80191D - Hendrix (2)

CAMA/ ❑DREDGE& FILL NV'D L6n 31 !r9 80191 A B C
GENERAL PERMIT r ` 2 Previous permit#
New ©Modification 0Complete Reissue _]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality ^�� ['1 ,2 0 ^
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (, 1 (�J •
' G Rules attached.
Applicant Name__ (/ _1:1 (C.arc t_,t,. _ _ Project Location: County j f•,..5..� s c.
Address � -t-{ Street Address/State Road/Lot#(s) 110 •ch.._
n
City cam.. �t 3 State NL-ZIP 2 (.Q ct,ns•.SaIG- st .
Phone#( •U_ So 2.
t ) t.s(E-Mail cht.,./4r.X •^�•, ,,5,,,,.gS4)division
Authorized Agent V".. (vc�c.n City 0(t-<,_ l t�S tJ t G c 1n ZIP Z (0 4
Affected ;ICw DEW -16 PTA J ❑ES D PTS Phone# ( ) River Basin (.... ---bat!"'
AEC(s): ❑OEA ❑HHF ❑IH ❑URA ❑N/A
( ) Adj.Wtr.Body C -..
mil (nat CS /unkn)
O P'WS:
ORW: yes PNA yes / Closest Maj.Wtr.Body ��W
l r i
Type of Project/Activity (Qyk Ssr v,,i-n,L, d ett,.., •t , __ ,,",,, Z e in,ck,"t.trt S k`•(r S _
(Scale: f� T.j S. )
Pier(dock)length I X2, - - - j;
Fixed Platform(s) F12 A&. 4 j -f r - 1 } ' t
Floating Platform(s) Q —U I
Finger pier(s) LI
it
fit,
Groin length 1 4 { t /'' 1 I 7{
` }
number - --- - - _. ` •
si
Bulkhead/Riprap length i
avg distance offshore i
max distance offshore tf 't•l fl 2„, r
Basin.channel lip I f
cubk yards 'r
, ifit -,
Boat ram 111111 __.. _ J
, , ,
tit I" MEM= t } � ==�
i
Beach Butkfpzmg . ti. C •
__ _.__ . . .
Other 2 y'N �`r°'.1 . _ O 1 s, 4 _1 i i
MQ
l l
t ` I
- ! �- ;i� "IL � 1 i
Shoreline Lengtfi `^' _ RIA•0 �@ MIS . - - - 1
SAV: not sure yes
{ 11
I , 41: --1 Y I � �� <,a:sAlsak L t
-
Moratonum: n/a yes '�4 ytA6c/` A��2,.�. T� t
Photos: yes
/7{'!cJ .—h _ , . 1[ •-i Q+ + - tJ
Waiver Attached: / ef) r o ��R/�C�`x f`+
A building permit mayy bei wired by: 0(,R,Ls., k.4 L ( ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)• �1 ` { ,
Notes/Special Conditions C, I.,War- n 2- CUr � S���'c. �11J� o J ul` U��' - �". ,�•
c am. �� ck/ ''IP -27•
Agent or Applicant Printed Name •- --,- P ^Printed Name N n
"Please read c pliance statement on back of permit" Signature
Applica on Fee(s) Check# Issuing Date M Expiration Date
S''_3‘-zC>z1

