89363A - Fariello, Brian

❑CAMA ❑ DREDGE & FILL N9 89363 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑'Neal ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC �? rl • 11 ✓ J '' "' • I Z " 'J ❑ Rules attached. dGeneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name O
Address ilo"L
wf+•-f r' P�^' >f
City
State �y
ZIP -
Phone #(2 670
Email
L
Affected ❑cW
V EW N'�TA
dEs F-1ks
AEC(s): ❑OEA
❑IRA ❑UW
❑SPIMA ❑PWS
ORW: yes/no
PNA: ye s/n J
Authorized Agent r
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wen Body
LL e
Type of Project/Activity 1 S) , I I ✓, <- f - ; h.-1 k C• r.a d n J'g,--, c+ 7�-
4ee T :s}-.Jt : w Iz 'XI" tJl.t{,.,, ` ii y / ^% (Scale: ;V1 )
Access Length
I
Pier (dock)length
1
C
2�
I
Fized Platforms)
Floating Platform(s)
Finger pier(s)-�_-I
—
rib�-
T
T
t 14
r
(
j
__�
—
—,—
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore i-,l
Breakwater/Sill -
Max distance/ length
Basin, channel � _
Cubicyards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other —"
�—
—
—
I
i
m
'
_v
F
-
IL
a
AL
�
I
I
-
_
—�
—
—.
SAY observed: yes noPi
Moratorium: n/a yes no
Site Photos: - yes no
Riparian Waiver Attached: yes no ��rP
I
/
-u --,
—�
;I,_..
--
--
—
—
—
-
I
_
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) �i tJi
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit*' Signature
- 1 i
Application Feels) Check #/Money Order Issuing Date Expiration Date/

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Brian G. Fariello
Mailing Address:
Phone Number:
Email Address:
1102 White Pine St
San Antonio, Tx 78232
[phone]
brianfarielio62@msn,com
I certify that I have authorized Earth Shakers Marine, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Construction of bulkhead and dock
at my property located at 102 Bayshore Drive, Elizabeh City, NC 27909
in Pasquotank County.
I furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
RECEIVED
Signature
Brian G. Farielio NOV 12 2024
Print or Type Name D{� C(`�` M�j /ry� C�-a
lJl.slyl—�l.s
Title
10 1 30 ! 2024
Date
This certification is valid throughtl

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Mailing Address of Owner:
Brian G. Fariello
102 Bayshore Drive, Elizabeth City, NC 27909
1102 White Pine Street, San Antonio, Tx 78232
Owners email: brianfariello62@msnx0mOwners Phone#:
[phone]
Agent's Name: Earth Shakers Marine, LLC Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one)
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
100 NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:�j(,Q//''c,i S'djrj%Z Ji
ARPO's em+ail:01 61d452?j- jEa�Pot aA/RPO's Phone#: 2 � — 3;
/%
Date:�� *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Brian G. Farieiio
Address of Property: 102 Bayshore Drive, Elizabeth City, NC 27909
Mailing Address of Owner:
1102 White Pine Street, San Antonio, Tx 78232
Owners email: brianfarieilo62�gnisn.compwner'sPhone#:
Agent's Name: Earth Shakers Marine, LLC Agent
Agent's Email:
[e-mail]
[phone]
252) 330-2425
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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.
_)�,' I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one)
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.) .�
I DO wish to waive some/all of the 15' setback
-OR-
z;Signatunf of Adjacent Riparian Property Owner
1 DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: [[jcs�
ARPO's email: 'tJ7C ,: �rl ' 3 3/Ia:JW ARPO's Phone#:
Date: 01.� "waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

102 Bayshore Drive
N.C. Division of Coastal Management
NOT A SURVEY This map was created from historic maps, recorded deeds and surveys.
It CAN NOT be used to convey land, settle land disputes or build fences.
Pasyuotank County, NC
Parcel 111: 894201167004
Map: P145A•20.1,21
LOT: 28
00102 BAYSHORE DR
FARIELLO. BRIAN GLENN
102 BAYSHORE OR
ELIZABETH CITYNC 27909
Deed Book: 1391
Deed Page: 302
Date: 20201218
Land Value: 172200
Ag Value: 0
Bldg Value: 297300
Total Value: 469500
Taxed Acres: OAES
PASQUOTANK
COUNTY
Date: 3MI2024
Property Ownership)
Lines as of July 1, 2024
DESCRIPTION OF WORK:
,Replace approx. 159' of bulkhead
eConstruct approx. 50' Xt with a 12' X 16' platform; with dock placed against the bulkhead
u/t9
Rm�n