85484D - Bacon

so. 74' ❑LAMA DREDGE & FILL No 85484 ABC D
GENERAL PERMIT Previous permit
Date previous permit issued
lJ New Modification ['Complete Reissue ❑Partial Reissue
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 5A NCAC " a ("�U d ElRules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Z.G C 1(K-- GO'C DO 3 V. Authorized Agent - �,eV V-1 QC Y v t AV 1VL.C.
Address \t j %Q�Gt`C k V.O G c S d LA-i•tel Project Location(County): ' s)e ) HMO DV r
City "J W ii' 1 U State L- ZIP '141 \ Street Address/State Road/Lot#(s) 4/'Q
Phone#( i( t) .rl-4 l - (P S()L9 t:1c, :" • r'' ROC_ C .
Email �tJO/WVI.111 CA yvy,L " C�1 0 c ' IG,, . ( '' Subdivision 1 lI V. (r I G�J IA-4-IA-4- _St�V`EJl
UV'Y City V\J' ,VIA 1 '�'Yl ZIP ? .- I
Affected n CW ❑EW pi i PTA ❑ES ❑PTS Adj.Wtr.Body f v t I ;d r i I ( qS�(3 tAlk CIc(nai/man/unk)
AEC(s): El IDEA IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body 1 \ V V V v'
ORW:yes/no PNA:yes/no.'
Type of Project/Activity \Y\ '.}--n 1 (;, ,_bo'4 1 .A,-i- w 4 h l VI l>><I Vt\i") $ k.1 ,� .
(Scale: 4))
Shoreline Length
Access Length
1 eMill .. ,
E
Pier(dock)length / RIZ lipill5191114:111111irrialliiiirM
"
Fixed Platform(s)
II 1
Floating Platform(s) 1111111111MWAIMILI111121.1111111==
Finger pier(s) IMMO. 1111 EIMIIIIIILIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
II
i �
1111111
M ____ _
Total Platform area �" •
Groin length/# 1:1147.11111:11311111 .. -----.'111e11111111111
Bulkhead/Riprap length `�-c`--1- —(II — —. e Y y►^oY( T—
r _
111111411
Avg distance offshore •r.{., ( 1 1 I _1 t...... - F .. T.... ——
Breakwater/Sill , 1 IIIIIIMMIIIMIIIIIPPEMIIIMZMEINIIIMIE
•
Max distance/length ■ . aka-1 w �I V
Basin,channel
Cubic yards ; i . Ni
Boat ramp �i_. _.___.._ __. _. __
Boathouse!Boatlift in,lMIIIIIMIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIII k
Beach Bulldozing 4) 11111 ! l
itt-
OtheritVY1v
SAV observed: yes (Ino �:� .- f►7EMOYZ 'si.
Moratorium: n/a yes no .■ NI��N'
Site Photos: r
fell no : �11 � M�IG{�
Riparian Waiver Attached. yes no
A building permit/zoning permit may be required by:1.::::‘t"`V- 6c '+ �A
Permit Conditions 1! `� ca u"v t.n.1' �` "' ,1 ,QC*1 )r -'41-7,k T i c•sA -Ce CI e,V-� ri TAR/PAM/NEUSE/BUFFER(circle one)
4 c�•..1 A;A h()V,V r to t-'?1, 1 • Fy+ ,i2:, 5 r CS OO t C.+ j�.. t 1 V1o4'. n See note on back regarding River Basin rules
- 1..J. Y,Faif kat. f 1 s,v1,..x. .
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC ARULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Ali',• d 060.11 A k e 1 '- -- 15-2Z
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
1 - S-&ZZ

;tatement of Compliance and Consistency •
his permit is subject to compliance with this application and permit conditions. Any violation of these terms may
ubject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
his permit must be on the project site and accessible to the permit officer when the project is inspected for
ompliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by thi:
►ermit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
a cal land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
ias been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
-he State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
nformation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
tiver Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Tease ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
rroject area and disposed of in an appropriate upland location.
