HomeMy WebLinkAbout72799D - LombasNC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: L o M UAS I�A NlI �-ti Q�sT #' 72 79 q — -D
Date: 5/ g / 01 <A
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes arty
anticipated
restoration
any anticipated
restoration and/or
restoration or
andlorternp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount
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Dredge ❑ Fill ❑ Both ❑ Other
SA
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Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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�DREDGE &FILL No. 72799 A B LC D
CAMA
WG
SZ�`ENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 b 7 1 i O O Sej 2 O O
L-c M SA 5 FA M I t-1 T sT ❑ Rules attached.
Applicant Name c /p OA,4 & CyA / r,MRAs Project Location: County tt Al-5-hiICK
Address 5& 0 ke.. a tLKS LAwn, 46 go 5E
City_,-,,1 v t A StateALC- ZIP 2.1S4 ;?- 2
Phone # ( fO) 990 - 1553 E-Mail A//A
Authorized Agent lC►AARPSeM Co uS-r
wd
CIO iWtk {Zlc►+1AR-0,$JN
Affected XCW )CEW )4PTA XES }QPTS Acjrftr
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes < PO
PNA es / no
Type of Project/ Activity
COA/S-r Rukc-
StreetAddress/ State Road/ Lot #(s) 449
A A► I L-7 i o nl 'Dly w S F
Subdivision r/ /A
City c11_I V I I. ZIP $ 422
Phone # (10 ) 367 - 0335 River Basin L-u Kr__ >-y- _
Adj. Wtr. Body L o c KwuoA FaLi �.%VE at m� an /unkn
Closest Maj. Wtr. Body !Nmpmw A I w W
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(Scale: ±'I = 3 0
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croin length
number
-�rllkiprap length
9 ME
avg distance offshore
max distance •
4sin, channel
cubic yards
oat ramp
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horeline Length
AV: not sure yes
oratorium: yes no
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- - - 8 0 PL. O M 8AS PL_
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A building permit may be required by: SRtA AlSwICK ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions Or/ 1100 , 1"0 AdO Au. n-M4F_R LOCAL ,
STA-rl- .0A,40 rr—D L'RA1. RrG IALAT10A1,5 APPLY_
1j—
Agent,or Appl' j Printed Name
Signature ** Please read compliance statement on back of permit **
0600 4� 7 3-
Application Fee(s) Check #
C GV_tRE
Permit Officer's Print Name
Signature
�-�;,/820771`] R YOU
Issuing Date Expiration 6ate
S.. r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 1-9-19
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Dan & Eva Lombas (Lombas FarnAY Trust)
Owner's Mailing Address:
560 Rourks Landing Road
Bolivia, NC 28422
Will Richardson
Agent's Mailing Address:
3235 Seacrest Ave. SW
Supply NC 28462
Phone Number (910) 880-1553 Phone Number( 910) 367-0335
I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
___ _ Installation of nPw h �IkhPad wall in Gam location as existina wall and
construction of docking facility with boatlift.
(my property located) at 448 I�AM11,7 ani l�cz �5
i2>0L\,/ t A, ^1C Z g 4-z Z
This certification is valid thru (date) 4-1-2019
Property Owner Signature Date
127 Cardinai Qrw FA., Wilmington, NC 23405 ne
o6 a otivoa_FAX 91n395-3%4 lnterneLwww.nccoastalmanagememnet �thCarolina
. //_ .
r
CERTFIED TVL41L — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL iYLkNAGEM ENT
ADJACENT RIPARI-AI PROPERTY OVY-NER STATEMENT
I hereby certury that I otivn property adjacent to Dan & Eva Lombas is
A A M i t-fr c v 171z- S E
property located at 448
Clame of Property Owner)
(Lot, Block, Road, etc.)
on Lockwood Folly River in Bolivia, NC 28422 , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 910-880-1553 Mailing Address: 560 Rourks Landing Road
Bolivia, NC 28422
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fUl in description below or attach a site drawing)
Installation of new bulkhead wall in same location as existing wall.
(See attached drawing.)
If you have objections to what is beinto
g proposed, you must notify the Division of Coastal Management (DCI� in writing
within 10 days of receipt of this notice. Correspondence should be mailed to 1227 Cardinal Drive Ert. Wilmington, NC
DCM representatives can also be contacted at (910) 796-7215.
