20150134 Ver 1_Shoreline Stabilization_20150202

I 4
CEPW
=OHEN
CONSTROCTNON
P O Box 545
Norwood, N C 28128
704 474 35 18 office — 704 474 7143
robbie crbcohenconsti uctionco coin
January 27, 2015
Division of Water Quality
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
To Whom it May Concern
2 01 501 3q
PAID
Please find enclosed an application for your comments and or suggestions We are seeking to
modify the shoreline by using a mini excavator to slope the shoreline 3/1 and install fabric and
cover with class II rip rap
We appreciate your help and your time with our request
Sincere y,
r
Robert A Cohen
Contractor
P O Box 545
Norwood, NC 28128
704 - 474 -3518
704 - 474 -3518

State of North Carolina
Department of Environment and Natural Resources
DWRDivision of Water Resources
15A NCAC 02H 0500 — Water Quality Certification, Shoreline Stabilization
Division 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
Applicant Information [15A NCAC 02H 0502(a)]
1 Owner Information
Name Robert Land
Mailing Address, 802 Amanda Way
Albemarle NC 28001
Telephone Number 704 - 983 -5204 Fax Number
E -mail Address roxane @cohenconstructionco com
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 mil / Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM pd f) 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 Stanly Nearest Town Norwood
Subdivision name or site address (include phase /lot number)
Tranquil Bay
Directions to site - please include road names and numbers, landmarks, etc
From Highway 52, Turn East on Pee Dee Then right onto Allenton and Right on
South Strand and Right on Tranquil Bay Circle House is on the left @ 427 Tranquil Bay
Latitude (in decimal degrees)
Longitude (decimal degrees)
5 Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc ) Residential /Recretational
6 Property size (acres) +/- 25 acre
7 Lake/ river/ ocean adjacent to property Lake Tillery
8 Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary) Slope shoreline 3/1 with a mini excavator and install
fabricthen install class II Rip Rap
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/ Normal Water Level in square feet or acres: 80
linear feet of shoreline x 10 below normal lake level= 800 sq ft
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 80 liner feet of shoreline x 6, above lake level = 480 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)
Grass — no trees
Owner /Agent's Signature [15A NCAC 02H 0502(t)I
I.
Agent's signature Is valid only if an authorization letter from the owner Is provided
FORM SSGP 10 -2013 Page 2 of 3

RD r vu
Li
CP
o'fs:o�'Y N ei Z�i,I a0 d o ;
cy
s� � �'�" �.•��_ 9,,,' � �y o 4 �' lip 5 boa �� ��a ... w..f,x � c�'n
f .
CA
BLA
pp��yy '�4;"`��,� BLRRY ' X0.c..•`R'� .' '' ' (� t
4' W GSs ? Q� •l .. ° a
�/� cgtio sr�,r; y �d0 MaY L —n
rN C��'� F7�� r
�t n C7 3�O D
/ -
V O
% c pO cn 9y TODD
In
^eSl�g3d�
s9 >
z 3 9 COVE C, X7 l�
>Z�
OMir.1 h�
RD/
a� o�aeaie 1 MC CR
U� H�r3nH
CO o y
JRVOyDAIE
Cb
IM
m
m m
°° 00 m a

C;onnect(115 Neatllle Report ragc I vi I
CONNECTGI5 S,, O'lJforD 12015
`xr Sre Relnw (nr Drsrlairnrr
http //stanly connectgis com /DownloadFlle ash191=_ ags_map426188a82e62416eb2a668b9 1/27/2015
123.8;,
122-67
5
> \
N m ),i ll ld
5204
1,
�9 t
X19 Feet
S
— 1
__ �1
m n,afo rs prep,rrd (rr the rn rnmr} of Rr,l Pnel— ty'nund w d, n this tuns. n— ,nd s rn,np,lyd from —ordrd deeds pl,ts and other puhhc records and d,ta users of the map yr hereby notified th,t it,, ,fnrernenhnned puhhr
This The Stanly County Gea9nphir Intonmtmn Systems Dv-, of the Offire of In fonnahm, Technology saumrs no Icq,
nmary of-- ron sources should br eon nitrrl for vrnhrmnn
sponsibilrty far the mf —o-tt n co It, nn Ihrs in„ At,o
nl lhr mfonn,trnn cnot,,
when Ihr duds ,nil or phis
—d nn nnp
are viewed for , 1„rceI the Sl,nly County RrgIster of
Dreds Oftice makes nn guanntrrs reg,rdmg the collection arnrnry ,uthrntirity n
for ,ny a<nons resulting from then use The olficu
rce of these —o ds The web site is for infmm,hon,l nse v,d
cords are kept in the Stanly County Register n( Deeds Offire
convenience only The Register o! Dreds shall in no way be held responsible for errors or onusvans m these records oar
To view deeds on this site you must instill the AlternaTIFF viewer To install lease visit htl, //w altermtrft campnshll re/
http //stanly connectgis com /DownloadFlle ash191=_ ags_map426188a82e62416eb2a668b9 1/27/2015

ConnectGIS Neature Report rage i of
http / /stanly connectgis com /DownloadFile ashx9i=_ ags_mapa2ee79f98e9c477da42e7f077 . 1/21/2015

a
C
n
O
CD
n
fQ
n
O
a
0
0
J
r-. RID
d
N
J
N
O
n
0
'TJ
CD
fv
CD
%J
'C3
O
b
QQ
CD
O

A
Ic
C/
N
J
N
-
�a -
�n f _
° ° =s=
,Sp• m � 0 5 •r � -� _
f S N - --
a L:
O N _. i ..
J, i4x�
° a F'
c
. m ro 0
m o 3
0.
o
ro rp -
�
� � � O � � • /r�.Xr"' viler =��
o r•
r
r ll
Lo.
o
o °
n `-
0 o N 0 S
d d N
� ' T 3
y Ov
_ � a
O O >,
6 0 0
c m 0 a
s
0
3 C t0 O ul
T a < O
? & 3 -n--
D CD
n c c (b
" 3 o
m m, 0 fDO.
yo ^• °v
M G i C
Q
Ull
of O a =
r
W D
m o.
0
a
0
o c
p�
n v
T ^
N
N O j
to Z
O �
�:v Z` `
""
_.
- - a
O
r 1�1
o o
-rl
Y
;OL n o:r
-•+
nY•
vo
0
o
of O a =
r
W D
m o.
0
a
0
o c
p�
n v
T ^
N
N O j
to Z