80191D - Hendrix

CAMA/ ❑DREDGE & FILL N9 80191 A B C
1117
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue LPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality 01( 1200
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC t (_ _J
( Li Rules attached.
Applicant Name + �(4.r�,� e.". ,� Project Location: County •-�(......1.. ,c.,..__..
Address AN ('.._ . y Street Address/State Road/Lot#(s) 1j() Tow
City_t[k,.,, k. _-)f c.r_ _State NL ZIP 24`t(,S c.t..r s•.5o10- Sc S .
Phone#1_�_)SU 7( E-Mail C hc.4r.)C ,�•� ,,5,Acg, .1bdivision n I
Authorized Agent -0•... (,vc-n City OCL.c,..- <S t'c- ( �c-c v. ZIp 2'{�o c
Affected 7 cw O EW PTA ❑ES ❑PTS Phone# ( ) River Basin (....>.---ia e- a
AEC(s): ❑OEA ❑HHF C]IH O UBA O N/A
( ) Adj.Wtr.Body rt..-•c.k (nat c3,/unkn)
O PWS:
ORW: yes PNA yes / Closest Maj.Wtr.Body ��W c'"� _1
Type of Project/Activity CO.y%. +'>�t1-'n.t.-.• slog _�c.<<, _ w.Yles Z. cb,A.ci.2tf� St:.pS a
r- (Scale: N T S, ) iPier(dock)length k9 K2,,
Fixed Platform(s) F12 tzszo t ._ j 1 •U -ly r--_t__ 1 I i r
Floating Platform(s) CP O t i 1
i j 7
Finger pier(s) I ! 1—1i �
Groin length I 7F
number - I �_^ -j 1! �'/ i�.. '�' ' j i r
_1.—Ti- i ; i
Bulkhead/Riprap length 5
i � l i ji _
avg distance offshore ice '1 . i ` i }
max distance offshore I I� i r
Basin,channel I—CV 1 '
cubic yards I 1 r 1 -,
1 i }} i 1 1 I
Boat ramp I _ I ! 1
� I
Beathous tit by i ii { - �-1-- I CU—4A t.0 LLI,
Beach Bulldozing - c c.d — - — Q -__ r
-+.1
} _ , y; __Other b _
t ' 11 i . VI a
. l�
zS h. tiL,
Shoreline Length s-5i)• �,1y.st,r Q 441 , _1 1 I 1 j i f
y ® 1 I ?
es I j
SAV: not sure
Moratorium: nta yes I lt - , s ,�— —3:s Svt f I
Photos: Yes .—.fit — _A, I ,, f i ! _ I t ( j
Waiver Attached: ( J no +^ n
A building permit may bd r wired by: (')CC4 .4 cb t c .►\ ❑See note on back regarding River Basin rules.
(Note Lod Planning Jurisdiction).
Notes/Special Conditions 0 PO /�u/i cn 2- CUr•"c S '.i QV` o i' � V^k"� ` '`'
•. �/ _�h" c �.i)�c� 7-27•
3
Agent or Applicant Printed Name J
\ Pe�y Printed Name
.."..\ (cI .,\te--- 27'2.1
'" Signature
Signatu "Please Tecpsunpliance statement onbackofpermit
Applin ion Fee(s) Check# Issuing Date Expiration Date

