HomeMy WebLinkAbout20181073 Ver 1_Shoreline Stabilization_20180801State of North Carolina
• Department of Environment and Natural Resources
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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
Three copies of the application in udinattachments and the application fee should be sent
p� pp [� g )
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
20181073I11
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Landon Austin
Mailing Address: 142 College Street Norwood NC 28128
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Telephone Number: 980-721-0235 Fax Number:
E-mail Address: landonraustin@gmail.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.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 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,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10-2013 Page 1 of 3
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): 894/895
1343 Berry Hill Drive — Norwood NC 28128
Directions to site - please include road names and numbers, landmarks, etc.: _
From Highway 52 in Albemarle — Head to Norwood on Hwy 52. Turn left onto
Indian Mound Road and travel to Lakeshore Drive 2 miles. Turn right onto Lakeshore and
travel app 2 miles to dead end. Turn left onto Berry Hill and property will be on the left X
mile around loop
Latitude (in decimal degrees) 35.247332 Longitude (decimal degrees) -80.099658
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): developing residential
6. Property size (acres): .367 acres
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: Proposing to tear down boathouse, piers and walk ways
and put back in the same footprint.
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: 0
disturbance below normal lake level
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: no work being done on shoreline. Only replacing walks, piers and
boathouses.
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): Normal
i 9 1
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date
FORM: SSGP 10-2013 Page 2 of 3
X a 4srdth. Mbh*
L sat tee w y r d Y .xktbg pond R parr d raa M 4— sot
Rrl. a — .1.a.t R dry. Y ..."M d.a..
L mat U. Y.mr r d Y We" R m— dYmm., R Ytm.t
d. hitm Yee r • 1.—W R
a that tea dols r . rd.et oar"A
True& orth
GPS
Convergence; -0.63440000`
Combined Factor; 0.99986423
Drawing Scale; I inch - 20 ft.
0' 20' 40'
Plot Scale: 1 inch = 40 ft.
LEGEND
Them standard symbols will
M found in the drawing.
IRF = Iron Rod Found
0 IRS - Iron Red Set
e IPF - Iron Pipe Found
® MNF - Meg NaJ Found
® MNS Mag Nail Set
® NSCL = Nail Set Ce—]ioc
® NFCL - NaR Found Centerline
CMF - C.—te Menument Found
CMS - Concrete Monument set
O CC - Computed Corner Not set
NIF - Nowor Formerly
OHP = Overhead Power line
LOCATION MAP (N.T.S.)
Revies Coe" for: 6Lnly County
. adw *M.. m §Wft artadt
0.114 fltd Irl. trp t !IN Y Wa a& a.1da.0- 1. .add
m.r tQ 0rld.r ltiaY�.1. A 0..1.dri I
sndY ale.. fII11
Josh R. Airheart
D.H. 1640, PG. 797
PDi:6574-01-16-6689
lot No. 899
Wlery Beach 7th Addition
P.H. 2, PG. 222
Notes: (s if applicable)
X L r XC a.m •lead .rrm NOW of Oft UN
X L M dbt— am lr.Yrrl ftm mramamt.
.r a ttA trp.a.a by . am am..
a ::p w kv 0. tlWR. . pled Air
ne Yte.
I
leYsew sacs
X 4. A— repd.d by C..drr
.4 Reber
Found
Dustin K %nlberlin
D.B. 1891, PG. 998
PBI: 6574-01-16-7698
Lot N0. 899
7iLLary Beach 7th Ad&Uoa
P.B. 2, PG. 222
c o
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e4VSY++
Dixie Land Surveying, PLLC
License No. P-0335
4278 Country Club Road, Wadesboro, N.C. 28170
phone (704-695-2729
email: dimels@windstme .net
Lake Tillery
10,1EMEEP M
Plat of Property Surveyed For:
M
Landon Austin
Norwood Twsp., Stanly County, N.C.
Property Located at; 1343 Berry Hill Drive
Date; 7/23/18 - Drawn By: MRI - File #: 17618
North Carolina, Stanly County
AR
t leorr-a_mom , C." +ret ur ort .ee dm— .dw
q 0.4 eyM1I.ICY neo Y rt d .—Y m." YAR a W
1
dk d tmprrMao h® d.d drltt "— —4.d r tae.ir
SEAL
L--414171
D.H. 1311, PG. 230 / PIN: 6574-01-16-6788
Tillery Beach 7th Addition / P.B. 2, PG. 222
{�
Lot No. 894-895
trat U. eelmdrlr ut IdlrbA r
drrM H— r d— a.r dda.matlY d --d r abs
C R.
h n sat tr §9br d ftedd.a r rl.arw r t/ MWILL.
1rt Ier plat , I r aatrdaar WA 0.a 47-01 r
v
llmr .7 hoed sed amMal /rmp
Michel R. Ingram, feaeionel lan Su� Date
SURVEY STATUS
'7i if applicable
X a 4srdth. Mbh*
L sat tee w y r d Y .xktbg pond R parr d raa M 4— sot
Rrl. a — .1.a.t R dry. Y ..."M d.a..
L mat U. Y.mr r d Y We" R m— dYmm., R Ytm.t
d. hitm Yee r • 1.—W R
a that tea dols r . rd.et oar"A
True& orth
GPS
Convergence; -0.63440000`
Combined Factor; 0.99986423
Drawing Scale; I inch - 20 ft.
0' 20' 40'
Plot Scale: 1 inch = 40 ft.
LEGEND
Them standard symbols will
M found in the drawing.
IRF = Iron Rod Found
0 IRS - Iron Red Set
e IPF - Iron Pipe Found
® MNF - Meg NaJ Found
® MNS Mag Nail Set
® NSCL = Nail Set Ce—]ioc
® NFCL - NaR Found Centerline
CMF - C.—te Menument Found
CMS - Concrete Monument set
O CC - Computed Corner Not set
NIF - Nowor Formerly
OHP = Overhead Power line
LOCATION MAP (N.T.S.)
Revies Coe" for: 6Lnly County
. adw *M.. m §Wft artadt
0.114 fltd Irl. trp t !IN Y Wa a& a.1da.0- 1. .add
m.r tQ 0rld.r ltiaY�.1. A 0..1.dri I
sndY ale.. fII11
Josh R. Airheart
D.H. 1640, PG. 797
PDi:6574-01-16-6689
lot No. 899
Wlery Beach 7th Addition
P.H. 2, PG. 222
Notes: (s if applicable)
X L r XC a.m •lead .rrm NOW of Oft UN
X L M dbt— am lr.Yrrl ftm mramamt.
.r a ttA trp.a.a by . am am..
a ::p w kv 0. tlWR. . pled Air
ne Yte.
I
leYsew sacs
X 4. A— repd.d by C..drr
.4 Reber
Found
Dustin K %nlberlin
D.B. 1891, PG. 998
PBI: 6574-01-16-7698
Lot N0. 899
7iLLary Beach 7th Ad&Uoa
P.B. 2, PG. 222
c o
WE
0
e4VSY++
Dixie Land Surveying, PLLC
License No. P-0335
4278 Country Club Road, Wadesboro, N.C. 28170
phone (704-695-2729
email: dimels@windstme .net
Lake Tillery
10,1EMEEP M
Plat of Property Surveyed For:
M
Landon Austin
Norwood Twsp., Stanly County, N.C.
Property Located at; 1343 Berry Hill Drive
Date; 7/23/18 - Drawn By: MRI - File #: 17618
Photoqrap - = _ _ : . .
=_
—_c—, y Hill Dr
_'.VDON AUSTIN
main pier/boathouse with sundeck
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Form PICSIX2 -'TOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE
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