo
.053LOIS291: 549I 113214115 2042
O HARLAND 2000

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UNITED STARE J, q7,37SERVICE Frsf-:065s-Mai-
Postagre &Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and Is
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NC 21
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At ticle Sent To:
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$
33
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Certified Fee
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Return Receipt Fee
(Endorsement Required)
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Restricted Delivery Fee
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lFndnrseme t Required)
O O Total Postage & Fees I $
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m Name (Please Print Clearly) (to be completed by mailer)
vI /Q-PC
Er St Apt. No.; or Pb�Bf No. //G
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City, State, ZIP +4
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■ 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.
A. Re eived by (Please Print Clearly)
S c I,,b . T % , c
ate of Delivery
�q-00
C. Sig❑Agent
X
74— s Addressee
D. Is delivery address different fro item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
1. Article Addressed to:
.S1*1ew To y e
3 '74'd
3. Type
rce
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4, Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
PS Form 381 1, July 1999 Domestic Return Receipt 102595-99-M-1789

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_ -_I- Certified Fee
ry Return Receipt Fee
C] (Endorsement Required)
O Restricted Delivery Fee
O (Endorsement Required)
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Total Postage & Fees I $ M)
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# 4 Imark 0
7
Name (Please Pnn Clearly) (to be completed by mailer)
� i .-<y------•----�1-( `�---------- ----•--•-----••--------
Street, Apt. No.; or PC Boo.
---- ---- -- - qua----- lA— � --o�-t- ---
City, State, ZIP+4
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:Ia�'�
4ddress of Property:
J�Lv,�Jar /ri Z G -/ Z? r�
(Lot or Str�.t ;, Str�,t or Road, City & County)
I hereby cer-airy that I own propery adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached dewing the deveonment
t;,ey are proposing. A description or drawing, with dimensions, shouid be provic�d with this
letter.
I have no obiectionns to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plat II, 151-B, Hwv., Morehead Cizv '�'C �-� , . , _85 7 or call (_ 5_) 808-
2808 within 10 days of receipt of this notice. 11'o response is ;onsidered the same as no'objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break -Water, boat house, Iift or sandbags must be
set back a mini num distance of 1�' to�� my area of riparian access unless waived by me. ii: you
w• sh to wive he setback, you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 15' setback requirement.
L 2° a
/ d
Signature Date
S+wIe, �_ . Q�C-c—
Pnnt Name
Telephone Number With Area Code

ADJACENT RIPARIAN PROPERTY OWNER SI'ATEM-.N I
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to A-rC1 4Ks s
(Name of Property Owner)
Property located at
L r� ,�11 (Lot, Block, Road,,, etc.)
on �„�`� co,.s�,. ( ww�.�, in /v a•-
N.C.
(Waterbody)
(Town and/or County)
He has dPescribed to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pdin gs/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waiv, the setback requirement.
I SL4 wish to waive that setback requirement.
Cr ..
-----------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: vT
(To be filled in by individual proposing development)
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------------------------' -- -------------------
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Signature M1'
Print or Type Name'
i
Telephone Number
Date:

JEB MOTORS INC
ID:1-336-789-1911 SEP 25'00 10:56 No,004 P,01
Albert Hicks
942 Sea Gate
Newport, NC
Bogue Banks Marine Construction,
Here is a copy of the receipt from Mrs. Saloun, These are the shingles that will
match the house;
Owens Corning
Oak Ridge 30 Year
Harbor Blue
If You have any questions please call the at (540) 7554769.
Thanks,
Albert
■ Complete Items 1, 2, end 3. A180 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.
r. Attach this card to the t&k of the mallpfpo6,
or on the frprlt if space permits.
1. Anicle Addrey&e4 to:
5— Alt
'nl iS
0I.- y) I B. We of Delivery
t� ! i r.1 iM
D. to delivery addema diifermt from :tern 17 t7 Yea
If YES, anter delvery address below: ❑ Na
MEWAVO Type
ertUied Mail Q Express Mail
epislered ❑ Return Receipt fcr Merchandise
© Insured Mall O c.O.D.
4, Restricted Delivery? (Extra Feel f] yes
2. Article Number (Copy rrom service label)
PS Form 3811. July 1999 oomeet!c Aotum Receipt 1D?R�-S79•M-17$9