0❑iCAMA / II DREDGE & FILL NO 80191
GENERAL PERMIT Previous permit# A B C C
>' New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality O•�` ( `�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
00
❑Rules attached.
Applicant Name ✓ o ✓t.. k-\\A.4 4 .� Project Location: County f•+^S ck--
Address Q6 (3 c 7 1 Street Address/State Road/Lot#(s) Lj 0 —tr..,.
City0(1,4 ,. Sit 3 ccc- State` OC ZIP 2V`tGc1 '9<r ..� ',.\( 9 _
Phone#1) SU 2(,S 1 E-Mail t�C\-e_ r.A e •^4••x us,A, Subdivision
Authorized Agent �a • ( c.5 es.n City 0 Cl .-- \S lL a c G c V\ ZIP 2 VL((, ct
❑EW - PTA ❑ES ❑PTS Phone# ( ) River Basin Cv.-•-b
Affected CW
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Ct1^c• (nat m /unki
❑ PWS:
'•no PNA yes /
Closest Maj.Wtr. Body
ORW: yes is,‘W
Type of Project/Activity .;\ ,La, -,..k6r- ? ,,--c\.-z S t•i S
I
(Scale: N T S )
Pier(dock)length Ut X2.1
Fixed Platform(s) 12/a 14166 • ' 1 i
Floating Platform(s) 1,x3O� I 1 I _ I i 1
Finger pier(s)
i .
Groin length ICA ck.N ir- '-----1
number — _ ...._....... _. ...... ._..* ..
1
Bulkhead/Riprap length • { _ _.._-_- ---
1 i
avg distance offshore 1 1 1 1 1
max distance offshore I I
Basin,channel
I
I
cubicyards x t
, I - I 1
Boat ramp { I I G ;
; :
Boathous- =oatlift {�1 II , ,
! 4.- ........p . -
FIR , „ -. , ,
, ,
_/ i _� - __ ■ ! _
Beach Bulldozing I ' '
Otherw '_ � t I ; a. `
44 aP(�,. '1./� I i
Shoreline Length 5D p�,�, ,..,,(4 i !
& I
SAV: not sure yes �F U-A. ( T
Moratorium: n/a yes fi r , {}j
Photos: yes o --Ali
_ 1� � .._.... �.._ ��^...�� � F __! \ice le,-4_.—.__.... - -
Waiver Attached: CA no 1J\ ev 1
A building permit may yibei is wired by: C.e. 4 L I.. ,rt." ` �� See note on back regarding River Basin rules.
Note Local PlanningJurisdiction)
( J )Notes/Special Conditions r ) NO p-uic. \ r S C\V..\1/NG/.".2,E.c V A 1..'-� -OA � .N�.
'. S � �1
(`
St,(.. 1.3(e cam•• \Druc‘e,
Agent or Applicant Printed Name Per �•••--��`Printed Name /,---N\
Signature **Please read compliance statement on back of permit** Signature J(

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Roger Hendrix
Name of Property Owner Requesting Permit:
8835 Ira Flowe Rd
Mailing Address:
Charlotte,NC 28227
704-507-2659
Phone Number:
[e-mail]
Email Address:
Logan Marine,LLC
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Install new docking facility including a fixed pier,Gazebo and floating dock
at my property located at 40 The Peninsula at Ocean Isle Beach
in Brunswick County.
I 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 Infor ati
1
Signature
Roger Hendrix
Print or Type Name
Owner
Title
7 / 14 / 2021
Date RECEIVED •
JUL
This certification is valid through 7 / 14 / 2022
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Roger Hendrix •s
(Name of Property Owner)
property located at 40 The Peninsula-Lot 5 Peninsula at Ocean Isle Beach, NC 28469
(Address, Lot, Block, Road, etc.)
on Intracoastal Waterway in Ocean Isle Beach , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
h i"f I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback,you must initial the appropriate blank below.)
Initial Here Iii I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Prop Owner Inform ion) (Adjacent Property Owner Information)
`—l �sJ a.�c1.�. �a � Sam PE ALT J$L t.,fta _
Signature Roger Hendrix Signature* Peninsula at Ocean Isle Beach POA OTL3 a°A
Print or Type Name Print or Type Name
8835 Ira Flowa Rd PO Box 6569
Mailing Address Mailing Address
Charlotte.NC 28227 Ocean Isle Beach,NC 26489
City/State/Zip City/State/Zip
704-507-2659 [e-mail]
Telephone N mber email address Telephone Number/email address
'
Date Date*
RECEIVED
(Revised Aug.2014)
"Valid for one calendar year after signature"
JUL 2 0 2021

