HomeMy WebLinkAbout20181482 Ver 1_Shoreline Stabilization_20181029State of North Carolina
Department of Environment and Natural Resources
DWR 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
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 2 0 1 8 1 4 8 PDRaleigh, NC 27699-1617 L.Sr—,--15 V ----In
OCT 2 J 2018
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: I6r,
Mailing Address:
Telephone Number: g(fl1{ - 373- 148y Fax Number:
E-mail Address: Cku�.'1�� (�►c,�v�no�,l. 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/Pprtals/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:
W921907MnMM- = i�
Telephone Number: riUc{- L( -,b -5111 Fax Number: ` QL(- (.0(.00 - 5q loq
E-mail Address: C. o L -, ecL woA k5(`) i i n[ t+Y-PcLyY-1
Person to receive the Certification Approval: .Ln'i 5Ve 0
11. 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: Capekteh�uY-a Nearest Town: Crr\e1IVS
Subdivision name or site address (include phase/lot number):
90y 32 14a ve-n vi ew Ibr. Corn _1 IoS, KC '18091 Lo+s # a a.nr1 #3
Directions to site - please include road names and numbers, landmarks, etc.: 7r q 19
on4c, leihea Chyreh Cid, -}-ken +-urn rIghk n6lo u
vext\t I e.w -�) r.
Latitude (in decimal degrees) 35. 4q [ U4Cp Longitude (decimal degrees) — aQ C(Q1(Qtp�-[
T
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): l�,esldenk►�.
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: L V 0f Y)0.X1
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary)::Ram(Je na t1jonI S I I
k-V)reQteic u'+10 S3ndb�one. l- ()Ide_ 130LAL
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:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
wails, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: ( ri._,6DyP.
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): o mss buaer,
Y'10 A-re.es -�o Q remove , no d1540000alC2 6L)Ker
[15A NCAC 02H .O5O2(f)] Date T
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3
�05
b0
Full Pond/
Normal Water Level
Shoreline
La ke
Brian & Jeanette Tye
20432 Havenview Dr.
Cornelius, NC 28031
N o +-ree.S o r
Vej2+ti+i o n
- -o be - removed
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
Polaris 3G Map — Mecklenburg County, North Carolina
Date Printed: 10/23/2018 12:00:30 PM
869 - P4T3
o O/(oUTE
rWDRWr B. F"JIN
orf MAMHA SDB
DB4068-246
1 PIN Oof-sof-00
I
as
I LAKE
1 NORMAN
roDM roorsN
e ARrNA sue
D8 401011-246
PrN oaf-soy-oe
VXIAmrr MAP
NO SCALE
This property Is Wated within a Public Water Supply Watershed.
DnMopunsnt restrictions may appy. l COnt* that the PM shown
heron aampliee with the Watershed Proles don Ordlonw and Is
approved by the Ton of Cornelius for recording at the Mecklenburg
County Rsgbler of Deeds Off c..
Dab Watwened�minkstMor, Town of ComMae
CEFMFrATE OF
OWNEtial RSHIP AND DEDK1o�e property shown and dw.eMd herein; snich Is \ \ R
located in the eWteFieicn jurkxikiion of the Town of ComeWu and flat 1 tereby wept this
p of wtbdk W- with my free -n-nt..aabfsh • • m buiakq eetbxk Ilnee, pneerve
and pabcl ll xgrjfi-M tree. ower 1e iohea eiormbr in w fres oM rnol protection orae, / \
pant eeppamentory /raw if equine, oro dedloab all saw spy., wxk.,and otlw
:njora saner o b pubpc err pMab uses a n;Z. Furthermore, I hereby dedicate .11
Mtory sewer. ab_ .our, as valor Ikw ideal an I-abd M Publk uwty eawneMs or M y
right-of-wy to M. Town of Comelfus aro the Chcnctle-Msekants rg Utility DSPorim"t
C L
DA OWN R
q13 l6f e.rt...d
HAVENVIEW
\ DRIVE
PYRAMID
REFERENCES: LEGEND:
PA.PEittt t2E
oEID] Alt! MAPS A9 9101At - - - - - - PUMLeat fiulE
BuM of AemAM a PAVey1ENT
----------- CP COVIIWO PONT
POMPU PQE
Wrn bola Lxatn coon Cipro fewer.
sli, ae.4m Fla. N •tor• • e
th nada• .P2' Fla. I In•w•a• e
�♦ r4C \
Peed• � \
2 p�
,' i
/
• LOU
MMM DAVID CORDON
,W orf Rd2CAN S.