0 X CAMA / DREDGE & FILL p
GENERAL PERMIT ((•1 '�L1 P�°us permit 0019# A B C C
�� New Modification _Complete Reissue ElPartial Reis- - Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality O-�fj ( `�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
00
❑Rules attached.�"
Applicant Name ' ✓c.� �� �A ,� Project Location: County tr.,.. ,... ,L�
Address 1'6 `I of_ Loy} 1 Street Address/State Road/Lot#(s) Q -c :..
City Vts-u^ k_tk.� G e cck State NL ZIP 7 YLIL ct 44_4\‘,,,,,.,�c--- 9 .
Phone#1 tilt ) Sol- 2 f.S 1 E-mail c Cie.,4,4( ue h•^,k•,),, ,,S,,„, Subdivision r�
Authorized Agent �p �` ( 1 a n City Q(IA...- S ta- at c.c V' ZIP Z a l(0 .
Affected Q Cw ❑Ew gi PTA ❑ES ❑PTS Phone# ( ) River Basin l.v--,- -r"
❑OEA ❑HHF ❑IH ❑UBA ❑N/A /�
AEC(s): Adj.Wtr. Body (�a-,c.l (nat(320 /unk
❑ PWS: Pc w
Closest Maj.Wtr. Body
ORW: yes /(1 np PNA yes /,
Type of Project/Activity (S A Loa_„�h.l c e,�, , w.� 2 (im ck.--Lk?. S l.('S
U
(Scale: N i S )
Pier(dock)length (s) 1(2-\
Fixed Platform(s)
2112 4 24,
II �
'3
Floating Platform(s) V 0 -�� i
i-----....._._._`
Finger pier(s)
Groin length
, 1 r'';'------ -------Ca' ACk.K ''17-..N'''."'"*-----.‘ ,
number f -.._....._._
(
Bulkhead/Riprap length —, _ __...._.. - ---_,_..__- t
avg distance offshore
max distance offshore6-‘,;DH ` 977
Basin,channel
cubic yards j 1
Boat ramp - j I
Boathous oatlift lif ►•i q - 1--... tt ._.._. - -
i - 41 ,,
i
Beach Bulldozing (r !�
Other 2 'f 't t(A^C:/k ` 4 C -
t_`,.
i ' % ( V v
44194.4.4%,,t4, 41, Ft4 :
Shoreline Length 5D ‘
SAV: not sure yes {
Moratorium: n/a yes _ Ti 41O
{.�^L r' —ram -i-
Photos: yes o _ �_ }y , / 1
Waiver Attached: ���no ^C_ n` ` ri
? _. F
A building permit may yibef riquired by: ©UV,- \4,.. t Jc((►` . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions (z (1 PO /wu✓t C^ Z C(t
Ur r.c k 5k•,�+ 5 ekV• U,of,?-t� U- 5 [.i,�.;1', v f Q
4
c„, (-\3 ro c\e"
Agent or Applicant Printed Name Pe Printed
(C ..\t/-`-.---
Signature **Please read compliance statement on back of permit** Signature
-,-+ -."r.^. nr

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 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 .
7,41
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
(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.
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.)
niiial Here 1^Jr 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)
c Ar714
t c.�a xa � •aim Ka f E,�S�c.c
,Signature Roger Hendrix Signature* Peninsula at Ocean Isle Beach POA 4113 apt.
Print or Type Name Print or Type Name
8835 Ira Flowe Rd PO Box 6589
Mailing Address Mailing Address
Charlotte.NC 28227 Ocean Isle Beach,NC 28489
City/State/Zip City/State/Zip
704-507-2859 rhandrixfahendrbcbusiness.com
Telephone N mbar email address Telephone Number/email address
Date /76 Date*
RECEIVED
(Revised Aug. 2014)
"Valid for one calendar year after signature* 2�2
JUL 2 0