........---
EN/JAUNT.fill:Aran PROPERTY atthit:12,_STATEMENT
...i..-, 4-N.r
I?..e..1.i!1,4i r_,ute•,-tte C +.3e'l pftVe4i);:_q-C.TJ .....!_.:.4 IC
(NOME'0!Property owner)
p toperlitzztod ai 4t ihr Pepwswka LorsPiarangasetezeko .,.._aca..1,. Pc .6.t_
(Address,tot Block.Road, etc.)
on __.......in ,NC.
(Wate.rbody) ICitylroven andior County)
The: appl,card 'IrLs :at,f.,:ltI.NA .•:; ra....!. ill; t,ta-Ats71 bk-:;:.;:-...-.. 1.1',2 .3ev:N'',. .prr-.+2..rat cicp-oscd at the atl•:Y.:..:.:
va....i.::cr,..; ::::,,ttj,:::.ai-3..:to r;:is proed6sr,....I.
14)17:21
3 ,.;:vi.,,,!,.,:kil".1:141.1.41::31.3
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual pioposillg duvelopmvat.mus't till in description below or Dttach a situ drawing)
RECEIVED
DCM WILMINGTON, NC
WAIVER SECTION
I understand that a pier, dr....,tik, mooring pinos. boat ramp, uleakwater, boalhouse. eft, or groin
rri.Js: be se1 back a initniburr) d:stiance c$1. 15'from my area bi ripanan access unless weaved by
me. fli you wish t-i v*irev.that st.tba ....you must initial fie applopriate tank below.)
---1—..IN1.11 1-4cra , Z---s I do wish to waif.: the 15' setback reqiiirement_
I do not wish'13 waive the 15 setnadc requireinent_
(Pro. , Owner 1n1 2. (Ad cent Properly Owner trilorwialion)
Or
—t---/1.1 -P--- 71N ,
Si . are - fr 0 gnature'
P.i..:.gar tiendrat
. Jain S era
Print cr Type Mama Print at Type MIMI
' OM t-a Ramo i'-',-= 21i The Paniisais - • -- '
, . . - . ..... . .
. ,. Mr ej Attire s Ualliv Ackkess -- .
Dlatfictio vstr..• mm:-.
Ocean Wks Soultb..NC 114114 .. . • '
' ' :., .• / ' OYStaiElap Caty/Siaisaip
7,34412725144 iternoraretarthatusoNesa con
, ,, Tedephope Napber!mai ad-ITI•7. Tokaphan•/Amber/en*allrass -.: ,,

Check
Date Received Data DapwWW Chock From(Norm) Name of Permit Folder Vendor Cheek number amount Permit Numb.,/Comments Racelpt or Refund/Reallocated
Column', Co/umn2 Coumn3 Columr4 Columns Colrmrne Column? Column!? Cokrmn9
7/30/2021 D&D Construction,LLC Douglas Sholar First Citizens Bank _ • 2367 $ 200.00 GP#80148D JD rCt.14084
7/30/2021 Pippin Marine Construction LLC _ Robert Newcomb Wells Fargo Bank 1 5863 $ 200.00 GP#8021513 KE rel.15727
7/30/2021 Allied Marine Contractors LLC Earle Koontz First Citizens Bank 10320 $ 200.00 GP#802000 PA rel.12791
7/30/2021 Allied Manna Contractors LLC Joe Wintsch First Citizens Bank ! 10321 $ 200.00 GP#80207D _ PA rel.12790
7/30/2021 Sheila Hines same Wells Fargo Bank L. 16553965 $ 200.00 GP#80225D _ PA ret 12792
8/2/2021 Brian Coughlan same Truist - 1903 $ 200.00 GP#79938D BH rot.14116
822021 Logan Marine,LLC T Scott Barbour BB&T _ 7580 $ 600.00 GP#80246D _ JD rot.14910
8/2/2021 Logan Manne LLC Sean Simpson BB&T 7580 $ 200.00 GP#80249D JD rd.14911
8/2/2021 Logan Marine,LLC_ _ _ Sean Simpson BB&T 7547 $ 400.00 GP#80249D JD rot.14911
82)2021 Michelle L Bray Andrew Bray Wells Fargo 9385 $ 200.00 GP#80151 D JD rcl.14909 .,
8/22021 Joseph Jones SEWRE.LLC NAVY Federal CU 1000 $ 200.00 GP#80147D _ JD ret.14083
822021 Sound Side Marine Construction LLC Robert Haubenreiser&Jerry Zlhde First Citizens Bank 122 $ 200.00 GP#801890 BB rot.15601
8/2/2021 Logan Marine,LLC _ _Roger Hendrix BUT 7548 $ 200.00 GP#80191 D _ 8B rot.15605 _.
8/2/2021 AMW Dodos 8 Marine JDavid&Rebecca Graham I BB&T 6317 $ 400.00 GP#80156D BB rot.15606