)ivision of Coastal Management Offices
Vlorehead City Headquarters Washington District
00 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
?52-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
Serves:Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
:aunties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
1.01 S. Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
t52-264-3901 Fax:[phone]
Serves: Berrie.Camden.Chowan.Currituck. Dare.Gates. Hertford. (Serves: Brunswick, New Hanover and Pender Counties)

( \ CAMA El DREDGE & FILL N9 85484 A B c D)
4 GENERAL PERMIT Previous permit
Date previous permit issued /
New ❑Modification ❑Complete Reissue ❑Partial Reissue
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:
15A NCAC 4-14 • 000 ❑Rules attached. O General Permit t RulesR available at the following
rlink:www.deq,nc.g+ov/CAMArules
LSJt Applicant Name C � a_ C 1(1 c11r r(, Authorized Agent& .A4IAeV1/" IOC W%tW\
Address 13 ',CCi C k 1vt7- + S eit LIp� Project Location(County): N�w tiro OV0
City 1' 11 WI 1V11 f t s State VJ I- ZIP p'T` I Street Address/State Road/Lot#(s)
Phone#(Ill) . -'4-1 -(t 5°L° , eL( r2Oc42 < . n
Email (jJt-4Kiv 1 1(1 a vvl$o h 01 e c y1'IA t 1. t t3�M r Subdivision T ( 'k V L G 12j 1-t'� IS1 C 1"t�
V City� J t ern 1t (�1 ZIP 3 I I
❑
Affected CW EA EW ,PTA ❑ES ❑PTS Adj.Wtr.Body LiV Ll 1'Q (Jtkt 4 le man/unk)
AEC(s): ❑()EA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Maj.Wtr.Body A 1( V V V/
ORW ye no PNA:yesi n )
Type of Project/Activity\Y1 SA-A k 1 A boc4 11.-4- wiz- A11n 41'1 -C2C(3ll‘' h S(A, •
(Scale: ill:Of)
f)
Shoreline Length 41- (0 g
Access Length —� l`J) 0
c.. 1M1 DU.Le o a 14
Pier(dock)length C Vu l\�
Fixed Platform(s) J
Floating Platform(s) CD O 0
Finger pier(s)
r O
Total Platform area ir"
J e Pt1 '"\S
Groin length/k i,1S ,
Bulkhead/Riprap length �CCV.-I"5 -1 L '�
v re..1MOYL(k
Avg distance offshore .T oLC-1 l 1 ..----\
Breakwater/Sill `- .11--.r 44 bocc--tk -1- 07 •
Max distance/length ` . (/l
CS
Basin,channel c'J;
Cubic yards iN
Boat ramp -- 2 `J
Boathouse 4,0:= 1.3 'X 13 ' Q • ' 1
Beach Bulldozing °Ti. t
OtherYUf f10�(f. CU{t&V L 1U v
-}V., ptllh3 r N 8
SAVobserved: yes — 1S(�Uc[ln (Zp� �j.
Moratorium: n/a yes co •Yi.?l„ t('I
Site Photos: t� no 1 Q, `` 1 -
Riparian Waiver Attache CD no ( 'J�LV(`s
A building permit/zoning permit may be required by:Ft�.1A`YL 6( 1+ !WA
Permit Conditions\(' T" t itT - aoOO ckt--e Q "`11 loc. 1 )/+S'�z,'11. ( a fe(t Q'✓G.1 ❑TAR/PAM/NEUSE/BUFFER(circle one)
ye.c 1ta'1N Q/1� g f rt.' . PYopci KC9 bee,141t # S(tie k.' yip{- n See note on back regarding River Basin rules
CVO S 3.-1-' Y\v,CtV-1(11._ `\v A •
❑See additional notes/conditions on back
I AM AW OF STAT E CRC RULES AND CON 1 THAT A P TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
RIF
""b L • � Apt 4 1 k-S�
Agent or Applican INTE Name Permit fficer's INTED Name
Signature**Please read compliance statement on back o it** Signatur
L.� , .i n -s.. , l ,- _ /-+/c /•,.. -.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Zack Bacon Jr.
