52145_GRUBB, STEVEN_20080211

521
^ 7CAPlIA / ❑ DREDGE & FILL
dGEAFRAL PERMIT�� P viouspermit#
l]New [-]Modification ❑Complete 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 15A NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP_
Phone # O Fax # O
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA Q ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: J FC:
ORW: yes / no PNA yes / no Crit.Hab, yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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or Applicant Printed Name
Signature Please read compliance statement on back of permit **
Application Fee(s) fj "15 -A }- Check #
T:), 651 1
7i
Per_rnitOfficgr's Signature r
i
Issuing Date Expiration Date
Local Planning Jurisdiction 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, certifythatthis 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 Headauarters
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

No Carolina Dep rtmen� of CinvitCmr-er?t ilid 1\1.3tural Resc',mcles
iIL"&ad F. `_a.j; rt ' r;, '",::i gwf.,.le3 -S. LJi
Applicant Name
Mailing Add -less C l
I cer`if-v that I have aids-IInorized oz�"n nsV
behalf, for tt'^ T rrpose of applying for ard ob ining all C--qM.�. Per -flits 7,ecessalT to
rest^ll or construct (-Whrit-,) ccltalg2ifL
at (location)
This certifs!ion svl' t�ra (dato )
Signature
- — --- 4�
-
433 Commerce Avenue, Nicrehead City, North Carc"na 20557
Phone: [phone] k FAI: 25-2-24723330 1 fntemet: Um+-+l.ncc,,)3stalmanagement.not
Ali Equal portunibj I Affifma'iva Acd r: Employer - 500% 10% Pcst Consumer Pzper

Page 1 of 1
Site: 242 CROATAN DR
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CProperty Details:
START 7986 UNIQUEID 7835
LASTNAME GRUBB, STEVEN C. FIRSTNAME
CAREOF ETUX PATRICIA M. 1.12512 FOREST LAKE CT
ADDR2 —� CITY WAKE FOREST
STATE NC ZIP 27587
IF
PAR :NUM 1642 JINAME 11 GRUBB, STEVEN C.
ACCTNUM 22213 JIMAPNO 11 K081-7-8
CONTROLNUM PIN
CLSCODE DISTTOWN D02
INSERT K081 DBLCIR
BLOCK 7 PARCELNO 8
SITEADDR 242 CROATAN DR SITUSADDR IF
242
SITUS�)AD I CROATAN DR 11EXEMPT
LEGDESC1 11 LOT 8 PELICAN POINT & 8A IFLEGDESC2
TOTACRES
0
CRNTTOTUSE
110
CRNTTOTDEF
10
CRNTLANDVA
37500
CRNTBLDGVA
110
CRNTOBLDGV
0
TOTCRNTVAL
1137500
FIRECODE
S
11HOUSECODE
ISEWERCODE
SALEAMNT 7150000
SALEDATE
5/31/2005
SALEDATE2
74664
SALECODE
S
ROADN UM
1320
PCTCOMP
100
WILLBOOK
11WILLPAGE
0
DB_PG
447/1
DEEDBOOK
447
DEEDPAGE
1
PLAT
PCA61-3
MOBHCME IIO
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to \ ��:J ��t� <�� is
(Nam
e of Property Owner)
property located at L JO ( :�'B 4 iE
(Lot, Block, Road, etc.)
on 2i�r , in (�L- i'1� , N.C.
(Waterbody) (Town and/or ounty)
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.
A� I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
________ -------------------------------------- -----
-T - - ------------------------------------
DET CRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
f (To be filled in by individual proposing development)
tz�
M
----
------------ -------------- ---------------------------
CO��_-----------
Signature
Print or Type Name x©63� J l 01l�fL—��j
Telephone Number Sot4 - 7
Date: /6p CO27

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 's
property located at
- A�" j� pi::
(Name of Property Owner)
(Lot, Block, Road, etc.)
IP
onZ A' (�� , N.C.
(Waterbody) (Town and/or ounty)
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.
DERIPTION AND/OR DRAWING OF PROPOSED DEVELO
SCPMENTk
(To be filled in by individual proposing development)
i
'3 ' al �'k, I
t�amLuo
CIO
- L-zT— � _
\ 30,
Da
-- ---------------------------------------------- ------------
Signature
LN�Q-Q,,cj ��JA�-cr�E`l ?R i51PEN'C�
Tkvg--'%a-o VC-0r?Q ECCZkE ��N�
Print or Type Name
( 2s z) 2�-ka k-t c;a, -�
Telephone Number
Date: �� ��

PAS �
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BROAD CREEK CONSTRUCTION 5806
PH. 252-745-4252 66-112/531
11 CREEKVIEW CT BRANCH 01901
MERRITT, NC 28556-9572
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BB&T S N"l�C�
BRANCH BANKING AND TRUST COMPANY
1-800-B K BBT BBT.com
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