HomeMy WebLinkAbout20191414 Ver 1_Shoreline Stabilization_20191014State of North Carolina
Department of Environment and Natural Resources
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 1 9 1 .4
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
REECBVEDIDEWDWR
OCT 14 200
voter P'Stources
I. Applicant Information [15A NCAC 02H 051021a,1] Permitting sectw
1. Owner Information
Name: Y Au
Mailing Ad u 9_ n
& 2-
Telephone Number: I 0'Ll - u-0i - I LJ LA -1 Fax Number:
E-mail Address: 1s+rel P, C"o ns-�Ru d-_ju�n Gr cyjo_a
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
,;R!Z- T'ON FORM.rdf) must be attached if the Agent has signed this application form.
Name: �AWC (13 ahouU
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Person to receive the Certification Approval: J_ei
II. Protect Information NCA"- 02H .050- ' ' V
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 4
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: C OACL O 0J Nearest Town: _61,rLC I- MONOSUl I Iv
Subdivision name or site address (include phase/lot number):
IS U 0 Gi o fL0 (D n ,S-E
Directions to site - please include road names and numbers, landmarks, etc.:
house On le-
Latitude (in decimal degrees) 35 •,S,1l3,3� Longitude (decimal degrees)
300gybq%U
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Re'sI�
6. Property size (acres): - ?Ja ?) CULL eS
7. Lake/ river/ ocean adjacent to property: I OjLe, -,J Or�-m-an -
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): I in l o'n 0-II
�d �Oo I s �00.11 Sr\ e ► r�,b LQ.k �i ail l ed o caC� t� S-E cab i 1, 2�v c�I (LA
9. Will work be conducted from land? [ From water? ❑ Ors S hoKcI i n e,
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:
355 LA ' 0 Zzsoc -13 ` w4h 0S wQ]I I p�eCt, bed ov-i
I��Le'
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- and in
square feet oracres: l — 5 + 0 L
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and (I'I
50 feet landward to be impacted (number of trees, for instance):
Own gent's Si
'Agent's sign e
re* MA NCAC 02H .0502(f)j
1ol0Ig
Date
valid only if an authorization letter from the owner is provided.
FORM: SSG 10-2013 Page 2 of 3
NOTES:
* PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED
• OWNER TO VERIFY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
CONSTRUCTION_
" DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
_
THIS PLAT SHOULD NOT BE SCALED OR RELIED
bO
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
/
A FIELD VERIFICATION OF ALL DIMENSIONS.
/
> DIGITAL COPIES OF THIS FILE ARE FOR REFERENCE /
PROPOSED WELL
ONLY AND MAY NOT BE USED FOR DESIGN WORK.
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40 0 40 80 120
REBAR
GRAPHIC SCALE — FEET
Curve Radius Length Chord Chord Bear.
1 259.61 ° 1 246.40 N 48"21 28 E
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Course
Bearing
Distance
L1
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48.69
L2
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14.19
L3
S 08"15'00 W
52.49'
L4
S 30-42 00" E
19.07'
L5
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21.68
L6
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27.73
L7
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37.01'
LS
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50.61'
L9
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40.32
L10
S 20'37 00" W
34.55'
PB 16-10
0.828 AC +-
�NDRMAN
ANY DOCKS. PIERS OR OTHER'—""'
IMPRDYEbIEN_TS,RWIT ON IAKE���
,1JtE NOT SHOWN OFl TF115 � �. r.
S 72'33'00"E
PIER PROJ. UN/
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PHYSICAL SUF
FOR
JEFF STEEL
LOT #39 CRESCENT LAND & TIMBI
FEBRUARY 12, 2015 DB: 3249
DB:
SCALE: 1' = 40' PB: 16
MOUNATAIN CREEK TON
CATAWBA COUNTY,
DEDMON SUR
CHUCK POOVEY, PLS
ROBERT DEDMON, PL
3704 NC HIGHWAY #1f
P.O. BOX 494 - DENVER,
PHONE: 7o4/4834
FAX: 7041483/217
SEAL
L-3699
9 CERnFy THIS PLAT WAS DRAWN Fl
SURVEY AND IS CORRECT AND TRUE
OF MY KNOWLEDGE."
PROFESSIONAL LAND SURVEYOR
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