80243D - Hendrix

F_I CAMA/ DREDGE & FILL N° 80243 A B C 1.
GENERAL PERMIT Previous permit#
)c% F lNew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued (
As authorized by the State of North Carolina,Department of Environmental Quality ,} I
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0 T Z00
El Rules attar
Applicant Name U 4 I t Cif C r, RQ.- v . 1 Project Location: County 1/,n S w, 4—
Address Q 0 p ( Zil 1 Street Address/State Road/Lot#(s) L/7 —i-�,,
City l)�-€cv- (Q 4 c In State 0 L ZIP Z- y2 ct % ,�+ ' \ u- I
Phone#(4) 501.Z(i;c' E-Mail ( Le se LA-,L �L r�s5Subdivision
Authorized Agent \ e L c,,5 c City LA.A..c,vN l5 ,C, `J LAC "� ZIP 7 `6,t-\(v 9
Affected CW EW 14,PTA ❑ES ❑PTS Phone# ( ) River Basin L v ,---‘..--/—
LJOEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body C /,..0.-\ (na ar/unki
❑ PWS:
^, Closest Maj.Wtr. Body 'N1
ORW: yes / pod PNA yes / Pia,•
Type of Project!Activity S\ . o c,k k
(Scale: N 1 S )
Pier(dock)length (Q 1/f t
Fixed Platform(s) —'i f .
I
l'aFloating Platform(s) ri((0
Finger pier(s)
Groin length j ��
number 4. �1.-..-...• -- ��
Bulkhead/Riprap length 5 I._.___ __ r.
> —' —
avg distance offshore s
'
max distance offshore j; i t
Basin,channel (0 F. � , P 4c I'0:`
O r 1�+. . i t t
cubic yards j I I
i
P
Boat ramp I S n,7T ;
-1 i i
Boathouse/Boatlift r .'_ s 1- �._... y.... c‘i 4.. �.- �...._-
- — ,_ 1
2. _._. .
M 7 I
Beach Bulldozing ( 1. i — k i
Other 12.r�:n+,p 1 x2 j t
i 4 i`
, , 1...; l""--t-.--,
Shoreline Length 5S
$AV: not sure yes no �
-�_
C ti- 1
Moratorium: n/a yes 04r. — — t + .._ .i.a.
-1 i
Photos: yes I —1 — a p....a-n,�tak4 I A114
Waiver Attached: yes no . '
A building permit may be required by: CQ.-6' (S(( . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �'
Notes/Special Conditions `T fi L,, �-a r. , �-.4-,�� A 4} P r(.,¢-tA (?..r,/1N-t4 k.
(' r o ,qo.L, „I— N)„ ... ,L L L..\,\ � '4ll.ct� ``G�,- Cast - `,.. ekl.. ,; ,
72,/ citJ AG„ vJ ( k- g-13.2(
Agent or Applicant Printed Name Permit icer's Pri ed lame
' . — \--"- \Z .\(-------ilii-2(
ig_nature **Please read compliance statement on back of permit** Signature

.♦
LCAMA/ ❑DREDGE & FILL No 80243 ABCD
ENERAL PERMIT Previous permit# —
'lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality ••I i f f „
and the Coastal Resources Commission In an area of environmental concern pursuant to I 5A NCAC 0,iI ZOO
•
t D Rules attac .
Applicant Name 1; 1 O,C,ke� t,.y & ••ik Project Location: County
Address Q p {03� F
QStreet Address/State Road/Lot#(s) t1-.r �T —
CityOC�t„_ tS(a-
“.L State(-'ZIP 1-A16t Vj-. ... .�:\a'
Phone#CZ ) Sol ZG c 9 E-Mail �+�+- 1 Y��''+-`�b"�c' ubdivision
Authorized Agent .,: Lo City Q(Jt.l, \SVc. ts 1''` ZIP 2G 0 to
®EW jr PTA DES OPTS s Phone# ( ) River Basin
Affected '14 CW
AEC(s): ti Oea !❑-HHF ❑IH ❑UBA ❑N/A Adj.Wtr.Body C 2�,-V-A (na ( unk)
O PWS:
ORW: yes / PNA yes / Closest Maj.Wtr.Body '�i1`�
Type of Project/Activity /-SV •••4 `. ... 1k "C
/r__ (Scale: 5 )
Pier(dock)length l4 s.i i
_ n l , ,_,_:— _1—L I .
Fixed Platform(s) q ■• �i ■ . I
�II ► ._
Floating Platform(s) V tl�0 � � !
Finger pier(s) � L._ 1.. t- �` E
Groin length i
1
numberFA" si __
Bulkhead/Riprap length U_i_i :• U t Cr • _ _i-_' G 1 !
! { { ! i I
avg distance offshore ■� .■■ _ � . - -
max distance offshore . I l 1 I
Basin,channel (�i 1 --• - - c"(1 : J �® '
U t El
t ! i y
cubic yards P �� { ! _ ' I I i
Boat ramp Oe { i 1 I + _
Boathouse/Boatlift 12/I Z I C . -� fII ? . li • ! •
I L •
Beach Bulldozing I ( MOM l+ 14 ; - - . - - ----_-- -- -
Other Q_k,,.P 1..13 ■■ mum i 1 i ®` - --- - 4 -� `: I
ill -I -t- — _- - _
.-5st I l 1 �`L- -1
Shoreline Length I
SAv: yes noa I ! .ari i _ 1 ,_.T-.:—;— —. . —6
not sure --
Moratorium: N. yes �' ) 1 nttn A' _ _ .. i`_r �`.`
Photos: yes '7 j - ■ ■ __1. i__+ I_ �_—I __ `'j o_. 11s•h.i►,c) G (a
WaiverAtached: ��� �j
CN
A building permit may be required by: y ouvk (S I L `"t`` . ❑See note on back regarding River Basin rules.
(Note Local Planning jurisdiction) �-'�
)
Notes/Special Conditions @' rt ..\_ (r.t•\• 4.-..,' A e‘ Q(",UL A l rLAka�r-k� ."-ram 1
ww1�0, t o)‘r^ 1^� V\ilea+'..• 5IC k-- v.l\ () _ kot,CiL tG`''`� 1.P4 11`^� wlT'Sn[I r
lvv ` �
J.David Logan .�A c.., 52..., c IC
Agent or Applicant Printed Name Permit Kcer's Pri ame
_'�..� __
ture "Pleasve read complian stat nt on back of permit" Signature
�ication Fee(s) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Roger Hendrix
Name of Property Owner Requesting Permit:
Mailing Address: 8835 Ira Rowe Rd
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,boatlift,and floating dock
at my property located at 92The Peninsula at Ocean Isle Beach
in Brunswick County.
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 Infor ati
/,41
Signature
Roger Hendrix
Print or Type Name
Owner
Title
7 / 14 / 2021
Date
This certification is valid through 7 / 14 / 2022