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner Information) (Ripa
rian
Property Owner
Information)
6v rL Authorized Agent
Signature Signa ure
Will Richardson
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
City / State / Zip
Telephone Number 910-367-0335
Date 1-9-2019
Richard & Betsy Gravatt
Print or Type Name
446 Hamilton Drive
Mailing Address
Bolivia, NC 28422
City / State / Zip
Telephone Number
Date
127 Cardinal Drive Ext, Wilmington, North Caroiina 28405-3845
Phone: 910-796-7215 \ FAX: 910-395-3964 \ Internet: www.necoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Emplc ew - 50% Recycled 110% Post Consumer Paper
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL UkNAGEMENT
ADJACENT RIPARLk-N PROPERTY OWNER STATEINfENT
I hereby cerd:l r that I own property adjacent to Dan & Eva Lombas is
!� AMc T,►r✓ DV- sr- (Name of Property Owner)
property located at 448 R�bead-SE
(Lot, Block, Road, etc.)
on Lockwood Folly River in Bolivia, NC 28422
N.C.
(Waterbody) (Town and/or County)
Applicant's phone 4: 910-880-1553 Mailing Address: 560 Rourks Landing Road
Bolivia, NC 28422
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(individual proposing development must fdl in description below or attach a site drawing)
Installation of new bulkhead wall in same location as existing wall.
(See attached drawing.)
If you have objections to what is being proposed, you must notify the Division of Coastal'Management (MIM) in writing
within 10 days of receipt of this notice. Correspondence should be mailed to L7 Cardinal Drive Est. Wilmington, NC
DCM representatives can also be contacted at (910) 796-7215.
No response is considered the same as no obieci on if You have been notified by Certified Mail
(�P"rloperty Owner Information)
lyc rL Authorized Agent
Signature
Will Richardson
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
City / State / Zip
Telephone Number 910-367-0335
Date 1-9-2019
(Riparian Property Owner Information)
Signature7'�--
Edna Fowler
Print or Type Name
272 Rourks Landing Road SE
Mailing Address
Bolivia, NC 28422
City / State / Zip
Telephone Number
Date ."�'A ! I CL h.C'
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: 910-796-72151 FAX: 910-395-39641 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 1101% Post Consumer Paper
F
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A P.IERIMOORING PH nVG,SIBOATLIFTIBOAT$OIISE)
I hereby certify that I own property adjacent to Dan & Eva Lombas is
(1Vame of Property Owner)
JAAIMtLTo,J j7tZ -SE—
property located at 448
(Lot, BIock, Road, etc.)
on Lockwood Folly River in Bolivia, NC 28422 N.C..
(Waterbody) (Town and/or County)
Applicant'aphont#.910-880-1553 MaRinAddress: 560 Rourks Landing Rd. SE
Bolivia, NC 28422
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15� from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate b n k
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fdkd in by individualproposing development)
Construction of docking facility with boatlift. (Please see attached drawing.)
Will C. Richardson
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
3235 Seacrest Ave. SW
Mailing Address Signature
Supply, NC 28462
City/State/Zip
910-367-0335
Telephone Number
6&�M r, 1-9-2019
Signature Date
Richard & Betsy Gravatt
Print or Type Name
Telephone Number
Date
ADJACENT RVARTAIN PROPERTY OWNER STATDIVDENT
(FOR A PIEIZ MOOB11VG PLUVGSIBOATLUTIBOATHOOSE)
I hereby certify that own property adjacent to Dan & Eva Lombas Is
(I ame of Property Owner)
JA AtA \ -- -, D.J S E,—:
property located at 448
.(Lot, Block, Road, etc.)
on Lockwood Folly River
(Waterbody)
Applicant's phone#- 910-880-1553
in Bolivia, NC 28422
(Town and/or County)
N.C,
Mailing Address:560 Rourks Landing Rd. SE
Bolivia. NC 28422
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift I boathouse
must be set back a minimum distance of fifteen feet (15D from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
i
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be f- led in by individual proposing development)
Construction of docking facility with boatlift. (Please see attached drawing.)
Will C. Richardson
(Information for Property Owner Applying
for Permit)
3235 Seacrest Ave. SW
Mailing Address
(Riparian Property Owner Information)
ed / t9n L au
Sip
Supply, NC 28462 Edna Fowler
City/State/Zip Print or Type Name
910-367-0335
Telephone Dumber
61, C 1-9-2019
Signature Date
fTelephone Number
Date
59r
-45ft Or pier head alignment
10.
,Vinyl Bulkhead wall
4r
bftu4de pier __—
.3�F
12x12 stationary dock
10K Boat Lift
Dan 8 Eva Lombas
Lockwood Folly River 448 hA AKUTOW 09- 15V-
bolivia NC, 28422
1-910-580-1553 cell
aluminum gangway
10ftxlbft Floadng Dock
-10.5ft
Ot. ,...� 1CY ,,
Date Received
Date De sited Check Fmm Name
Name o, Permit Holder Vendor
Check Number
Check
unt
Permit Number7Comments
Receipt or Re,und7Reallocated
Column,
Column2
Column3
Co/umrN Co/umn5
Co1umn6
Column?
Column8
Column9
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