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Home My WebLink About20131147 Ver 1_Shoreline Stabilization_2013102820131147 State of North Carolina DWR Department of Environment and Natural Resources Division of Water Resources Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization FORM: SSGP 10 -2013 Shoreline Stabilization Application Form Four copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1650 Mail Service Center E Raleigh, NC 27699 -1650° 1. Applicant Information 115A NCAC 02H .0502(a) 1. Owner Information Name: Harry T. Grove Mailing Address: 15116 West Pinehurst Lane Surprise, AZ 85374 Telephone Number: (609) 280 -5920 Fax Number: E -mail Address: groveaz @cox.net 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.miVPortals/59/docs/regulatory/re docs/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 Lerrmcation Approvai: uwner 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 4 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: Franklin Nearest Town: Bunn Subdivision name or site address (include phase /lot number): Lake Royale (Lot #145) 539 Sagamore Drive, Louisburg, NC 27549 Directions to site - please include road names and numbers, landmarks, etc.: Enter Lake Royale at Gatehouse, proceed straight to stop sign ( "T" intersection with Sagamore Drive); turn right on Sagamore Drive to 539 Sagamore Drive, 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Residential, existing home, no dock facilities 6. Property size (acres): 0.564 acre 7. Lake/ river/ ocean adjacent to property: Lake Royale; Property has approx. 162 feet of shoreline 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Construct dock and single boathouse, install approx. 95 feet of wooden bulkhead (including boathouse slip), and approx. 45 feet of rip rap. Area has some minimal old rip rap now, but shoreline is seriously eroding and creating unsafe holes near the water. 9. Will work be conducted from land? Yesn From water? Non 10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level/ Normal Water Level in square feet or acres: Approx. 900 sq ft FORM: SSGP 10 -2013 Page 2 of 4 11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in square feet or acres: approx. 1200 sq ft 12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 feet landward to be impacted (number of trees, for instance): There are two small trees within 10 feet of the waterline that may be impacted by the project. Also, removal of a few nuisance bushes /vegetation hanging over the water line will be necessary (see photograph and site plan for details). Owner /Agent's Signature [15A NCAC 02H .0502(f)] �v /3 Date Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 10 -2013 Page 3 of 4 a k ,yAac4 ,I `TS `,e lo`a NwL 4�ck` eell t-,Vll �J V AA L 3 0 N m 1r V -e 6 60 - ,v {e, z °� 0` �,aKe, Rau /--C C_^ 2 b • v w P r ��e17 b�� g4 e44 2 ti X aig-T' SMq!/ I►e q (IOV� N ?f � vdl �� ti,eus IDxa-o sa P OUTS W4U61 -arr ri pj, e- w vkcA4,w-( 0 ►2 L�, " "R �1' bd4 3 s I o' n 0 T fi D S e free 7V Le lr„ yvse.4 /%'i �r 34r x SwL I v o f 2 ,�� x &15- 7-*r t ode NwL ro va red �C� '� Q�NNi4' C�eD ✓G� REFERENCES: Lot 145, Lake Royale Subdivision Map Book 12, Page 8 Deed Book 951, Page 898 Deed Book 1825, Page 892 Deed Book 1829, Page 137 — Restrictive Covenants Tax Record No. 021495 LEGEND: • . . . found iron as noted c.P.o calculated point — — — — — — — property line plotted from record . . . easement or buffer line --------- - - - - -- -- 100 —year flood limit line NOTE: Area of Lot = 0.564 Acre (Coordinate Method) NOTE. 100 —Year Flood Limit line plotted entirely from DFIRM "Franklin County, NC ", Communit /Panel 370377 2830 J, effective date 01/167d4 NOTE: N.C. Grid station unavailable within 2000' at this time. NOTE: This survey is subject to all easements, agreements, rights —of —way and restrictive covenants recorded prior to the date of this survey. 1, William T. Dement, Jr., certify that this map was drown under my supervision from an actual survey made under my supervision (deed description recorded in Book 951, Page 898 & Book 1825, Page 892; that the boundaries not surveyed are indicated as drown from information in Map Page 12, Page 8; that the ratio of precision is 1/20,000; and that this meets the requirements of The Standards of Practice for Land Surveying in North Carolina (21 NCAC 56.1600). This 22nd day of May, 13. Professional Land Surveyor L— T%56 -.r a 0 �CW Set Nap Nail ,,,�II1111 /1 // I I �.� N �RO��',�0 0, Q SEAL L -1456 I /ID cal K ROYALE VICINITY. MAP No Scale RECORD NORTH M.B. 12, P. 8 An mc cued Su►r� ( D.B. 1621, P. 40 ) r �r Found 1/2* Iran Rases w/Top Z• AW Ground Surface Al N Bose of Power Polo 10' Util S 86'2: 1�6 drove! Orbs Found 3/4' Iron Reber \ �t! /j /1Ya w/Top 7• Below Ground Surface \ ( 146 ) g Now or Formerly \ Brock G. Card, \ et ux \ ( D.B. 916, P. 288 ) High Water Nark of LOW RW16 Easement s0 0 "E- 251.49' found 3/4- ' b ReW s/Top 4 rfaCe '��-- Ground Surface At Edo of Lake f--*� S 24'07'10*W 0 v� c t CLIP. 33.72 e Opp; 2e29 .00 i 6'L /• Now at Fwmedy h Lake Ro yale Property Found 3/4• Iron Reber %" Owner's Assoalatlon, Inc. w/Top Flush w/ ' C.P. I am, P. 923 ) Ground Surface i Water Usrk Lake Royale Curve Radius Length Chord ``�`� C1 1SSory F�arrro Bosemeat Poron 45.34 �; i N 04'02 OS E .�� • ' stoop A If 145 01. f--*� S 24'07'10*W 0 v� c t CLIP. 33.72 e Opp; 2e29 .00 i 6'L /• Now at Fwmedy h Lake Ro yale Property Found 3/4• Iron Reber %" Owner's Assoalatlon, Inc. w/Top Flush w/ ' C.P. I am, P. 923 ) Ground Surface i Water Usrk Lake Royale Curve Radius Length Chord Chord Bear. C1 60.00 45.34 44.22 N 04'02 OS E PLAT OF BOUNDARY SURVEY FOR TED GROVE & WIFE, DONNA GROVE (Property Owner— Sharo L. Galecki) 539 Sagamore Drive, Cypress Creek Township, Franklin County, NC Scale: 1 °= 60' 60 0 60 120 180 GRAPHIC SCALE — FEET Surveyed & Mapped By WILLIAM T. DEMENT, JR., Professional Land Surveyor, P.A. L -1456, C -0649 919- 496 -6159 102 West Nash Street Louisburg, N.C. Date: May 22, 2013 27549 (File No. 1093 -4) Z-1 Ai ■ �Vqftw&& • "