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.0
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
Initia Here r 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)
RECEIVED
AUG 1 1 2021
DCM WILMINGTON, NC
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 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop" Owner Information) (Adjacent Property Owner Information)
Signature / Signature* OSL3 apt
Roger Hendrix Peninsula at Ocean Isle Beath POA
Print or Type Name Print or Type Name
8835 Ira Flowe Rd PO Box 6569
Mailing Address Mailing Address
Charlotte,NC 28227 Ocean Isle Beach,NC 28489
City/State/Zip City/State/Zip
704-507-2659 [e-mail]
Telephones P tuber email address Telephone Number/email address
Dale / - Date'
(Revised Aug. 2014)
*Valid for one calendar year after signature*

. .
-....--_
RECEIVED
AUG 11 2021
DCM WILMINGTON, NC
istruAciJPWiNUOPERTY QWNCETATEMENT
haw,i4odr.a 'S
9 t,e-rtpliv. votily thal I ev,-.1 p,ccietty adjacent 1c _
(Name of Property Owner)
'n Porpno-Aa Let S Pavirs.v.a ar :!..-c,I.T.If.t.::Bead% ft.:2*4-t/
plopeity 11:o:dated"31 4. -"a
(Address, :Lot, Block. Road; etc.)
nI- Sc A.;o4 b..lo IDc:41:e. .NC
(Waterbody) {City:Town andror County)
Tne, appl;cant )-....r.ts def.,,:13.14,e41 to fro:..... as sltown b6(.7.t.", Ulm del,...f.t.iloiaarr-dont proposd at the ilb:r.:4.21
°calrl••••• I titi:31•6 Itu .T....tljez.fr..-rI tu gilis preptas2.1.
9 ff,13t.q.s. *toil:y:11r,ti3 this proposal.
DESCRIPTION A'ND;OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposurg duvvloprnent must fill in description below or attach a site drawing)
. .
, ..- . . ... . ,... ,...',-' • •- , , ' !",*.t.,.i;1.44; . .,..;,s4_... :1''',;-t I;,..:*,.; • • `...." 77.; :
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WAIVER ZEMItli
I understand that a pr, (#(..•-cit. lauceing r),t1 rigs. boat ramp, breakwater, boathouse. l& or groin
mast be se/back a mirnrryurn d.stance of 15' from my area ci ripanan access unktss waived by
me. ili yw wish t..) v,-:-Jive the st.tbac.i:._you must initial the appropriate blank below.)
In : 2 halkaro - 1 CIO WiSil to W4‘'(.1 the 15'setback requirement_
I do no/ wish to v,:uive the 15 stmack requirement_
(Pro„,.... , Owner trif at.I (Ad c-ent Property Owner 17aliori) , .
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Pi:.9 nr I icra-t- Jain S Bpi
Print Cr Type Name Prin.!or Type Name
3.1 The Pannualia
SIM Ira llama g---;:d
Ma6119 Adcitess
or..aescair /41 261122'
Masa ilia SOIN:h.NC Maid -
734.407.264/1 shompanwetharatuta.asoresa arrb _ •

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RECEIVED
AUG 11 2021
DCM WILMINGTON, NC
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IAla I HENDRIX DOCKING FACILITY I SCALE:1"=10.-0' I BY LOGAN MARINE LLCI--------- 6310 GREENVILLE SOUND RD PAGE: I

(Name)
Check
Deb Rsc sd Deb Depeslb F d Check From .m.) Neme of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Cekes1 Cokmnt Column! Cehr.M Colima Column@ Ceben7 COMM* Column9
annzai AWN Docks 6 Marine Construction Emma&Korn Molt BB&T _._._ 8427 $ 4CB.00 OP 17999BD BB rot t561a
N77DID7 Lam Morns LLC Racer nd Kenn HoakB86T 7671 3 1W CO GP a60243D �BB era.156t 6