76887A_Houchens, Alice_20200916

-� /CAMA / DREDGE & FILL W 6887 B C D
GENERAL PERMIT Previous permit #
New Modification Complete Reissue Partial Reissue Date previous permit issued
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 I SA NCAC 7/"i //0 0
ales attached.
Applicant Name _ A 1 e e, _ _ N4 C/ _.
Address 107 S _O Tra.' i
CityState. ZIP 2TCR91
Phone # ( ) _ 72',"if 3— . E-Mail ._
Authorized Agent _-w.%Tc. t.d _
Cw
EW .PTA ES ✓IfTS
Affected
AEC(s): OEA
HHF = IH USA NiA
PWS:
ORW: yes
RNA yes-) no
Project Location: Count
Street Address/ State Road/ Lot #(s) jQ } 5
Subdivision
City5o(Jw ., .'9ka.4_S ___ ZIP 2-2-9gq.
Phone # ( ) River Basin
Adj. Wtr. Body..( 40. 5e, Cg,„"f,g, (,WLO tat f unkn)
Closest Maj. Wtr_ Body 0-tr -'�,<C+�e __Q4, 6
Type of Project/ Activity � kce r,'O- + 3 f KL�ec j
(Scale: Al ! 1 )
Pier (dock) length
.._...._ ..................................
Fixed Pbitfonn(s)
Floating Piatform(s)
Finger pier(s) ._ __ _.........
Groin length
number
ulkhea Riprap length I Y$
avg distance offshore r
max distance offshore r
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
t
Shoreline Length } 1�
r-� r c✓ C 4o erg. C_C_ ,4r, Cfie K.
c:.
SW not sure yes
bhcratorium: � yes no
Photos: no
Waiver Attached yes no
A building permit may be required by: noc �f!*,cc, It S
( Note Local Planning jurisdiction)
Notes/ Special Conditions
VLr..
Agent or AAplicant Printed blame
Signature11_ead compliance statement on back of permit
tqoa Kim)
Application Fee(s) Check #
ptj' o c lit/ 13,t 6ca.G
See note on back regarding River Basin rules.
Po -- ca�eft-
PerrmtOfficer' Printed (Name
Signature
"g
tC-C c_
Issuing Dare
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit
Mailing Address:
Phone Number:
Email Address:
)cec,-)czrj Ir
,
S(�-,L.Ae,ct, /OG- 2714E�7 .
r7 Z- -J,
I certify that I have authorized!_fir',(✓ c ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all C/AMA permits
necessary for the following proposed development: u I k' i�'P_f� e'y
at my property located at 1 f
in ba a County.
l furthermore certify that / 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:
Signature
Print or Type Name
Title
91 'R. -'� l r
Date
This certification is valid through / I

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTYOWNERN(OTIFICATIONfWAIVER FORM
Name of Property Owner t t_ f t OU C.V�pn
Address of Property:
(Lot or Street #, SStr�ee or Road, City &County)
Agent's Name #: e(\A,64�ueJ ..�. !J { ��MailingAddress:
11 �' d V c Z 7 i�q
Agent's phone #: � � ZZl� I - Z2 (2 l
T
I hereby certify that I own property adjacent to the above referenced property. The individual
N� ¢ applying for this permit has described to me as shown on the attached drawing the development
wa they are proposing. A 0g,%Sgriabon or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
ff 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 htto /www nccoastalmanagementnetlweblcmistaff-listing or by calling 1-8884RCOAST.
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner information)
Signature J, j
Alice t40UJQ;+(\j
Print or Type Na e
1 t
0 � (MJ ( �
Mailin Address
CitylState/Zip
I1
Telephone Numberl Email Address
z (- 26 Zy
Dale
(Riparian Property Owner In_fQrmation)
/J 7�
Print or Type Name
I0n--
Mailin Address �y') %
t VLF `� 2
City tate/Zip
CU
Telephone Numberl Email Addreswy C[1�41
Date
N I (Revised Aug. 2014)
(I (C 4 2 _ C'J `V {'`

RECEIVED 08/26/2020 11:03AM
08/26/2020 10:22 FAX [phone] LXFOON REALTY a 002/003
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NjtOTIFICATIONIWAIVER FORM
Name of Property Owner. (i Cam_ t OU C V Q?\.
Address of Property: u .t C (-130Q-( J " J�lp✓
(Lot or Street #, StreeYor Road, City & County) '2
Agent's Name#: � f1V� �. Mailing Address:_ 0
Agent's phone #: 2.' Z) f- z 2{ 2 �'� k
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.
have no objections to this proposal. I** have 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 DCN offices is
available at http://www.nccoastaimanacoment.net/weblctn/staff-listing orby calling 1-U8 4RCOAST.
No response is considered the same as no objection If you have been notified by Certified Mail.
WAIVER SECTION
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature(( Signature � o rM
Print or Type Na _ Print or Type Name
S e Z► ChtxrcSny�e
Mailirn Address Mailing Address
tiLZ���i �ayrYyy?�►�. ,V�e- 2390/
Ci IStatelZip City/Stat ip
Telephone Number/Email Address Telephone Number/Email Address
� Z, 7, V ZU C Zo 2D
Date Date
(Revised Aug. 2014)

