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HomeMy WebLinkAbout20201954 Ver 1_Shoreline Stabilization_20210121 Shoreline Stabilization Application Form 15ANCAC 02H.0500—Water Quality Certification,Shoreline Stabilization FORM SSGP 10-2013 DRAFT-NOT FOR USE AT THIS TINE Submission Form Pre-Filing Meeting Information ................ Before submitting this form please ensure you have submitted the Pre-Filing Meeting Request Form as we will not be able to accept your application without this important first step.The Pre-Filing Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a)"At least 30 days prior to submitting a certification request,the project proponent shall request a pre-filing meeting with the certifying agency"and in accordance with 40 C.F.R. Section 121.5(b)(7),and (c)(5) all certification requests shall include documentation that a pre-filing meeting request was submitted to the certifying authority at least 30 days prior to submitting the certification request.Click here to read more information on when this form is needed prior to application submission or here to view the form. Attach documentation of Pre-Filing Meeting Request here: DWR Pre-Filing Meeting Request MR 52.11(B GLOVER.pdf Pre-fling Meeting or Request Date 12/14/2020 ID# 20201954 Version 1 I.Applicant Information [15A NCAC 02H.0502(a)] ...................................................................................................................................................................................................................................................................................................................................................................................................... * Please note:fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered. Primary Contact Email* todd@lwdcllc.com Rease provide an email address for payrrent and requests for rrore information here. Owner Information: Name:* William Glover Email:* bglover@texlonplastics.com Phone Number:* (704)650-5892 (xxx)xxx-xxxx Address:* Street Address 3332 Randolph Park Circle Address Line 2 City State/R-ovince/Region Tega Cay Select... Ebstal/Zip Code Country 29708 US Is there an agent working on the a Yes project?* a No Agent/Consultant Information ...................................................................................................................................................................................................................................................................................................................................................................................................... Name:* Todd Flowers Company Affiliation:* Lake Wylie Dock Construction Email:* todd@lwdcllc.com Phone Number:* (803)431-9584 ( )m- Mailing Address:* Street Address 19012 Kailua Circle Address Line 2 City State/Rovince/Region Tega Cay Select... Ibstal/Zip Code Country 29708 United States Asigned and dated copy of the Agent Authorization letter:* AUTORIZATION FOR MR GLOVER.pdf 33.97KB Link to: Sample Agent Authorization Form Project Information[15A NCAC 02H.0502(a)&(b)] Project Name:* 3173 South Point Road If your project has a formal name please use this. If your project does not haee a formal name, please identify your project by the owner name and proposed activity(Jones Property Access Road, Smith Guest House,etc.)List in parentheses any other names that have been used to identify the project in the past. 1. Provide 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.* 0 Upload File CS Look up address Property Address Lookup:* Street Address 3173 South Point Road Address Line 2 City State/Bovine/Region Belmont NC Fbstal/Zip Code Country 28012 US Latitude:* 35.160099 Longitude:* -81.015026 2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing, structures(buildings, retaining walls,docks, impervious surfaces,etc.), rip rap,excavation or dredging below Full Pond/Normal Water Level elevations,and construction access corridors.You may use the diagram under section 12.normal pool lake level/normal water level* Shoreline Mr.Glover.PDF 949.05KB Please use the diagram at the link below: https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.docx 3.Attach a photograph of the shoreline/buffer proposed to be stabilized.(Include a scale of some sort-a yard stick,shovel handle,etc.)