77640D - Lawson

!ECAMA/ 'i DREDGE & FILL No. 77640 O
cEN ERAL PERMIT Previous permit#
ew Modification Complete Reissue Partial Reissue Date previous permit issued
B C
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 l (7 • •
hh ���,, f, \\++•• E Rules attached.
Applicant Name �}t.1+ \ d Vr-k. fLOMCSC Project Location: County t P t �ic1)w(.�(,VL�
Addre ( ! (LQ y v.,::„,...1,i/v:,84 Street Adddrrees�s!SSttate Road/Lot#(s)�!
Ci State. ZIPg JI / b h) ' •� •
bWr_44-t-I- -
Phone #?'/o) —8V E-Mail ' UII 1 2 hp Subdivision
Authorized Agent i VA S L Q. IA / City. , ZIP p1 ((��l(���
❑Cw jEW OPTA ❑ES ❑PTS Phone# (_ ! ) , I/ ( River Basin N,1Y,l.-�t."
Affected ❑OEA ❑HHF -IH ❑UBA ❑N/A rn
AEC(s): Adj.Wtr. Body/ ► , iry rAcif i� GI• (,,,at /man /unkn)
❑ PWS:
no Closest Maj.Wtr. Body __ VO -
ORW: yes (no) PN (..*
Type of Project/Activity P.-I' 1A1 k4 dl(i/KGS. (f / :14.;,V" 1 �it t) (i 'a 4
tFit 1111 (Scale: N , )
Pier(dock)length
Fixed Platform(s) 1% �X * I i 1 1 k
Floating Platform(s�j X (yif ii.i �'
Finger pier(s)
i i i
I
Groin length J. {: • ' J ' ,
number
Bulkhead/Riprap length �j i
avg distance offshore i 0 `/y
"`111 VVV
max distance offsho e I N
Basin,channel - • \
'
cubic yards_ I ��
�
i
Boat ramp _ { {
Boathous :•• 1 i I NA t \
I — \ i 1 4- 4.,
Beach Bulldozing -- - . k
.h Other WON{ /r 'L4$ -.k\ ‘"\,LA, Vkl-i'l CA
..)
1
I ,1
Shoreline Length 11" O V I I1 0 f ,
SAV: not sure yes no I I
I 1
t- -
400....& .
Moratorium: n/a yes no II J%
Photos: yes .._.._. . 1_... �..._.._.. ;.—_ ...._...... — �_.._......_..
� l
Waiver Attached: yes rtor - t✓{ \ i , � t ♦VI
A building permit may be required by: '"��( i0 u l(6 , I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions C " " p1k V U\ SAM V A A OA.y'1)
0,Akci/V CO bV
&- 'l ?1 r 1 s Lao 1/ 11AXii
Agent or Applicant P'nted Name / PermitOfcer's Printed Name
'� l f,I/ f/./,
Signature **Please read compliance statement on back of permit** Si a re2 Y161%
.. .. . _ _. 0 U) lf _/( v/c.41
Application Fee(s) Check# Issuing Date Expiiraation Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret, Craven, Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden, Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

*Drawing Not To Scale* 2/5/2020
PNA:No
0
Montgomery Slough
Docking Facility
alignment centered
on Property Established Pier Headline
1 a'ats 7 Floating Dock 13 E13 b
Boat Lift
• •
Ramp
1z_(lz
Fixed
Platform
Existing Bulkhead 1Existlng Bulkhead Shoreline 58' I Existing Bulkhead
-P/L -P/L
Lunsford Lawson 5418 WI Dolphin, Jenkins
54zo W.Dolphin 5416 W.Dolphin