Emanuelson & Dad, Inc.
P4 Box 448
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
Email: emanuelson6705(a)-outlook.com
08/27/2020
Frank Denaro III
21 Churchview Estate,
Farmville. Va 23901
Re: 107 S. Dogwood Trail, Southern Shores — Alice Houchens
We have been requested by the above property owner to do the following work:
1. Install new 5' tall x 144' Vinyl Bulkhead with 1-8' return.
In order of us to obtain the Cama permit for this project, Cama (Coastal Area Management) requires
each adjacent property owner to be notified. We would ask that you sign the attached form and return to
us as soon as you can. You may scan and email. fax or simply mail. We are also attaching a sketch of the
proposed area. If you have any questions, please do not hesitate to contact us. If you do have any
objections to the proposed work, you may contact Cama at 252-264-3901.
We thank you for your cooperation in this matter.
Sorely �Q
Jackie Lewis
Emanuelson & Dad Inc.

RECEIVED 08/26/2020 11:03AM
08/26!2020 10:23 FAX 434 392 "1655 LAFOON REALTY Q003/003

CERTIFIED MAIL`-' RECEIPT
Dornestrc Marl Only
Emanueison & Dad, Inc.
Cr
PO Box 448
'-
Nags Head, NC 27959
0
Phone: [phone]
0
Fax: [phone]
0
Email: emanuelson6705(0&outlook com
C3
CO
ru
ru
08/27/2020
a-
rq
0
N
Jody Midgette.
9022 Caratoke Highway
Harbinger, NC 27941
Re: 107 S. Dogwood Trail, Southern Shores — Alice Houchens
We have been requested by the above property owner to do the following work:
1. Install new 5' tall x 144' Vinyl Bulkhead with 1-8' return.
In order of us to obtain the Cama permit for this project, Cama (Coastal Area Management) requires
each adjacent property owner to be notified. We would ask that you sign the attached form and return to
us as soon as you can. You may scan and email, fax or simply mail. We are also attaching a sketch of the
proposed area. If you have any questions, please do not hesitate to contact us. If you do have any
objections to the proposed work, you may contact Cama at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely, ' ' " • `
■ Complete items 1g- and 3.
Jackie Lewis ■ Print your name and address on the reverse
Emanuelson & Dad Inc. so that we can return the card to you.
■ Attach this card to the back of the madtpiece,
or on the front 0 space permits.
1, Artier Addressed to
C a_ G'to top- CAW
00- ( Z71Y-/
A. Stign�at(urrre� �j/ , /%� i
— iIIAL_'_"_t �` j `' r ❑ Agent
a Atldres:
B. Receiv (Printed ) C. Date of Deliv
70.2 4-1
D. I da+.wy aiddraes d from *Mn 19 © Yes
If YES, enter delivery address below; 0 No
3. Service Type D Priority Ma8 EVressO
❑ Aduii Signature
❑ Reg�� g,�tartzd Mail"'
aU
❑ Adult Signature RBicted DOwa y 0 Devi Mae A
9590 9402 5357 9189 3756 79 a ceraned „y ❑ ix%`estr&
for
❑ cit on Dahvery
2 _$131GtH Alulnher rr s _ ❑ C08ect on De6Very Restricted Delivery 71 Signature Conti rr tiQr
7019 2280 0000 7925 1117 `It�l very �R ctredD�eA'tir" < i OO) Restricted Deli
i00
PS Form 381 1, July 2015 PSN 7530-02-OOD-9=, Domestic Return
PAW

I
This map is prepared
from data used for the
�,.
inventory of the real
property for tax
1 `fir
purposes. Primary
^'
information sources such
as recorded deeds, plats,
wills, and other primary
!•'' ;
public records should be
consulted for verification
of the information
o
107 S Dogwood TRL
Southern Shores NC, 27949
Parcel: 022292000
Pin: 986710265991
/"` , rk�_ P }
• T y�
..Vol"
Owners: Houchens, Alice Faye - Tax District: Southern Shores
Primary Owner Subdivision: So/sh 114-117 126,127 200-
-Primary Owner 202
Land Value: $151,700 �� Lot BLK-Sec: Lot: 3 Blk: 115 Sec:
Misc Value: $15,400 Property Use: Residential
Building Value: $271,400 Building Type: Traditional
Total Value: $438,500 Year Built: 1972
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