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Home My WebLink About20150934 Ver 1_Shoreline Stabilization_20150910State of North Carolina Department of Environment and Natural Resources D,:" Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Division of Water Resources FORM: SSGP 10 -2013 Shoreline Stabilization Application Form A Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 2 j 50 1617 Mail Service Center 9 3 4 Raleigh, NC 27699 -1617 1. Applicant Information [15A NCAC 02H .0502(a)] 2 1. Owner Information 1J 2. D Name: /dW /" 0416 //o ..� I SFP X 201J ,- Mailing Address: P. 0. 13 o,- //d 30 ~Z Z 8// % �pN& WATER RESOURCES G Telephone Number: 7o,11- 94s -- 41780 Fax Number: E -mail Address: /i�t/.iG %it /,�► ,��,•.e,- , ..e�� 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.armv. mil / Portals /59 /dots /repulatory /regdocs /Permits /SAMPLE AGENT AUTH ORIZATION FORM.0f) must be attached if the Agent has signed this application form. Name: re , f z Company Affiliation: Dock Mailing Address: 11-x,0 f e,7o' .mot Telephone Number: 701/- 5-2a? 7Y&0 Fax Number: 7o E -mail Address: Z)a, -e.v, G ,clockl cu.-- Person to receive the Certification Approval: "Dare" SGAuf' Z 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: ,/ll /i-Ure SGT Subdivision name or site address (include phase /lot number): LIV E IV Z 9 Directions to site - please include road names and numbers, landmarks, etc.: g ,vt w,4cy e,G A'^a s I2 eW Latitude (in decimal degrees) 3S7. S4/ Z T/ 7 Longitude (decimal degrees) 40. 90 323 91 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): .�iSlaLin.fYo:L 6. Property size (acres): 7. I/ river/ ocean adjacent to property: 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Drt,d--W- 4v /v' &'%,o -1,4- 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: ,s`"579 e vk, `G v A rG/ S 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: -0-- 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): -49'' Ile G/ 'tA41 Z,57- /($— Owner /Agent's Signature Printed Name Date f 15A NCAC 02H .0502(f)) Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 10 -2013 Page 2 of 3 t� r ' .,A, I1 lake {:r. . °i_ 1fiia' _�.�..�� . -'�{�t k&;' t,i' -1 A, f,_FiA�;�'":.+I' ±� ��lS. _ iii ia4< 'mot +.',.0 �:v'`...;v ,�R i "�` trj i;rC �;•J't _ d ..i'y'..� i�x, . yY'�• :�;� d,`+'bF` y',`$. �'.s��.i ,M1' _rY ✓y.:.,_Y�` i ,.tlp':�,"r � :`1�,,. i " ^F�.Lo, 'r * �i k1•�4.' n.��'�' r'•�4'it' +. ^+a' �t, r '4Y .;ti �, "'$; Fu�II"Pond" 1,;�_,.a ....,;.u. = ,x;771, 6 �5�.'^§+a. 5'.. �lri'4 ":.34 ". 'y�� Normal v e off r 0M_,C twlo J,:, � t- .V Shoreline 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 1 9/3/2015' Go-,gle Maps P"Int t KeAtlpn 1mp the F ' wrn' Iill 515 Isle of Pines Rd - Google Maps 515 Isle of Pines Rd Map data @2015 Google 1000fte .. ,, III https://wwwgoogIe.conVniaps/place/515+Isle+of+Pines+Rd,+Moores\AlIe,+NC+28117/@35.542674,-80.904078,15z/data=I4m2l3mlI 1s0)0856ac9c75c3e16d Ox. 9/3/2015 515 Isle of Pines Rd - Google Maps Go.,!.-)gle MapS 515 Isle of Pines Rd 41 M"P RY 0. . »,. — I� . ,� �"� •_ t` `;.'�;' 1 191 1 FSJ'D Wfrnle ale Ctub I I, Sti jy, „�. � A r teas nes 1 +�19ss ,.:•,';y:, IzID - _�„ M1sumesvdle Cmnlaundry i� ty'hM , i rt"a h7ave ..tlil LEE + + J -• ''�E: _ �.xl ills" t I''D "V 1, - ,_;i ` ',. y_. .. � , _ - ° ;R' • f Mociresvd3e ` „ AY A- q IS d Syp�� •'�� ±�Y;�,'-��`iv� ;��i�. 4� "b': �7� � '•` � � 1154 . 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I L3 1027 S25e'00•El ro FIRM LICENSE ' -735 I L4 14.41 N25.02.17•vl I LS 1174 N43.43WW I -608 -G Matthews Mint Hill Road MATTHEWS, NORTH CAROLINA 28105 I LAKE NORMAN PIER ZONE (704) 847 -4700 I� I MB 49 PG 108 �3 MPIER ZONE A '' `L1 ZONE Pk-, B 49 PG 108 A - 10' DUE Z O �� MB 49 PG 108 \ J "Ii 761' CONTOUR X CONTOUR \ CR ml SCALSCALED FROM FIELD D LOCATED � Lim p l MB 49 PG 108 ON rO z - -_q, \ w NOTE: DELTA LAND SERVICES IS m m 11Z zoNE x 0� q ,SCALE: 1' = 60' NOT RESPONSIBLE FOR ANY 1 Z I Me w ro Im CHANGES DUE TO UNRECORDED o� Bpl Z�►(/7 COVENANTS AND RESTRICTIONS B 49 PG 10 I 1G THIS SITE PLAN IS TO SHOW 1I 1 rn I _'9: ON THE LOT AND THE PROPOSED LOCATION OF P I r LOT 2 I 10 DUE THE HOUSE a IS NOT TO BE RELIED UPON I I 1 ;101 I I� FMB 49 PG 108 - FOR CONSTRUCTION. I II I Z �a III I71 it's O ` I 65' OFFSET FROM I I I IN O O I� - I{ �� UN ICUENRTED BU ER _ I Im Z I I I O m SEE DETAIL I I _ 25.06• - 1 / 1 1N 12. S42A / 1 1� xej I LOT 27 I II II I1I I VACANT JOHN L DAVIDSON & LOT 1 I LOT 3 - GERALDINE DAVIDSON 1 MB 49 PG 108 I =I I MB 49 PG 108 - DB 1005 PG 747 I� III t, I 3 O 15.52[ PATIO SCREEN O 11.04 N m PORCH _ •P ri . 34.92' �1.DD iy! i i i 200 DETAIL NOT TO SCALE 15..,,.06 04"13 EIS - '" o II Iwi ' I I 813.58' 10' DUE MB 49 PG 108 - l M gl. 1 I yo.�� _ N .5 00 ES ROAD Oe cps °c9 `S`E P9 PcROa jo�� MB - = NOT FOR RECORDATION, CONVEYANCES OR SALES STAKEOUT Subdivision CRESCENT LAND & TIMBER CORP.. SECTION 5. LOTS 28 & 29 - REVISED County 1RFDELL _ Address ISLE OF PINES ROAD Owner NEW QUEST - Lot 2 Block _ Plan CUSTOM Elevation — Drive (Left) SIDE (Right) (Courtyard)—Deck— Patio X Fireplace INTGorage (1 Car))— ((2 Car)— (3 Car) — XBrick Basement Curtain Wall _ Crawl X Slob _ Other ADDED 2' f0 MASiER REVISED: MOVED HOUSE BACK & ADJUSTED PROPOSED LOT LINE DWN: JDA CKD: DATE: 07/ 09/ 15 M 1. .d. 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