CERTIFIED MAIL•RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT-If ICLrn4NIWAWWER FORM'
. Name of Property Owner: $?I1py 4- )v .A U'
Address of Property: /1 I• ?)eZI,i€24-hy :/er-e__. aiP fear x c
(Lot or Street ix Street.or Road,Clly a Courtly)
Agent's Name�: Ui!'i�s v'1/ Mailing Address ���g.-.CrJrrs/4-41f-
A ant s•phono is 9/6` (5'9 c?u+1,\?cc ` c r c/4/_
I hereby certify that I own property-adjacent to the above referenced property. The individual
applying for this permit-has described to me as shoiwi en The attached drawing the development'
they•are proposing_A description or tlrawim!.with dimensions.must be provided with this letter.
f/ t have no objections to this proposal. ------ 1 have objections to ibis proposal.
rr you iravecbjections to what i410eing proposed,you mas-roroiify theDiti4Ine ofCnestal ManagementIDCIVe
wilting.-within:?!)-days of receipt of3fji.s:no1iee. tesondencn sbotrldbenvetedto 127 Caidinal'Qriv.e.&t,
Wilnnngron,NO 2840 3845 DCM representatives can tithe be eonfac1ad at-010)198.7.448 Ala response-is
consjderedibe game es"no objection if you have been notified by Confffari Mil. •
WAVERSECTION
I.unaersiand that a pier,dock, moaning pilings,bieak+,rater,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 watire the setback.you.mast Initial the appropriate blank below.)
r.G • I do wish to waive the 15 setback requirement
I do not wish to riaive the lb"setback requirement.
{Pro erfy U�rint: nrrnation� 'Adjacent Property Owner Inforrnadouj
Xis'
Agnattire
•
�! . 0c,J;
Pant or Type Name Print or Type Name
1/77‘111.4*.c. t C :';'fly- ,'Z AB/ U't CA g1CrttFf tr.../itr
. Mailing Ad-43s J r� Marling Addre
• Cn.1 NI!11 A. -. Ai cJ'-d 8 2'7 4t d+Dafa•r�rs;l,.
city/Stamizip { _ �C estate%2io r j � v. •
:Telephone Number Tellepholne.Member
19‘704.-)4V
rimy

- CERTIFIED MAIL• RETURN-RECEIPT R1ailUESTED
'DIVISION OF COASTAL MANAGEMENT •
ADJACENT RIPARIAN PROPERTY OWNER.NOTIF1CAT ON11i ER'FORM
Name of-Property Owner: •i I4 e 0 _LAWS r??re-4
Address of Property: eS In f lAvvei —
f� (Lot or Street tl,Street or Road,City&-County).
t. �4UL�/ e,1� WLiIG
Agent's Name#: r, tJlar7irig Address: 7 7 --
Agent's phone#; qi6-96q 50vi-1 '
1 hereby certify that 1 own property adjacent to the.above referenced property. The individual
applying for This permit has described tome as shown on.lbe attached draWin9 tke development
they are proposing,A description or drew inn.with dimensions-_mast•be Drovided. j►th this lct„r.
•
. have no objections to this proposal'. I have objections to this proposal.
if you-have objections-to what isbeingproposed,.youmurstsolffyiltoDtvfslee of COestal lfariageirent 3ClN}ie
wining within 10 days attesefpt of Chas naiice; Corre#VitilMAIJ should beraaHedta 127?±ordinal Drive En
Wilminyion,NC,2840548•15-DCM z oneseniii n es can also be coatacied at-(910)79&72t5..No responso 1s
oonsidecedltit are as no abbectlen it yorl have been aeffliscrb Certified Mall
111/A1VPS SECTION
I understand that a pier,dock,mooring pilings,breakwater,boathouse,flit,or groin must beset
back a minirnurn d stanco of'1s'from my area.of riparian access unless waived by we. Of you
wish to waive ihe setback,you MEW initial the appropriate blank below:i
--- »I do wish to waive the'15'setback r eguiretnent.
- t/ .1 do'not wish to waive the 15'setback requirement -
•
(Prope ,pwne fOrne ation) lAdjeProperty ctt t
; •
Wirier titform one
//
Prirlr°rTYAe Hama Print or Typo Name . -- -
C177/. 11..z,i.txric..6a-4e_ Ai) iS 174-m
Wing AddrJas J Mailing:-ddress d - •
A irdSfafeaf
Telephone Akimbo,' Teisphpno Numbe,
IZ e LW) 2°10 •
nap

