60133_WIGGS, WILLIAM_20120321

C'CAMA / E DREDGE & FILL �61) NO. 60133
GENERAL PERMIT Previous permit#
PNew ❑Modification LIComplete Reissue _]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 I SA NCAC
Rules attached.
Applicant Name Project Location: County
Address _ Street Address/ State Road/ Lot #(s)
City - State ZIP
Phone # (_) Fax # O Subdivision
Authorized Agent City_.--- ZIP
Affected CW EW _1 PTA El ElPTS Phone # (_ ) tf l - River Basin
AEC(s): OEA HHF i IH UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
PWS: i- FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
--' '--
Finger pier(s)'
Groin length
--
number
-
--
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channe
—
cubic yards
Boat ramp
--i
�
—
s
Boathouse/ Boatlift
Beach Bulldozing
Other
1
i
Am r;M
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no I— "-
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A buildingpermit may be required by:
�! • f `• ( r . ? t
P Y 9
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) z Check #
(Scale:
7 See note on back regarding River Basin rules.
r•
Permit Officer's Signature l
}
Issuing Date Expiration Date
t
Local Planningjurisdiction
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)

n
BROOKS DREDGING & MARINE CONSTRUCTION INC
507 BAYVIEW DR PH. 252-728-6886
HARKERS ISLAND, NC 28531
PAY
TO THE
ORDER OF
9:1
66-1246/531
DATE
Beaufort, NC 28516
FOR b- A 1. C 60 la� G
II'00480311' ll: S3 1 L 21,66i: 000 L349 2110
a
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DOLLARS o

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RECEIVED
MAR 2 1202
DCM-MUID CITY
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01/23/2012 08: 56 FAYETTEV I LLE OTO. (FAX)9103231575 P.002/003
Dec ?3 11 07:67a Brooks Dredging
2525044744
p.1
ADJACENT RIPARIAN PROPERTY OV 1 + R STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to LJ -14,4 M W I G&5s
/ (Name of Propey Owner)
property located at L 3 �" �'� re-,C Z)� �c71`et+
(Lot, Block, Road, etc.)
on /U-i!mil U'9—r` , in C,/_S4-f�,q t r 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/rnoorino
pilings/boatlift(boathouse must be set back a minimum distance cf fifteen. feet (15) from my area
of riparian access unless waived by me.
1 / I do not wish to waive the setback requirement.
I Au wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
('To be filled in by indA,idual proposing dEveloprnent) I----
Aj
- �7—c),j� C C-t
a
5igna ure
h() 6H L , (11)IL:,PF
Print or Type Namc
�'5'j^ �*tl � - S6-�0
Telephone Number
Date: ! 1

01/23/2012 08: 56 FAYETTEV I LLE OTO.
0�/10/2012 13:41 FAX
ReciJan,16, 2012 8:31AM0red(FAY OTOLARYNGOLOGY NURSES
(FAX)9103231575 P.003/003
Z 002
2526044744 No, 4545 P, 2
ADJACENT RVA:RiAN' PROPERTY OW^7 T4 xt STATEMENT
(FOR A PIER/MOORING PILINGSIBOAMIMBOA,THO'Uss)
:' hereby certify that I own property adjacent to �� &nl L� L %�s
(Name of Property Owner)
property located at d"z '�-r i^� G a `
(Lot, Block, Rand, etc.)
, r,1►� r�
on • V tJ 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
yilings/boatlifVboathouse must be set back a minimum distance of fifteen feet .(l51) from my area
of riparian access unles3 waived by rne.
I do not wish to waive the setback requirement,
l tip wish to waive thar setback re uire q mans.
. w.ww-....... r.. ..---...,.rrw..y.......w..........................-............. ...... ..........-....w
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMIrNT: �--
rfo be filled in by Indlwlduaf proposing dirveloprneni)
J twos �7-dd- c c,-
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V.
442�ov
Signature
P—, c-s-ASS
Print; or Type Name
y 3q LSI -148o
Telephone Number
Date: _ I] g I t
L-

01/23/2012 08: 56 FAYETTEV I LLE OTO.
(FAX)9103231575 P.001/003
FAYETTEVILLE
OTOLARYNGOLOGY
Err. Nose & Vvycrt Snr',t't•r;A' a Allvrgy
4tlrlercTd Hrarbig sel-vii t'S
Johr T. Henley, Jr., M.D.
Stev n T. Pantelakos, M,D.
William J. Wlggs, Jr., M.D.
Elizabeth M. Hueman, M.D
Jlnhie Choi, M.D.
Accr filled Computed
Tomo I�raphy Laboratory
5peciallztng In the
Med'Ial and Surgical
Treatment of the Ears, Nose
and 1 jnroat.
Allergy evaluation
with III munotherapy
treatrrtent,
chlldn
onal Hearing 5ervlr;es
d for Infants,
and adults.
Date & Time: 1 - + 1,2,
Please deliver to: , M 14-E
Fax Number:
Total ofpages faxed Including this cover sheet:
Comments:
Sent from: Fax Number: 910-323-1575
Note: Thefollowing pages contain confidential infornratio)r. Ifyou have
received thisfax b: error, please iinmedlately notib me by telephone and
return die orlgulal message to me by U.S. MaIL Tltank you.
1839 Quiet Cove
Fiyeitevllle, NC 20304
Phone [phone] - Fax [phone]
www.fayant.com