66523D - Mauriello

CAMA / ❑ DREDGE & FILL ��
IEW ERAL PERMIT v Previous permit # A B
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC j-j • I !
ii Rules attached.
Name 1 Project Location: County bou 1A siti'1 (,
t- Street Address/ State Road/ Lot #(s)
� h I t t d State ZIP Cf `_7 r" i o al } r S t Lki �/ C �L:-,
() E-Mail Subdivision l tY�s
.. n
:d Agent NyIA Luah City
[1� ZIP f
❑ CW NEW El PTA ES (PTS Ph18% e ) 134 R River Basin !
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Bod lk nat n
❑ PWS:
ryes Maj. Wtr. Body
no (es ) PNA ( yes V no
Project/ Activity
:k) length_
tform(s) _
'latform(s)
igth
nber
I/ Riprap length )
distance offshore
K distance offshore
annel I
iic yards
ip
se/ Boatl
dldozing NY
tGTvi-eco i 4A.I:1
i Lb ". Zd
''iii(�iilii�■� ■■1
mom
■■111I
. ■■■■■ ■�■■■ ®■
(Scale:
❑ See note on back regarding River Basin n

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: . S�H,AANV(c�h
Date:
Permit #: 523,
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/ortemp
impact amount)
TOTAL Feet FINAL Feet
(Applied for.. (Anticipated fina
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/(
restoration or temp impact
temp impacts) amount)
Dredge ❑ Fill Both ❑ Other ❑
1 V
t V
Dredge ❑ Fil Both ❑ Other ❑
1
P-51
. Dredge ❑ Fill ❑ Both ❑ Other
2ooQ
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Q Other ❑
Dredge 0 Fill 171 Both ❑ Other 0

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 5 ZZl/
Name of Property Owner Applying for Permit:
Mailing Address:
0
I certify that I have authorized (agent) D/41//9A/V to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) /5L�&11— h tr
at (my property located at) 7i7&� AIX�% bl� �� `5 i x�/?)/,e
This certification is valid thru (date)
Owner Signature Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Mr. & Mrs. Stephen Mauriello
Address of Property: 2763 Pinecrest Dr Southport, NC 28461
(Lot or Street #, Street or Road, City & County)
Agent's Name #: David Logan Mailing Address: Po Box 1552
Agent's phone #: [phone] Wrightsville Beach, NC 28480
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
nitiais have no objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmana-gement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
atiais Iy' !,I do not wish to waive the 15' Setback requirement.
(Property Owner Information)
Signature
David Logan (Authorized Agent)
Print or Type Name
PO Box 1552
Mailing Address
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
— , ,.— ,,/1 -,/i /

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Mr. & Mrs. Stephen Mauriello
Address of Property: 2763 Pinecrest Dr Southport, NC 28461
(Lot or Street #, Street or Road, City & County)
Agent's Name #: -David Logan
Agent's phone #: [phone]
Mailing Address: Po Box 1552
Wrightsville Beach NC 28480
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
nitials EM I have no objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM of/lces is
available at httio vww. nccoastalmanagement net/web/cm/staff listing or by calling 1-888-4RCOAST,
No response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if
yot.uWish to waive the setback, you must Initial the appropriate blank below.)
do n)O "
itials F01 I do not wish to waive the 15' Setback requirement.
WFIJ01
(Property Owner Information)
Signature
David Logan (Author' ed Aeent)
Print or Type Name
(Riparian Property Owner Information)
Signature
Inc x
Print or Type Name
PO Box 1552
Mailing Address
Mailing Address