* PIcture of Shoreline.pdf 152.81 KB 4. Location of the property(where work is to be conducted) Nearest Town:* Belmont County:* Gaston Lake/river/ocean adjacent to Wylie property: Subdivisions name or site address:* Gaston County Wildlife Club hclude phase/lot number Directions to site:* Head east on NC-273 N toward S Point Rd,Turn right onto S Point Rd go 1.4 mile lot on right Rease include road narres and rxarrbers,landmarks etc. 5. Describe the existing land use or condition of the site at the time of this application:* Residential-vacant lot Residential,undeveloped,etc. 6. Property Size 0.0787 Acres 7. Describe proposed work(include discussion as to how hardening of shoreline has been avoided,or why it is necessary): Need Rip rap Shoreline has never had any stabilization. It has a 5 foot straight shot down with no vegetation because the lake is winning 8. How will the work be done?* ❑ From Land 17 From Water 9.Total amount of disturbance below the normal pool lake level/normal water level:* (including all clearing,back fill,excavation,rip rap,retaining walls,etc.) 300 square feet 10.Total amount of disturbance above the normal pool lake level/normal water level and 50 feet land-ward:* (including all clearing,back fill,excavation,rip rap,retaining walls,etc.) 0 square feet 11. Please describe the vegetation above the normal pool lake level/normal water level and 50 feet landward to be impacted:* (nurrber of trees,for instance) NONE..By water only Sketch: Application Fee: Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#.The application fee is as follows(pursuant to G.S. 143-215.3D): o $240.00 for impacts to lake(below normal water level)of less than 1 acre o $570.00 for impacts to lake(below normal water level)of greater or equal to 1 acre By digitally signing below, I certify that: o I,the project proponent, hereby certifies that all information contained herein is true,accurate, and complete to the best of my knowledge and belief o I,the project proponent, hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time. o I agree that submission of this Shoreline Stabilization online form is a"transaction"subject to Chapter 66,Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act"); o I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes (the"Uniform Electronic Transactions Act"); o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature;AND o I intend to electronically sign and submit the Shoreline Stabilization online form. Full Name:* Todd Flowers Signature: Initial Review Is this accepted into the review C•' Yes r No process?* Project Number:* 20201954 Version:* Select Reviewer:* Alan Johnson:eads\adjohnsonl Select Reviewing Office: Mooresville Regional Office-(704)663-1699 Has payment been received?* r No Payment Needed r Fee Received C•' Need Fee-send electronic notification What amount is owed?* 0' $240.00 r $570.00 AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO: 3 , ':q(A /cis( PARCEL ID: /CAI a� 01 odo tOd kir &dcS nni t., G. (24.eact Please print: Property Owner: Willie 6 ibvs°i" Property Owner: P e je k,%6e5.s The undersigned, registered property owners of the _ it property, do herebyauthorize Tt'J FlbWWVS , of Lake le e Vair cot/0444/0 1 LIZ, (Contractor/Agent) (Name of consulting nrm) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Prt9,) CLJAlqj 173 5i4, 4 44f' Telephone: 7c'L (")Sb We hereby certify the above information submitted in this application is true and accurate tothe best of our knowledge. C.. A l Jw Authorized Signature Authorized Signature Date Date o e4 NODS'Parr • 4• i N..S36149.39' E.-1=71340.34't • 2 . E..1. J13.40' / � A 1 . Site 4 � -gz"�j AZ • �Ng I f • Site Mop n.t.s. •9F1g LEGEND A 1 s .PROPERTY LINE 'm • -J R Otl-00 I NAYNG ROPERTY LINE .— .—.MNCE LINE NCGS'RESSE' —= .. JOR CONTOUR LINE -� R CONTOUR LINE N..523.121.12n —CND—OK-.POWER LINE E. I.J98,202.18 \Z —D.—uce—.WATER LINE E.= . 6B207. 100 YEAR FLOOD UNE t ' Cu.CLAN MONUMENT mA \�T CO.CLEAN OUT "� �. lin.Ea16,ING IRON PIN 2ry ' n P5.IRONtou PIP POLE Pp14,I¢ ffol UP UTLITY P0.0 c+ yomY' �w ��b Am JF� r. \ \ ci \m \ P10/194520 If GASTON COUNTY MLOUFE CLUBHOUSE INC. y\`• IP D.B.1090 PG.316 9m 1 9 P.B.LOT/]2 127 401p .. W 1 2 • y.AS AU \ N 6 0\ PEE Fee\ �_< J �a ', \ A DO,6'1 Sq. �. i�Z ` ,off iy11�. \`u Sg29 -'T° �r I }4O / \\\laa\ i9\\ }W 56 q5 I 1=�-' I -A03 \I 1 r\ I P ' \. 6g Y'LS 159515^1'NCP 1 \ • �6A\ \\ \\\''y.\ II ' . 5 M \ \ , II \\ \\� \° \�\� \ \, cnsrou COUNTY)wtlLPLIFE auBHOUSE NC. 1 1 I I L \\ Te°0 I I q OB.1090 PG.CI '1 >fn II I 1 I I N j \ \ yl A` P.9.65 PC.12J II I 1 (, .� \ \\ }Da I� \ Lor pJo 1 6 11 m1. P\\,�\\ ,A ,, 6. • 1T �1201' S \ 4 \ �. 1 HEREBY CM,Met MIS SuvvEY IS OF EAST.°PARCEL OR PARCELS OF LNq_ 1 {{I I HEREBY DMA,MA,ME S.RdEC,PROPER,.00 IS()NOT LOCATED IN A.'DAL ROW \ \ \ ` \ AZ..RDA AREA AS DETERMINED BY N.D.rEPA PANEL/3Z1035910OL \ FTEcn AR /2/2013(NO ROOD SURREY MADE). M "N'DE ARUM.A DAD DESDa1PPC.0)AS We.N H' ''"E",o0orr Y \ Ct.