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HomeMy WebLinkAbout20151096 Ver 1_Shoreline Stabilization_20151021Shoreline Stabilization Apolicat on' Form 201ST 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 ICI 1! Raleigh, NC 27699 -1617 D OCT 2 1 2015 o Applicant Information f15A NCAC 02H .0502(a)] 1. Owner Information rr Name: o ran 15 Mailing Address: Chaylofl-& At DENR - WATER RESOURCES 401 8 BUFFER PERMITTING wa'6v �6 (2&' mqf Telephone Number: _j_a4-90 0- 1 Ileg Fax Number: E -mail Address: �n In �G V115 .A,l< 1'e ►�� C'm 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: httr): / /www.saw.usace.armv.miI /Portals /59 /docs /regulatory /regdocs /Permits /SAM PL E AGENT AUTHORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: : r,, 11 a p,ll C,1 5:56)) Company Affiliation: 5 S Pdr Ui�►Vl�la S (��� c. Mailing Address: ��0 h r r 1 eSlff Lo(.01 1 se, 01a110 Telephone Number: 0 IA I -91110 Fax Number: gn - gal -5656 E -mail Address: �)5 3J� I<tJ P�II�1K Person to receive the Certification Approval: rla vs-ns fi'le_ Dh',j,.Uc • Project Information j15A NCAC 02H .0502(a) & (b)l • 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. • 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 provided at the end of this application form. • Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard stick, shovel handle, etc.) • Location of the property (where work is to be conducted) County: MttAkt& Nearest Town: �,hfirl °}{� Subdivision name or site address (include phase /lot number): Directions to site - please include road names and numbers, landmarks, etc.: IyAD i Latitude (in decimal degrees) 350 17. oll 8$" Longitude (decimal degrees)IL oa ! TA • Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): �.e S� - -,�o<_ / • Property size (acres): • Lake/ river/ ocean adjacent to property: -LA t �A)6I It 2 • Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): S7a b, Ir'Z aorox r� �.l, 4n �(. ✓ten �' �aa r✓_ate/- $ G/�t f�! Aa o Will work be conducted from land? A,/s From water? s 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: �p�x�,2S _ r. f�oc�% ) C_e . /I/ 11. Total amount of disturbance (includin4 all clearing, back fill, excavation, rip rap retaining walls etc ) above the normal p ool lake level/ Normal Water Level and 50 feet Ian -ward in square feet or acres: C es-tL C e� . 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 in tance): D ,j; a - `f %eS *> R r Owner /Agent's Signature` j15A NCAC 02H .0502(f)1 Date 'Agent's signature is valid only if an authorization letter from the owner is provided. 3 Ale— jl_- a. / ('Gtr✓ L U,1 G �l`G� • Slide 4 014 'Office Theme' ., � ,r.•rxc_.. -ups __ Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft) *: • All proposed vegetation clearing • Location of rip rap or fill to be placed above the Full Pond / Normal Water Level elevation • Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation • Location of any proposed structures such as buildings, retaining walls, docks, etc. • Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 4 -' Home s Insert Design Animations Slide Short R—w Vim Lasertrche J; -• :JLajout-.�__ -... - 't. `- -_ x!:71 "l_ •- — -. -'� e LJ� —• - - -, �-j Reset - - ' -_ - - _ , - -_. ^, - T- caste .. _ - , - - '• He Slide • }_7 Delete "I:Fhcscd 3'd >. Fart Pa,agiaph - \j.� °._ ` '- . '; ..,' - .."j• . - . .L- . ` -. '. . . . _ . . . . L . . -. -, J,0- li '? „ -. Lake - (At Full Pond/ Normal Water Level) Y Full Pond/ ;^ Normal Water Level � � ” Shoreline �n a Ale— jl_- a. / ('Gtr✓ L U,1 G �l`G� • Slide 4 014 'Office Theme' ., � ,r.