86575A_Denaro, Frank & Teresa_20220526

XCAMA ❑ DREDGE & FILL n�L
GENERAL PERMIT r�
%New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
No 86575
Previous permit
Date previous permit issued
(�) B C D
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:
yl?
15A NCAC �7 i % 1- 1 GLL 0 X Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name Ti(a.44 !_J n"I Authorized ?gent
Address 2 [ C m U L AAy ! -e_w [pp �] +Gt�t C �} Project Location (County): � t
City 61* iM V ) State l� zip L 1W ( Street Address/State Road/Lot #(s) 1 (% P11
Phone # ( �')q 0 -- 9440 v Gu L - � � It
r 1� r
Email '!"i�1.(iiVf'' Jpo_ L LA ' t-:UVi l(,PaJEjJ • C Subdivision_ 1,_ r �y,
City `iyLd�l �lQ* Vl 41oyNp'I zip Y-7 "! "7 q
❑ W ❑ ❑ Ad' Wtr. Body l GiA/1aA 4 V i ..iP�� nan
Affected CW PTA ES PTS I• Y ,�(na nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body C ^ AJJ V 1 �J� Y -56U'm
ORW: yes no ; PNAtyes/no
Type of Project/ Activity
Shoreline Length to
Access Length
Pier (dock) length
Fixed Platform(s) j
Floating Platforms i d T i t
Finger pier(s)
Total Platform area 14 f
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
CL
SAV observed: _ 115es ` no
Moratorium: OIa; yes no
Site Photos: e2es
no
Riparian Waiver Attached: ^ no
A building permit/zoning permif may be required by:i,F!..�-
Permit Conditions
(Scale: N V9
❑ 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)
Agent or Applicant PRINTED Name Permit Wficer's PRINTED Na
c
Si ature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Da a Expi lion Da e

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1 r lE`. Y^, "- L)e— 1a
Mailing Address: 21 burr kE�,12
Phone Number: �-'� 3 9 rM O — L42 L40
Email Address: +W,:ir'e,,5 k G J4 oi)a ce c, ( 12A ° C
I certify that I have authorized _ L,.. S r t rtz,,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessaryfor the following
proposed development: +
at my property located at
in _ = County. f' it R t�'
I furthermore certify that I 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
Date
This certification is valid through �_/ 14 / 2-
RECEIVED
MAY 0 6 2022
DCM-CV

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAfVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or NAND Q1Ln ERY_
(Top portion to be completed by owner or their agent)
Name of Property Owner PRANK DENARO III & THFRFSA H DFNARO
Address of Property: 105 S DOGWOOD TRAIL, SOUTIIERN SHORES, NC —
Mailing Address of Owner: 21 CHURCHVIEW FSTATE, FARMVILLE VA 23901
Owner's email: THERESAALAFOONREALTY.COM Owner's Phone#: [phone]
Agent's Name: SCOTT C SMALL Agent Phone#: [phone]
Agent's Email: SCOTT(k)LSIMARINE.COM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
t8af mmtkm ig bg kX ft AdWggd Propgft C�lrner)
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
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 (DC* 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 Mall.
WAIVER SECTION
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). you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback -
Signal of Ad/aceJit an Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial iiie blank) N MAY 0 6 20z2
Signature of Adjacent Riparian Property Owner. D CM—F C
Typed/Printed name of ARPO: KIMBERLY KITCHEN LJ
Mailing Address of RPO: 7913 DUNNOTPAR COURT, CHESTERFIELD, VA 23938
La
ARPO's em il: I �� ARPO's Phone#-
Date: 13 `waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTfFIEp MAIL -RETURN RECEIPT REQUESTEp or HAND DELIVERY
(Top portion to be compieted by owner or their agent)
Name of Property Owner: I°RAMC [iF:NARc) ill &'I'HLRGSA Il DhNARO
Address of Property: 105 S DOGWOOD TRAIL, SOUTHERN SHORES, NC
Mailing Address of Owner: 21 CHURCIIVIt:W LS-TA'CL, F'ARMVIL[.Ii, VA 23901
Owner's email: 7iil'KI 'At�i[ 1(X�1Rt:ALT y COMt Owner's Phone#: [phone]
Agent's Name: SCOTT C SMALL Agent Phone#: [phone]
Agent's Email: SCOTi'@[.,S[MARINE.COM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
fSatlbotn nortiort to'be romioleted by the Adfacepl PMIDS!U 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 drawino. with dimanainnc meet kn ...i— —
I DO NOT have objections to this proposal. I DO have objections to this proposal
If you have objections to what /s being proposed, you must notify the N.C. Division o! 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
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 in
the appropriate blank below.)
I DO wish to waive sometall of the 15' setbac 1 .
-OR-
Signature of Adjacent Ri �rianPro�pertycaner
I do not wish to waive the 15' setback requirement (initial the blank) RECEIVED
Signature of Adjacent Riparian Property Owner: �
Typed/Printed name of ARPO: ALICE FAYE HOUCHENS
Mailing Address of ARPO: __ 107 S DOGWOOD TRAIL, SOUTHERN SHORES, NC 27949
ARPO's email:
ARPO's Phone#:
.T
Date: waiver is valid for up to one year from ARPO's Signature"
MAY 0 6 2022
DCM-El,.
Revised July 2021

PROPOSED PREOWNED JET SKI FLOATING DOCK Gal 105 S DOGWOOD TRAIL, SOUTHERN SHORES, NC
FOR FRANK DENARO III & THERESA H DENARO
RIPARIAN DRAWING 1 OF 1 4/27/2022 - SCALE 1" = 20'
BY: SCOTT C SMALL OF LSI MARINE CONSTRUCTION, LLC -r [e-mail] -- 252-473-7695
WWW.LSIMARINE.COM
it
I
('ANAL
65' +/- ACROSS CANAL
0 6 2022. '
MAY
1
�cm-Ec
1
EXISTING A PILE: LIFT
I
EX. DOCK
I Y OFFSET
E--
EX. BULKHEAD
I
103 S DOGWOOD TRL P
---------.--._---
-- 145' + -_
PROPERTY OF:
OF FRONTAGE
KIMBERLY KITCHFN
105 S DOGWOOD TRL
1
PROPERTY OF:
_----- ----_ ---SRO
DE
.�
MARINE
i
_
jI
. C struction, LLC I
i
1XISTINGHOUSE_Y-�
PROPOSED
PREOWNED JET
SKI FLOATING
DOCK 5' X 16'
1
I
NOR"IH
i
i
I
1 IY OFFSET
i
P-L 107 S DOGWOOD TRL
PROPERTY OF:
ALICE F. HOUCHIENS