Loading...
HomeMy WebLinkAbout20200844 Ver 1_Shoreline Stabilization_20200624State of North Carolina Department of Environment and Natural Resources DWR Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Oiv6ion of Water Resources FORM: SSGP 10-2013 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 d D Applicant Information [15A NCAC 02H .0502(a)] JUN 2 4 2020 1. Owner Information TRANSPORTATION PERMITTING UNIT02NR - WATER RESOURCES Name: PAW[ % r� ti Ja�•-c s s Mailing Address: ( rc 1(. A (_4e AA o� �r , /1lG 28pC> ! Telephone Number?D'-/429 - g,? 84 Fax Numk�er: 4 l0 ' �D E-mail Address: ,0 G�i �� � cl vet S @ e�u� `KS °` �� °`iCe 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: http://www saw usace army mii/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: Company Affiliation: Mailing Address: Telephone Number: E-mail Address: Person to receive the Certification Approval: Fax Number: II. Project Information [15A NCAC 02H .0502(a), & b ] 1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. 2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces, FORM: SSGP 10-2013 Page 1 of 3 etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram provided at the end of this application form. 3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard stick, shovel handle, etc.) 4. Location of the property (where work is to be conducted) County: Nearest Town:�f Subdivision name site address (include phase/lot number): Directions to site - please include road naa s numbers, landmarks, etc.: � rs'`/� s� /C�I�C✓'K Latitude (in decimal degrees) G) Longitude (decimal degrees) 5. Describe the existing land use or condition :ofr th site at the time of this application (residential, undeveloped, etc.): i ¢ / 6. Property size (acres): 7. Lake/ river/ ocean adjacent to property: 8. Describe proposed work (include discussion as to how hardening of shoreline has en en avoided, or why it is ne ssar ): 9. Will work be conducted from land? From water? ❑ 10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level/ Norm I Water Level in square feet or acres: 11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level/ Normal W ter Level and 50 feet land -ward in square feet or acres: 12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 feet landward to be impact (number of tree or ' tance): 0� -fie, 1, s-zr-zv Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date *Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 10-2013 Page 2 of 3 La ke (At Full Pond/ Normal Water Level) Full Pond/ />11:9cel) l Normal Watter_Le el Shoreline s Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft)*: 1. All proposed vegetation clearing 2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation 3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation 4. Location of any proposed structures such as buildings, retaining walls, docks, etc. 5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 6. Location of construction access corridors FORM: SSGP 10-2013 Page 3 of 3 Subdivision THE LANDING — MAP 3 ®f 3 Lags) 26 PLAT CAB_ F SLIDE Tau Parcel 6575-14-42-5895 DB 815 347 LANDING TRAIL PG 343 0' it �: Fl.-1m CLRbE TARE EIR o CHOP LENGTH Cti01�D SEARING � 9M_99' ss428'3s'1r o Tbspbt6sagecffuaty THsprdissd�6aeyfads F�kAgmmmmmis or SmemoybedsdoeedbraLi& Ri�pbr�€eryahawNp+orfb ama®ie�esaa� ddeaf/iap(aLrhidearsnd 7r�Sltaieya�aeearir+ypamel a:,eo�.earar: a QpaiaeI arkwmi AbF4rdiabedrrr�Ce�rrr SYereyaasadaeaEasfigCamrs tie®2GOVarlicSre FbralmSasm Ab aar�rhm i— a�ede as a parrorfa LINE TABLE LIE BEAMRNP OMSTANCE Lr 57 48T TLBT 4a L4 T L5 7E 25.33' L6 N78".i9' 3!_T9, �O z�ci v Fa�wdaiGusneyba6laaQsboard�am+off �l e eaaaeaa -dwftm� r�aalitor�- bcaiioodanyaDiyo�pe ics efaoBi% DB_ W5, PG_ 107 z Fmeido®iroragadigglaeeeaBfesar LOT2T fadtes;PfaaseoadadbeaFPrP r w vaTHE LAW)ING, - MAP 3af3 /CV® WVS CWL c a `a t EIR \, I el u- u- kp R$4��`00_E 20&� DR ilil — _ EIR Stl __--- ICV ® FOUNOAAON/ N ® BASEMENT WALLS ONLY 31412020 y LACE TH LERY 2'. t OR E1Y �o_ LOT 26 PROGRESS, me _ � DB_ 815, PG_ 343 l� tt 36 72®t Sq Feet DB_ 60% PG_ 7599 LOT 25 \\\ TW LANDWG - MAP 3 of 3 LEGEM r�-oosnrGraarr+� SR-EX07109GAaaarRM EP-EDGEMPJAVENE T � r-RWffGFWAV' arx-�TrON VALVE8M WeV- VURT6t VALVE Well -VlRHRi WlER FH-Faarrrrnrmw ig -aBIBt 8UNDOWL/E Arcs-WOTTOSCALE �0.84f Acres EIR \ (D-M-D_) $SS STONE \ 10' DRAINAGE EASEMENT 3�_ SEDIMENT POW EAR ( 3Ip PQ' 1455i, ®J EIRf Rxw— &W WE(ETAUX BUFFER STAXIMUff A PERMANENT Xr VEY,ETARM BUFFER BM1 BE �� e • •'® C A sa +� NORMAL FXXAL 1141cmaimm AELEI/ TIOw OSIUIEW AREA N Aim rM M ICE PROGRESS ENERGY SHUR13 IE MANAGEMENT PLAN_ '7tisM4PY4YNOTBEAfE• NNDSLIZIEYAADHASNOT BEEN REVEWED BYA LOCAL GiOV 3aGd I TAGENCYFVR f2BF114NCE WrTHANYAPPLArAKELAND OEYB OFyHUT MOULATI MANDHASHOTFOR COELvAjCEW MJa3XX oWREOt/E ENFSFOIiPIATS' PROPERTY LRE SARWEVED ADJUI ER PROFERTY Li1E 00 T OF BAY fNRB/ Sulam LANE LFASE(IE — — — — — 1R?AWAGE ESHT 0 f SEAL `.. r L-3883 AreSlk �. +�,� svRvti ��sl. GARY same* ®`ta Prepared by I egautr UWL min aa6 uses iraame adw my aaIaiaa rase as aotmal ssey merit arias• ay aimiparl"m (And iere<is -, as -ded fay Bode GARY KENNEDY 815 FW 343 ew comw rsa aa�t PLATC.AS F PR{ $�lQIVAL �AP�tp l fZ4lE1rC}R � the ret mwveT-,' are taiffmatea ax dr— ter, all -- %k w aaba- all --