•rxc_.. -ups __ Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft) *: • All proposed vegetation clearing • Location of rip rap or fill to be placed above the Full Pond / Normal Water Level elevation • Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation • Location of any proposed structures such as buildings, retaining walls, docks, etc. • Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 4 O Location of construction access corridors SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: STREETADDRESS: i Please print: Properly Owner: -- Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize , of &A)5015 &A(iv L E &WSfr.UA4' (Contract / Agent) (Name of consulting firm) qt 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. Property Owner's Address (if different than property above): Telephone: 104- fte — 110 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Guth ized i ure NV � Authorized Signature Date: NV �� � � � � Date: /O // % /3 / 4 mapquest Trip to: 16409 Bunch Walnuts Rd Charlotte, NC 28278 -8992 1.43 miles / 3 minutes Notes 7-� ' 3990 Charlotte H Download Wj/, Clover, SC 29710-8083 Free App 1. Start out going northwest on Charlotte Hwy / SC-49 toward Blucher 0.04 Mi Cir. Map 0.04 Mi Total 2. Make a U -turn at Blucher Cir onto Charlotte Hwy / SC -49 (Crossing 0.4 Mi '9 into North Carolina). Map 0.4 Mi Total If you reach Executive Ct you've gone about 0.2 miles too far 3. Charlotte Hwy / SC-49 becomes NC-49 / York Rd. Map 0.4 Mi 0.9 Mi Total 4. Turn right onto Red Fez Club Rd. Map 0.2 Mi If you reach Riverpointe Dr you've gone about 0.4 miles too far 1.0 Mi Total 5. Stay straight to go onto Walnut Hill Dr. Map 0.02 Mi 1.1 Mi Total 6. Take the 1st right onto Tulloch Rd. Map 0.03 Mi If you reach Boyd Cove Ln you've gone about 0.2 miles too far 1.1 Mi Total ,, 7. Take the 1st left onto Bunch Walnuts Dr. Map 0.3 Mi If you reach Chatfield Dr you've gone about 0.1 miles too far 1.4 Mi Total 8. Take the 1st left onto Bunch Walnuts Rd. Map 0.02 Mi 1.4 Mi Total ® 9.16409 BUNCH WALNUTS RD is on the left. Map If you reach the end of Bunch Walnuts Rd you've gone a little too far 16409 Bunch Walnuts Rd, Charlotte, NC 28278 -8992 http:// www. mapquest .com/print ?a= app.core.c5259l a423079dee998d4ebe 9/16/2015 INC Hyll� 49 i ce,rify T,ot Inis r,,cp 6of ora.,-) raer • rry from Gik '30ok or N40p 9 , ja, surcy mace vnder my nucnervis*n (recorc, description �-ecoldeG �n Deed 0*3 shown); ',hC,! the 7Olirlccr;es ".3t S. 'veyec' cre ndicG'ed os drc,,.r, frorn mown; wn; er Ono tr,ct 'his -nc�, rne ?hat 'riv prec;ts,on 1, t'191' infer n Gerd Books ond Par, E3oo�,,�. cs s ets the c,! ire Stc,dcrcis of Proctuce 'or Lana S�rveynnq in u S, E ;R North r_crc,� no (21. NCAC rP> _Ih,s ,St do; of 2010 B0, 8 R i DIC, E 0 j z0oewer", P LS, 9 )L Z i ,J Ln < U VACC,41"<0 PIN D­� 4-33-568 F 0 UN D ",46' 00t. 0/) C, L PIN FOUND z5\, <C, A�lti o 01 C) -d X- UO \� 7.4� , N/ S� 0 114 pole 01 0 , A� 0 ; I-- 1 L_0 T I ' AREA = 1.637 AC (by 97 20' mE3 32-354 099s) T A K E TV Y L I E L ,sewer control? C� ij 25 9 5' C. 5 —story 2 Q� o stucco dc 1 •4' tore 2.0' residence C, too 16409 44 0" i II i 00t. 0/) C, L PIN FOUND z5\, <C, A�lti o 01 C) -d X- UO \� 7.4� , N/ S� 0 114 pole 01 0 , A� 0 ; I-- 1 L_0 T I ' AREA = 1.637 AC (by 97 20' mE3 32-354 099s) T A K E TV Y L I E L ,sewer control? C� ij 01) i it ❑ -Nell 00t. 0/) C, L PIN FOUND z5\, <C, A�lti o 01 C) -d X- UO \� 7.4� , N/ S� 0 114 pole 01 0 , A� 0 ; I-- 1 L_0 T I ' AREA = 1.637 AC (by 97 20' mE3 32-354 099s) T A K E TV Y L I E gOAD OT 43 Sec. L? I VB 1 7-506 CCP'YP�GHT 2009 50' 100, i 50' 200' L LOTS Plc-, I E K kiV P., sl,,11 E C K I E M3 U R G C'---)' U'N I N. C. ESTLEELE_ C-RE, _,ertified on!y to BRYAN N. & DAIDRE S. FAIVIS ' esc r�p+'O,� o I k en F,rorr N,'-p 5look 32 - 3D � 4 , SS c-,: a e I = 40 June 1, 201C) v. Martin Zo,,*,eweke, P:-q- L-3,498, 21136 Mciv_ern Pd. Chcriotte, N,C C� ij gOAD OT 43 Sec. L? I VB 1 7-506 CCP'YP�GHT 2009 50' 100, i 50' 200' L LOTS Plc-, I E K kiV P., sl,,11 E C K I E M3 U R G C'---)' U'N I N. C. ESTLEELE_ C-RE, _,ertified on!y to BRYAN N. & DAIDRE S. FAIVIS ' esc r�p+'O,� o I k en F,rorr N,'-p 5look 32 - 3D � 4 , SS c-,: a e I = 40 June 1, 201C) v. Martin Zo,,*,eweke, P:-q- L-3,498, 21136 Mciv_ern Pd. Chcriotte, N,C Map >tion for your map. L � : ~� • 1. o � , } AP f - 0 1 o,.rll 16409 Bunch Walnuts Rd r- `-+_ S1 � �- Googlc earth A 3000 2015 Google I ft r Is y 'c Map >tion for your map. L � : ~� • 1. o � , } AP f - 0 1 o,.rll 16409 Bunch Walnuts Rd r- `-+_ S1 � �- Googlc earth A 3000 2015 Google I ft s v.e,P`I In a' t,)A,r, f "C fug ,,)a s ^ - F - ,_7~ _ _ Tim Ilk P, 44 All