�/ D3 0427
+/ PIN
001 -801 -for
/ y rB /8-340 \
/
/
e IRs.R /
/
/
1
1
I
/ NOTES:
1. lle6 PAOEDY B LDCAIm x IAIW IIdO1kM QI.•K lxllA!!D AAFA.
2 NWA OEIEesIm W COapMIL COMPYfAlltll
a a aofvWa CpWO1E0 Part. Im MOIssB1f epee a tn.
4. eaROR01M MAILS Iter lDG1eD Af 6 1M6 MlE
e. NO NOa Oise YdaAWl118 ARE MIRW1 d0a K N.6ECf PROIRIItt.
6 ALL YOMAmIte AR[ FNetNa Iee2e! O1IERMR 11alFD.
7. g1wACK! PNNPFD By M IpIN 6 WIeE12r0 LAle1q OFIT.
RwNi - as
ttt-s
eWAR - do•f11Caa
26 11110s0s PROPUM LML WtGflfb mREAi
ALfZYY efOIW greeA3rik
e ie - e fR01r PROeDLtt L1L M eW — M Cdwtax
WENiR 0 MM
LPlia W 6 cusim Ry 204D a.
e. ,AMNPFRtt M W A 0esautm Fl — PER
/rtoM]]004 G/fD ]
t. PRawwry ZalEp aJWSAL Ksadde a}
n. dos wAtL arertAats
I, RUFUS 4kOCSDN LAVE -Mfy that etis pat rw ero.rn Iwdr my
wpervWen from an oatual nay made uor ry xgsMean (tleed
dsew"on recorded in Book x}14-. papa _30C-:) that the
boundaries notsurveyedore dearly Mdl.abd as meow from Informal -
found In Bask sheen). page (w shown); Bat the ratio of Predilar os
calwloted N 1: 0.000+; that the pat sw, prepared M a000rdolhos with
GS 47-30 on amended.
Witness my original xpwtura and mq thea �[_ day of
This survey is of mother eatpory. ouch al
existing pomele. a court ordered curvy, or
deffnhbn of wbaW i—.
1 herby oatRv that the wbdivixen pat shoo hereon is
empt from U baiv I& vrovhlon. of Ne Canslae Lane
D.vMapment Cob and b therefore exempt ham Its pr-,I.I. b
The pat hos been found to campy with the ]aning npdatksn
of the Comeliw Lana Development Coe, and hos Mot approved
by Na Town of ComMlus fa recording M the Office of the
Regatr of Deew of M-ldefturg County.
-1T-/
Date PI. -I ry Dinicti ComelNe. North Cardka
I, L),4 FONDY;el ROAM OffIW of MecMer" County
rtity that the map or pot to which this certiflaation M
offfhaw m -b all tatuto y raqukament. for—rding.
t� L,�i,6
R.4- ofr- Dab
The purpose of this plot is to combines Lob 2 k 3 together
to form ow lot
RECOMBINATION SURVEY
PROPERTY OF
Ow,joBPUAN C. TIT
& wf. JEANETTE
20432 HAVENVIEW DRIVE
LOTS 2 k 3 OF MB. 18-340
DEED BOOK 26416-908, PIN 001-601-13
LEMLEY TOWNSHIP, MECKLENBURG COUNTY
CORNEOUS, NORTH CAROLINA
MAY 4. 2016
ewmiu�mw.e� taer a osrse oorem
Ae.ewhe.te-amt
40 0 40 80 120
GRAPHIC SCALE - FEET 1"=40'
/ M a 'sten
tb� ssxx '
Y
/
u.l
/ 'rl'Sry6
�
t
LOT 3
LOT
\ j4 REBAR0.92
Ig
\ t01' 4 s rearACRE
rrm•Nr D armors
\
CRE S
iae6o-9n
� i
\ DB
\ PIN 001-001-12
I
\
I
I
\
I
\
I
CEFMFrATE OF
OWNEtial RSHIP AND DEDK1o�e property shown and dw.eMd herein; snich Is \ \ R
located in the eWteFieicn jurkxikiion of the Town of ComeWu and flat 1 tereby wept this
p of wtbdk W- with my free -n-nt..aabfsh • • m buiakq eetbxk Ilnee, pneerve
and pabcl ll xgrjfi-M tree. ower 1e iohea eiormbr in w fres oM rnol protection orae, / \
pant eeppamentory /raw if equine, oro dedloab all saw spy., wxk.,and otlw
:njora saner o b pubpc err pMab uses a n;Z. Furthermore, I hereby dedicate .11
Mtory sewer. ab_ .our, as valor Ikw ideal an I-abd M Publk uwty eawneMs or M y
right-of-wy to M. Town of Comelfus aro the Chcnctle-Msekants rg Utility DSPorim"t
C L
DA OWN R
q13 l6f e.rt...d
HAVENVIEW
\ DRIVE
PYRAMID
REFERENCES: LEGEND:
PA.PEittt t2E
oEID] Alt! MAPS A9 9101At - - - - - - PUMLeat fiulE
BuM of AemAM a PAVey1ENT
----------- CP COVIIWO PONT
POMPU PQE
Wrn bola Lxatn coon Cipro fewer.