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit ...J
Mailing Address: In 76 Al c-r. l .c:f` L
.S'J%Jtlern f,:vis A/c:, _2-t3��
Phone Number. 910 dd 3- 3-'7o
Email Address: j.14/a.+vson M7 f? alp.cam.
I certify that I have authorized
Agent 1 Contractor
to act on my behalf; for the purpose:of applying for and obtaining all CAMA`` permits
necessaryfor the following proposed development /bu, 1 . & K
at my property located at .S►//$ W. di D;,gip,, (fi. .2,Q j✓s— ,
in /1r,Jrts►N•Jr.. County.
1 furthermore certify that t 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 formation:
Signatu
PAA
Print or Type Name
Title
4 I /7. 12d7c.)
Date
This certification is valid through 1 `3� l ` 1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
John &Julia Lawson
Name of Property Owner Requesting Permit:
4976 Niagara Carthage Road
Mailing Address:
Southern Pines,NC 28387
9io-6o3-8704
Phone Number:
[e-mail]
Email Address:
CPG,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
replace docking facility
necessary for the following proposed development:
at my property located at 5418 W. Dolphin Oak Island
in Brunswick County.
Y
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:
Joi R Lih awson(Jan 28.2021 08:53 EST
Signature
John Lawson
Print or Type Name
Property Owner
Title
1 27 2021
I I
Date
1 27 2022
This certification is valid through I I

Chock
Data Rocalvad Data_ onitod Chock From(Name) Name o/Permit Holder Vavdor 11/ amount Permit Numbrw/Comments Rocdpt or Rallerdsiee/eerad
Column} Column2 Cokenn3 Cdumn4 Columns Columte Coknvrf Columns Columns
2/22/2021 3/2/2021 Marc Simeone Alice Wilder PNC Bank 211 $ 100.00 minor fee,2110 Washington Acres.Hempstead PnCo JD rot.13565
2/22/2021 3/2/2021 lOverbeck Marine Const./Daniel Shirley Christopher Scem SunTrust 5397 $ 200.00 GP i775950 KE rot.13673
_ 2/22/2021 3/2/2021 Jennifer J Johnson Jason and Jennifer Johnson First National Bank 2823 $ 200.00 GP 0777580 BB rct.12969
•
2/22/2021. 3/2/2021 Anthony Carr Cashiers Check Nick Sari( State Employees CU 101542 $ 200.00 GP/77800D 8B rct.12968
2222021 ii 3/2/2021 Backwater Marine of NC LLC John and Heather Brown BEST 1248 $ 200.00 GP 077592D BB rct.12970
2M2M021. 31212021 Grice Construction of Brunswick County Inc__ _Charles and Shelby Jordan BOOT 14448 $ 200.00 GP t77798D BB rct.12967 _
2/2212021' _ 32/2021 Rhonda McCall same _ Bank of America 1084 $ 200.00 GP$77795D BB rot.12951 _
2/22/2021 3/2/2021CM73 LLC Carolyn Austin Bank of America 3017,$ 200.00 GP#77780D BB rct.12972
2222021 322021,,Perbiot Boat Lift and Dock Maintenance.LLC Allen and Jan Kelly Aquesta Bank 1031 $ 200.00 GP#80113D JD rct.13566
2/22/2021 3/2/2021.CLTMC,Inc. John Lawson FCB _ _ 1166 $ 200.00 GP#77640D Tmac rct.12914
2/22/2021 3/2/2021 8 8 J Construction of NC LLC Alma G Davis Trustee/Rhonda Hatch 888T _ 2316'$ 200 00 GP#75820D Tmac rct,13530 _
2222021 3/2/2021 Ann E.Cordell same PNC Bank _ 1513 $ 200.00 GP#74889D Tmac rct.12922
2/22/2021 32/2021 Island Contracting,Inc. David Durack Branch Banking and Trust _ 37555 $ 200.00 GP#77810D Tmac rct.12908
2222021 3/2/2021 Linda Kanoy same BUT 10043 $ 200.00 GP#758280 Tmac rct.12921
2222021 _ 3/2/2021 Southeastern Coastal Construction Co.(1 of 2) Sean Desmond South State Bank _ 12083 $ 200.00 GP#77511D KE rct.12726
2/22/2021. 3/2/2021 Southeastern Coastal Construction Co.(2 of 2) Sean Desmond South State Bank 12100 S 200.00 GP#77511D KE rct.12728
2/22/20211 _ 3/2/2021 Lighthouse Marine Construction Inc. Adam Litton _ Coastal Bank and Trust _ 3640 $ 600 00 GP S801120_ JD rct.12388 _ _
2222021 3/2/2021 Davey Resource Group Inc. Jared Lippell United Bank 2192 $ 400.00 GP 177597D PA rot.11589