\ \ "TOPOGRAPHY SURVEY- hO Or LAPP/DES AND DEYARnRES IS _ AND \ D.AREA DM 00 D,_N o BY DMOQ 0090 MY NAND AND SEAL.'MI r \ SOUTHPOIN7 TOWNSHIP 4� R,EY BASED ON PN CAL ENBENCE AND EVSBN6 IRON PINS S \ \ GASTON COUNTY, N.C DNB-EDT TO RECORDED OR UNRECORDED RIGHTS-OF-NAY OZ t+YLEN15 \ 'f,P Survey made at(Ne re9UYl of or oBAKo BE BILL GLOVER i . same• I'=20' OCT-M.2019 Da•- REv: 001 OI SS00 FwR Dual wNENSIa+s ` Survey By ONt� TANNER AND 4kCONNAUGHEY, / 1361 C E.00010M&04 864 2813 (J04)B6fi 6421 OR( ) D.B.P/0 1090 pc. 316 Lot,,31 -`mow- CASTON COUNTY MtSLIFE 12l S60d._CLUBHOUSE INC-P.B. 63 PG Tar Mao/-i3 Page PacN°L� . ` I - ZD. 0 Pe/�0,9452���'`� 10 2p 40 F anklin E Tonner- PLS j/2534 ,,,, ,A fa:194520 GLOVER_T0P0-100916 - State of North Carolina Department of Environment and Natural Resources Division of Water Resources L'cateresour ry i5A NCAC 02H.0500—Water Quality Certification,Shoreline Stabiluzation v3arW il zau € Y FORM: SSGP 02-2017 Please approximately sketch the following information on this plan and provide dimensions for each item: a. All proposed vegetation clearing Ytinth 0( 1y1 6V/111 i jd,},�r b. Location of rip rap or fill to be placed above the Full frond/ Normal Water Level elevation c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation d. Location of any proposed structures such as buildings, retaining walls, docks,etc. e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation-.hone Lake (At Full l Ondi Normal Water Level) FullPond/ Norma #1 ffLe e fir > t hore�tne d d / / �Rh r N �- Lam.... i f z'm,a:... i rr mew r_ I ,A cawG vf),4 fry Noy - Plan View FORM:SSGP 02- 2017 Page 1 of 3 2.— ,Pit)ollei ..., ._ . t., .t,„..,.,:..„„:....:., „.,!..:....,,..ity„,.,..!:„.•„....... : • • ,,, \/\)((/ gdivt ( . . . .: ,... _ ,.. .., .. .:. • . .. . .. . .. , . • . . „ . . . . . . .. . . .. . . .. ... .. .. .....„.. !: . . .„ • .. . . . • . ..„ ..... .. ... ... .. . . ...., . .. , .. ... ... .... ..... .....„. . .„ . „ . , .. . . .. .. . . .. • . . . . .. .. .... . . . „ „ ..._i_ ...! .. „ :: . . . . . . .Pt � Ste'.. i'R°ziliMP,E,Vinfitioii ....,.-::!LARW,4,4„, '.'.. .R.'1.,..':',';'!°:.H.e,i,4. .•. . .. ". , . . ' , ' , , , .,,,,., T_ ..az..a. ,..ate.., z .. '" .13 Side View r r rat u a normal i �� E m , -Exr��g Ra�lc c ux s .,,;aF,. i,a c .:imt?.. rsr .. _ i;:iij0 i g� lL5e354ft :11. ..• ti � �BelDuuful� Rdf.NWL Full, NtlrsrtalWater-�y ��,�li 3 horeine 1 P"�. It', 4ttxlson 2 fc r 150 R iilgi :-i i.: Above fidl pond/NVd. add.tion&clearing re' •" if necessary • � � 6 � gym, Plan -w l K. Page;z of 3 FORM:SSGP 02-2017 i ` ie rikry _ . ,.. .1.1 .. . -4.•, . . 4 -.19.'.;:ifie: 4 ilk R. ..t ti t • + 1/4 1 - . y . ii r . _ r �{ r • ir + a R t i k* 4 toi It DWR Pre-Filing Meeting Request Form40 NORTH CAROLINA ErrOronmrrrtal Quality ID#* 20201954 Version* 1 Regional Office* Mooresville Regional Office-(704)663-1699 Reviewer List* Alan Johnson Pre-Filing Meeting Request submitted 12/14/2020 Contact Name* Todd Flowers Contact Email Address* todd@lwdclIc.com Project Name* William Glover Rip rap Project Owner* Todd Flowers Project County* Gaston Owner Address: Street Address 3332 Randolph Park Circle Address Line 2 City State/Rovince/Region Gastonia NC Ebstal/Zip Code Country 28056 United States Is this a transportation project?* C Yes ( No Type(s)of approval sought from the DWR: I— 401 Water Quality Certification- I— 401 Water Quality Certification- Regular Express I— Individual Permit I— Modification l Shoreline Stabilization Does this project have an existing project ID#?* C Yes ( No Do you know the name of the staff member you would like to request a meeting with? Alan Johnson Please give a brief project description below.* 16 to 32 tons of rip rap to be installed by water on 30 Feet of shore line the Property is lot 31 in the Gaston County wildlife Clubhouse In Belmont NC PID# 194592 Todd Flowers will be acting as agent for Property owner Bill Glover All work is done by Barge 100%by water. The address of the 3173 South Point Drive(this is address for Gaston county Wildlife club No house on property yet.. latitude 35.159243 longitude -81.015343 Please give a couple of dates you are available for a meeting. 1/6/2021 12/30/2020 1/7/2021 Please attach the documentation you would like to have the meeting about. pdf only By digitally signing below,I certify that I have read and understood that per the Federal Clean Water Act Section 401 Certification Rule the following statements: • This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification Rule. • I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing meeting request. • !also understand that DWR is not required to respond or grant the meeting request. Your project's thirty-day clock started upon receipt of this application. You will receive notification regarding meeting location and time if a meeting is necessary. You will receive notification when the thirty-day clock has expired,and you can submit an application. Signature Submittal Date 12/14/2020