sli, ae.4m Fla. N •tor• • e
th nada• .P2' Fla. I In•w•a• e
�♦ r4C \
Peed• � \
2 p�
,' i
/
• LOU
MMM DAVID CORDON
,W orf Rd2CAN S.
�/ D3 0427
+/ PIN
001 -801 -for
/ y rB /8-340 \
/
/
e IRs.R /
/
/
1
1
I
/ NOTES:
1. lle6 PAOEDY B LDCAIm x IAIW IIdO1kM QI.•K lxllA!!D AAFA.
2 NWA OEIEesIm W COapMIL COMPYfAlltll
a a aofvWa CpWO1E0 Part. Im MOIssB1f epee a tn.
4. eaROR01M MAILS Iter lDG1eD Af 6 1M6 MlE
e. NO NOa Oise YdaAWl118 ARE MIRW1 d0a K N.6ECf PROIRIItt.
6 ALL YOMAmIte AR[ FNetNa Iee2e! O1IERMR 11alFD.
7. g1wACK! PNNPFD By M IpIN 6 WIeE12r0 LAle1q OFIT.
RwNi - as
ttt-s
eWAR - do•f11Caa
26 11110s0s PROPUM LML WtGflfb mREAi
ALfZYY efOIW greeA3rik
e ie - e fR01r PROeDLtt L1L M eW — M Cdwtax
WENiR 0 MM
LPlia W 6 cusim Ry 204D a.
e. ,AMNPFRtt M W A 0esautm Fl — PER
/rtoM]]004 G/fD ]
t. PRawwry ZalEp aJWSAL Ksadde a}
n. dos wAtL arertAats
I, RUFUS 4kOCSDN LAVE -Mfy that etis pat rw ero.rn Iwdr my
wpervWen from an oatual nay made uor ry xgsMean (tleed
dsew"on recorded in Book x}14-. papa _30C-:) that the
boundaries notsurveyedore dearly Mdl.abd as meow from Informal -
found In Bask sheen). page (w shown); Bat the ratio of Predilar os
calwloted N 1: 0.000+; that the pat sw, prepared M a000rdolhos with
GS 47-30 on amended.
Witness my original xpwtura and mq thea �[_ day of
This survey is of mother eatpory. ouch al
existing pomele. a court ordered curvy, or
deffnhbn of wbaW i—.
1 herby oatRv that the wbdivixen pat shoo hereon is
empt from U baiv I& vrovhlon. of Ne Canslae Lane
D.vMapment Cob and b therefore exempt ham Its pr-,I.I. b
The pat hos been found to campy with the ]aning npdatksn
of the Comeliw Lana Development Coe, and hos Mot approved
by Na Town of ComMlus fa recording M the Office of the
Regatr of Deew of M-ldefturg County.
-1T-/
Date PI. -I ry Dinicti ComelNe. North Cardka
I, L),4 FONDY;el ROAM OffIW of MecMer" County
rtity that the map or pot to which this certiflaation M
offfhaw m -b all tatuto y raqukament. for—rding.
t� L,�i,6
R.4- ofr- Dab
The purpose of this plot is to combines Lob 2 k 3 together
to form ow lot
RECOMBINATION SURVEY
PROPERTY OF
Ow,joBPUAN C. TIT
& wf. JEANETTE
20432 HAVENVIEW DRIVE
LOTS 2 k 3 OF MB. 18-340
DEED BOOK 26416-908, PIN 001-601-13
LEMLEY TOWNSHIP, MECKLENBURG COUNTY
CORNEOUS, NORTH CAROLINA
MAY 4. 2016
ewmiu�mw.e� taer a osrse oorem
Ae.ewhe.te-amt
40 0 40 80 120
GRAPHIC SCALE - FEET 1"=40'
10124/2018
Go gle Maps 20432 Havenview Dr
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20432 HavemAew Dr - Google Maps
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20432 Havenview Dr.
Cornelius, NC 28031
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