,•........---
IITIMEta till'.Af.,31A.N.J.-110 PERTY Qtal f:R.STATEMENT
I P.e're-14i r2citk1y On.ett C ov-i*.1 poope4i.v;4,-12.7)Lluli(sol lc
(Name of P4rirty Owner)
plopezzl, 1ly.....,1,,,A:61 43 The Peron%ila La 5
{Address. tot. Block. Road: etc.)
.in .N C.
(Waterbody) :(Citylfaifin andior.County)
Tie acipt,cLrit 'nzs Jt.t.,:li.b.LA".'..; rrimr.. iM", 1. O,A,13 beVi,, UV:: .:3t:'tt; :S-pi'r4(.tnl ,T::::pn.St.'.T.J at thf: zit,:::-•:e
_ .
ihrjetbi
" 14'-'1.= ;'i . - 1 g) A.1111':,..;'.'..;bi,'::.3.r2r:ti)4.-Ais pre;pos1.1.
3 ,.a,.-,kt,.•-•.,.. .....Iftv..#1.;ti.)*Iis
„
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual ptoposniy cluvclopmonti»ust till in description below or attach a situ drawing)
RECEIVED
DCM WILMINGTON, NC
WAIVER SECTION
I understand Tip' a {;:ne,r. &bk. mooring pll ngs.boat ramp, breakwater, boaIhouse, lit or groin
rrius: be sei back a mimnurn destance of 15 from my area cd riparian access LiflieSS waived by
me. (II YOU wish to waive the setba ..you must initial the appropriate bank below.)
Ini,r1Hcra • ' Z.-2--C- I do wish to waiVii the 15 setback regtivemeet_
I do not wish 1,3 V.I.liVe the 15'st:toadt requirement '
• . . . .
- -
(Pro Ado. , Owner Int y, (Adt-__72*.rty Owner b7ablost)
sir
4 c---
--A .1 1 7
Si • Wit• -frli g nature' . iLif
Pt.....gat Illerdrai
. Adtil S Spa
. ,
Prig a-Type Name Print or Type Name
OM v-.a.name b7,:c 2ellve Peninsula .
iiaTirtgAddrels ItilaisigAddniss
f>405c.np 14.r.... Nr..— Ocoee isle easch..P.0 31109
• •, ' • . CepoSiadia2p Oty/SfaisiZip '
73440371r44 everwsracitolerenichusows4.nen
Te3ephci9e l'Aa9rbar!emir(adirt v.-, Tit /timber/aiThaf amkinoss

Check
Date Received Date Deposited Check From(Name) Neme of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Cohered Column., Column4 Colunme Column. Column7 Column° Column9
7/30/2021 D&D Construction,LLC Douglas Sholar First Citizens Bank 2367 $ 200.00 GP#80148D JD rel.14084
7/30/2021 Pippin Marine Construction LLC Robert Newcomb Wells Fargo Bank 5863 $ 200.00 GP#80215D KE rel 15727
7l30/2021 Allied Marine Contractors LLC Earle Koontz First Citizens Bank 10320 $ 200.00 GP#802000 PA rot.12791
7/302021 Allied Marine Contractors LLC Joe Wintsch First Citizens Bank 10321 $ 200.00 GP#80207D PA rd.12790
7/302021 Sheila Hines same Wells Fargo Bank 16553965 $ 200.00 GP#80225D PA rct 12792
8/2/2021 _ -- Brian Coughlan same Truist 1903 $ 200.00 GP#799380 BH rct.14116
8/2/2021 Logan Marine,LLC T Scott Barbour BB&T 7560 $ 600.00 GP#80246D JD rcL 14910
8/2/2021 Logan Marine,LLC Sean Simpson BB&T 7560 $ 200.00 GP#80249D IJD rct.14911
8/2/2021 Logan Marine,.LLC Sean Simpson BB&T 7547:$ 400.00 GP#80249D JD rct 14911
8/2/2021 Michelle L Bray Andrew Bray Wells Fagg 9385 $ 200.00 GP#80151D _ JD rct.14909
8/22021 Joseph Jones I SEWRE,LLC NAVY Federal CU 1000 $ 200.00 GP#80147D 'JD rct.14083 _
8/2/2021 Sound Side Marine Construction LLC Robert Haubenreiser&Jenny Zrhde First Citizens Bank _ 122 $ 200.00 OP#801891) BB rct.15601
822021 Logan Marine,LLC Roger Hendrix BB&T _ 7548 $ 200.00 IGP#80191D BB rct.15605
822021 AMW Docks&Mane David&Rebecca Graham BB&T 63171$ 400.00 I GP#801560 BB rcL 15606
*