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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 3A5t� C� Dredge❑ Fill Both El Other Other K �ZZ A1�ID ^� �� G� '� yARoSOf K G Dredge ❑ Fill ❑ Both K Other ❑ 21 r�l��5h 0 W Dredge ❑ Fill ❑ Both ❑ Other SA O W Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Ftwj �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 x ISTI've, /i (II (Scale: ±'I = 3 0 .4 ) �� - ■■=■f■CIi:1��rririill�i"Ii■WYli�r�i■■■■il■rril/vi■t �■I croin length number -�rllkiprap length 9 ME avg distance offshore max distance • 4sin, channel cubic yards oat ramp ■■ ■■\���■■■■■■■■■■■■■■■■■■■■■■■■■N 1■ ■■■■■■■■■��■■■■■■■■■■■■■■■■■■■■w■■■■■11■ ■■■■■■■■■■■■■■■■Dt�■■!=r:i■■■■■■ ■� Iom—si-Q �■ ■■■■■■■■■■■■■■■■'T.� .til■■■■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■1 i===w■■■■■■■■■■�.■ ■■■■■■■■■■■■■■■/l■1 I■ ■1.iEM11■■■■■Virm8ri4221 1111 ■■■■■■■■■■■■■■ 1r.■�� ��■■�■■■■■■■c■t■ �.u.�i.■■■■■■■■■■■■%I� ■I■■■■■■■■■�'rJ■■t►�■ lel-REEMEMEMEME EMINININININ 11WW1:1dU:� ■Il►NMI �T�T.. - ■■■■■■■■■■■■■li►�iiiiili�iiii.�i i����������■n' ■■A■■■■■■■■■■r,■%■■■■1■■■■■►■■■■■■■■■■■■■■ •`- -` ■■�■I�I�IY■■■■■/1■■■i�'L�iiiG11■\■■■I■■■�:�l�Iff�!!■■■■■ horeline Length AV: not sure yes oratorium: yes no • • ■��.r1�1w! r1*a�l�nlri.w■■■■■■� ■■►�■■i ■■■■rIwwl,w■■ ■hew►■■■■ s.■�■■■►� ■•,r�� '�'_:��!■�, �LF MNEMONIC r�iloomL ■■■■■■■■■ �In�'■R��ll��i:�►■I ■■■■■■■■■■■■ - - - 8 0 PL. O M 8AS PL_ T{� 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 3/11=19' Richartlson antl v mbas !BB&T 7366 S 600.00 GP#7 799D TNrct 77d