Mailing Address: 13 Beach Road S.
Wilmington NC 28411
Phone Number: (919) 271 -6506
Email Address: [e-mail]
I certify that I have authorized Southern NC Marine
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 Boat Lift as shown in drawing
at my property located at 13 Beach Road South
in New Hanover__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 Information:
f t J
Sig<ta1LJ
4-c IL / . fF C o 1-1
Print or Type Name
Title
_!Z / o / / 2
Date
This certification is valid through / /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Zack Bacon Jr.
Address of Property: 13 Beach Road South Wilmington NC 28411
Mailing Address of Owner:
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Southern NC Marine Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property 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 drawing, with dimensions must be provided with this letter.
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(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback /'e- M .vt i
b1-1
Signature of Adjacent Riparian Pro rty Owner
-OR-
I do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: / /
Typed/Printed name of ARPO: liih/i1.-rr "G• ON/c lie• //
Mailing Address of ARPO: / 2.2. L�dN�►')/ r�l�/7 p/' GNI/'`K A/ Z291�
ARPO's email: /,1/�/Ylpft/ 6f/P U 401i. ARPO's Phone#: 2.52 4i( P iteitV
Date: 4/2 E'f / 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Zack Bacon Jr.
Address of Property: 13 Beach Road South Wilmington NC 28411
Mailing Address of Owner:
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Southern NC Marine Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property 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 drawing,with dimensions, must be provided with this letter.
/ 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(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement(initial the blank) v'
Signature of Adjacent Riparian Property Owner: ce 1 d .0-
Typed/Printed name of ARPO: / C t rG( e ivSD N �'
/Mailing Address of ARPO: S 6 C L, ,Z d (-- t- i„,
ARPO's email: r 17e r coY\L!fl C•(r• CO Ar4RPO's Phone#: '7ra -6 d S - yU 13
Date: /2-/(, (2 J *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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APX Riparian Remove 2 Mooring Pilings _ f ' ` k •
Corridor& 15' & Install New Boatl_ift ,
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EMU Revived Date Deposited Check From(Neme) Name of Permit Holder Vendor Check numb*, orno1e,l Permit M umber.ern n& Receipt or RNnldlRee/oc
Ce.ennl Columnl Column? Column4 Columns Columne Colwyn? Colu n& Column!?
1/7/2022 Logan Marine,LLC David Fitzpatrick BB&T 7797 $200.00 GP#85461D JD Rct.16113
1/7/2022 Roger Teague same Wells Fargo 1618 $600.00 GP#85491 D KE rct.16243
1/7/2022 Southern NC Marine LLC Zach Bacon First Bank 1497 $200.00 GP#85484D KE rct.16244
1/7/2022 Coastal Dock Builders LLC Frank Hobart Bank of America 1013 $200.00 GP#85389D JD rct.18024
1/7/2022 Harbor Marine Wes Eagles TD Bank 552 $200.00 GP#85356D JD rct.15591
1/7/2022 Grice Construction Eileen and Louis Mazzulb Twist 10747 $400.00 GP#85354D BB rct.16041
1/7/2022 Carolina Bluewater Construction,Inc.Greg&Julie Perkins BB&T 24341 $400.00 GP#85426D BB rot.16039
1/7/2022 Sea Dog Marine Construction Steve Nagel First Bank 1586 $200.00 GP#85486D BB rot.16040
1/7/2022 Lighthouse Marine Construction Inc Adam Hawley Coastal Bank and Trust 4102 $200.00 GP#85381D JD rct.16806
1/7/2022 Kevin Ennis same BB&T 2047 $200.00 GP#85385D JD rot.18807
1/7/2022 E.Pickett milo and emily pickett State Employees CU 2543 $200.00 GP#85460D JD rot.16111