51896_PIPNIK, ANDREW_20080115

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑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 - Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ()_
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # (^) River Basin - ``-
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale:
_
1
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
�
t
—
o
\j
Yii
I
i
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
I
i
I I
I I
EIE-
❑ See note on back regarding River Basin rules.
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 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
landowners).
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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA TLIFTIBOA THO USE)
1 hereby certify that I own property adjacent to ��5�? i _; �" ; ,�h`,� 1� 's
(Name of Property Owner)
property located at _ y 0q. ���- (y�'� ice;' C' f
(Lot, Block, Road, etc.)
on f (_l,j�F—C, T i C RLJE K in IA8Ltcct'` , N.C.
(Waterbody) (Town an/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 (hat a pier/mooring pilings/boatlili/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me..
1 do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type Name
T.3-7
Telephone Number
Date:

Rc LI 1� ert anti ['13-tLF2.1 Resa r-,-.!s
Ncr Caroiina Department ot Envircrr',
f
C[-Ies S. Jurta's: F.1 --6 3'.
Date
Applicant Name
A
Lyl.ailing Address Ila 2S—
toactcnniuv
behalf, for piy--?Iose of applying for.ind Otaining all GAAIA Pe-mits necey-isai-v- to
histnil or construct (a,—Wrtv) --co
at (location)MI C( Lp*
This certifi
Signature
400 Commerce Avenue, Morehead City, %rth Carolina 285.1;;C-7
Phone: [phone]-AX: 2!72-247-33330ilnteme4:
M Equal l—lpporturib/'iAlf!rma!iveACliot� Employer-50%Recyder,�. `0'! F^-,31

P.O. Box 268
Merritt, NC 28556
www.BroadCreekConstruction.com
"The Original Concrete Pier"
January 7, 2008
Peter Zambardi
Courtney Barnhill
Jerry Fleischman
Respective Slip Owners:
Phone: [phone]
Fax: [phone]
N.C.G.C. License # 45686
We have been contracted by Andrew Pirnik to install a boat lift in Slip #2 on Lot #11 in The Moorings. Per
CAMA regulations, we are required to inform co -owners of the property. Please sign and date the bottom of
this page in the appropriate location. Thank you for your prompt attention. If you have any questions, please
do not hesitate to contact us at the above number or Mr. Pirnik at 252-652-3208.
Sincerely,
Brandon Mansour
Broad Creek Construction, Inc.
Peter Zambardi
Date
1_ -og
�ourtney Barnhilf Date
Jerry Fleischman
Date

12-29-2007 06,16 PT 25265E3206
P124E I
P, O. Box �69 C)�,D. C 'Pe (Z52") 745-4.252
Merritt, NC 28556 Ak-' <7 - Fax: (2521)
z
www-BroadCt=kC4)ti.qlj,ikdion.cmn C-) C. 0. C Ucenre
0,
"The Original ConCrCtC PLLIC
January 7, 2008
PCtCr ZaLnbardi
Courtney Barnhill
Jerry Fleischman
Respective Slip Owners.
We have been contracted by Andrew Pirni k to install a boat lift in Slip #2 on Lot 41 1 in The Nfoorings. ?,!i
LAMA regulationq, we are requ i red to inform co -owners of the pro p- I-y.
this page in the appropriate location, Thank you for your prompt ;Wciition. Tf you have Lilly
do not hesitate to contact us at the above number.
Sincerely,
Brandon Mansour
Broad Creek (.'orkstrilctiotil-Inc
Pc—tcr Z-a-q(§rdi Dat
Courtney Barnhill
JcrfN FICi3chman
D
fiat
10/10 'd 8CLI CEP 808 'ON XVd
13iOH ivaiv nin]ONOH Wd bMl AHI 80H-01-W

12-30-2007 07:11 AJ 2526523208
PAGE1
1'.0. Box 268
Merritt, NC 28556
www.Broad Crcck Con; Inaction. com
"The Original Concrete Pier'
January 7, 2009
Peter Zambardi
Courtney Barnhill
Jerry Fleischman
Respective Slip Owners:
Phone: [phone]
Fzuxc [phone]
N.C.G.C. License # 4,M86
We have been contracted by Andrew Pirnik to install a boat lit} in Slip #2 on Lot # I I in The Moorings. Per
LAMA regulations, we are required to inform co -owners of the property. Please sign and date the bottom of
this page in the appropriate location. Thank you for your prompt attention. If you have any questions, please
do not hesitate to contact us at the above number.
Sincerely,
Brodon Mansour
Broad Creek Construction, Inc.
Peter Z,amUardi
C:oUrtnev Barnhill
err/yFlFleischman
nl�
Date
Date
&,,-
1�a
P �/ Gy
v �/
/

LAYOUT
Page 1 of 2
http://gismaps.cravencounty.com/maps/map_print.asp?pid=5-012-1-021&minX=266981... 12/11/2007

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIFRIMOORING PILINGS/BOATLIFTIBOATIIOW)
,—)
I hereby certify that I own property adjacent to - K�r"�- T i : `�:-.r?t,; �' 's
(Name of Property Owner)
property located at t %� tom- L i' ti 0 E ,
(Lot, Block, Road, etc.)
on _�( ) �t,:G ii (� t .;- l�_, in �- 1 �, �; h-
;A1_._ 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/boatlili/boatliouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me..
1 do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
f (To be filled in by individual proposing development)
Print or Type Name
ice '9.37 Sflc�%
Telephone Number
Date: /7— ` 2' + o 7

,reek construction
K 268 . .
NC 28556
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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.
1. Article Addressed
/to:
� F�
AX
A. Signature
❑ Agent
X ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? 0 Yes
if YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail 0 Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number 7007 0710 0001 5273 0048
(transfer from service labO -- --- - - --
PS Form 3811, February 2004 Domestic Return Receipt
Postal
CERTIFIED MAIL,,, RECEIPT
r(Domestic
3
7 For delivery Information visit our website at www.usps.coma
l
Postage $O '
6•
i
Certified Fee
3 ReturnReceipt Fee / yC Postmark
3 (Endorsement Required) / ! `C� Here
Restricted Delivery Fee `
Endorsement Required)
I �
3 Total Postage & Fees $ , 3 9
_ Sent To
•-r ----------------------
St_ree , Apt. No.,
- or PO Box No. /©� /j� /� ` c
t f.�J����c r ,r v_I
----------------- --------- ----- ---------------------
AW
City, State, 21P+•!
to2595-024A-1540

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BROAD CREEK CONSTRUCTION 5806
9t
BRANCH PH. 252-745-4252 RANCH 01901
11 CREEKVIEW CT
MERRITT, NC 2B556-9572 8 0
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a O�
4 IJ
BB&T
BRANCH BANKING AND TRUST COMPANY
1-Bo0-B KBST BST.eoOm�
1:05310LL20:00052927 46L 05806