50637_HICHS, LARRY_20080314

❑CAMA / ❑ DREDGE & FILL'C;oy�
GEIVEHAL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue El Partial Reissue 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
EDRules attached.
Applicant Name 4 1 Project Location: County
Address
City State ZIP
Phone # O Fax # O
Authorized Agent
❑ CW
❑ EW ❑ PTA
Affected
❑ OEA
❑ HHF ❑ IH
AEC(s):
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / nc
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
❑ ES ❑ PTS Phone # () River Basin
❑ UBA ❑ N/A Adj. Wtr. Body gnat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningf urisdiction 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

AMA / ❑ DREDGE & FILL
GE ERAL PERMIT
vv ❑Modification ❑Complete Reissue ❑Partial Reissue
N° 50637T
Previous permit #
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�
ules attacfTd.
Applicant Name Project Location: County
Address AA
City State(ZIP
_�_
Phone #) ax # O
Authorized Agent
Affected J CW Cwlw ES ❑ PTS
AEC(S): J OEA El HHF El IH ❑ UBA ❑ N/A
PWS: ❑ FC:
ORW: es no PNA yes /co Crit.Hab. yes / no
r
Type of Project/ Activity
Pier
Platf
Fing,
Groi
Bulk
Basii
Boat
Boat
Bea(
Oth,
Shor
SAV
Sanc
Mor
Phoi
Wail
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) / River Basin
Adj. Wtr. Body hr�L % ./ �'.� ( at /man /unkn)
Closest Maj. Wtr. Boiy`l
(Scale: � VI
length
number
avg distance offshore_
max distance offshore -
N
i
OMEN
cubic yards
MOM
MENE
ramp
-i Bulldozing
ON
MAN
No
Are Length
notsure yes no
Fags: not sure yes o
14%, .. i
N
ON
I
M
A building permit may be required by: i,'
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature iPI re d compliance statement on back of permit
Application Check Check #
Permit
❑ See note on back regarding River Basin rules.
ng Jurisdiction
Rover File Name

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
March 18, 2008
Larry Hicks
620 Ogburn Rd.
Smithfield, NC 27577
Dear Mr. Hicks:
Attached is General Permit #50637C to construct a 222x6 Pier, 16xl4 Platform, 14xl3 boatlift
and 4 mooring pilings at 488 Island Rd., Harkers Island, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Heather M. Styron
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Eoual Oonortunity \ Affirmative Action Emolover — 50% Recvcled \ 10% Post Consumer Paper

y ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 4d'el-Z,• tois
(Name of Property Owner)
property located at ¢88 t SG �0.�/1� .�©,A -a ,
(Lot, Block, Road, etc.)
on C�O�.� J`dd.�a , in E,Qs /SG .ON p , N.C.
(Waterbody) (Town and/or County)
He has described 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 pilings/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 waive the setback requirement.;
I do wish to waive that setback requirement. MAR 7 2008
--------------------------------------------------------------------------------------MQF h - sty-�C;'m
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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------------------------------------------------
(Applicant Information)
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Mailing Address
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City/State/Zip 2 75i7
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Telephone Number
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Date
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(Riparian Property Owner Information)
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Print or //Type Name -2 -7
57
Telephone Number
Date

4 , '
ADJACENT RIPARIAN PROPERTY OWNER STATEMEN'�
(FOR A PIERIMOORIIVG PILIIVGSIBOATLLFTIBOATHOUSE)
I hereby certify that I own property adjacent to ZXaX Y' 455� i7 G `s
C IG/Z-5
(Name of Property Owner)
property located at �Ig 1�L .Q /✓ 17:, 1�o,-4 P
%,ot, Block, Road, etc.)
on in�%�,rGE�`�'
(Waterbody) (Town and/or County)
He has described 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 pilings/boatliftlboathouse
must be set back a minimum distance of fifteen feet (15� from my area of riparian access unless
waived by me. SC th
kro Lice
I do not wish to waive the setback requirement t
MAR 7 �
I do wish to waive that setback requirement. Z�08
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: CM
rTo be filled in by individual proposing development?
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(Applicant Information)
(Ripe ' n Property Owner information)
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Mailing Address
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City/State/Zip
2 75'7 7
Print or Type Name
Telephone Number
Tel hone Number
Date
Date

LARRY G HICKS
RHONDA HICKS
PH.919-209-0063
620 OGBURN RD.
SMITHFIELD, NC 27577
PAY TO XV Z P
66-7704/2531 2223
08626461770
DATE 3 - -7
THE ORDER OF I (11! 4 A 6
— _ DOLLARS B�aj
State Em to ees'Credit Union®
Smithfield, North Carolina
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