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HomeMy WebLinkAbout20191714 Ver 1_Shoreline Stabilization_20191213AGENT AUTHORIZATION FORM N" 4 PROPERTY LEGAL DESCRIPTION: �10 LOT NO. 225 PLAN NO. PARCEL ID: 4637336206 STREET ADDRESS: 432 Oak Tree Road, Mooresville, NC 28117 Please print: Property Owner Property Owner Aei:oV j Is 0Fc */OwR 1v The undersigned, registered property owners of the above noted property, do hereby authorize Beth Mosteller of Dale & Beth's Lake Use Permit Service (Contractor / Agent) (Name of consulting firm) 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: 336-314-1793 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. 11� r1Z — a Authorized SignatLW Date: �a�lo� lal Authorized Signature Date: CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address: Owner: David C & Barbara B Smith Print Sig ture Contractor/agent: Beth Mosteller 291Aa.,,., Print Signature Iredell The approval is for the purpose and design described in your application. Impacts not indicated in the application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC 02H .0506 and 15A NCAC 02B .0243(8)] Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed. Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)] Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)] Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)] Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction material must be outside the buffer. 115A NCAC 02H .0502 and 15A NCAC 028 .0243 (4), (6), (8)] Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)] Acknowledgement of Notification I, David C & Barbara B Smith , hereby state that I have been informed of the Catawba Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be taken such that the construction will be built within substantial compliance m nt of the 401 Water Quality Certification and Buffer Rules, the approved n(s) pd�sp�cifisation(s , and�r supporting materials. Signature (owner): ,�i--� ��� ef�� Date: I A -16 1 7 State of North Carolina DWR Department of Environment and Natural Resources Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Division of Water Resources FORM: SSGP 30-2013 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 Raleigh, NC 27699-1617 Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: David C & Barbara B Smith Mailing Address: 432 Oak Tree Road Mooresville, NC 28117 Telephone Number: 336-314-1793 Fax Number: E-mail Address: dcsmith4321@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/S9/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH CRIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: Beth Mosteller Company Affiliation: Dale & Beth Lake Use Permit Service Mailing Address: 988 Clear Creek Circle Lincolnton, NC 28092 Telephone Number: 704-996-3245 Fax Number: E-mail Address: sbmosteller@icloud.com Person to receive the Certification Approval: Beth Mosteller 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:lredell Nearest Town: Mooresville Subdivision name or site address (include phase/lot number): 225 Directions to site - please include road names and numbers, landmarks, etc.: see attached Latitude (in decimal degrees) 35.585100 Longitude (decimal degrees)-80.905070 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): residential 6. Property size (acres): 0.66 7. Lake/ river/ ocean adjacent to property: Lake Norman 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Due to wave action. 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: 155.61 along shoreline 11. 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: 155.61 along shoreline 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): grass -fescue ka_fqaJ&iA, Beth Mosteller Owner/Agent's Signature* Printed Name Date [15A NCAC 02H .0502(f)l 'Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 10-2013 Page 2 of 3 Lake (At Full Pond/Normal Water Level) 0000000000000000000000000000000000000000 0000000000000000000000000000000000000000 Full Pond/ 0000000000000000000000000000000000000000 e ►Lei 0000000000000000000000000000000000000000 Norma�NL Shoreline7'00600oo000000000000000000000000000000000 155.61' to follow contour of shoreline, one foot above full pond, and 3-4 feet below full pond David C & Barbara B Smith 432 Oak Tree Road, Mooresville, NC 28117 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 David C & Barbara B Smith 432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith4321@gmail.com PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070 Plat Book 55 Page 22, Lot 225 David C & Barbara B Smith 432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith432l,@gmail.com PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070 Plat Book 55 Page 22, Lot 225 Shoreline Stabilization — redo has existing dock a ,R g ,a. t � s 4p David C & Barbara B Smith 432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith4321@gmail.com PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070 Plat Book 55 Page 22, Lot 225 Shoreline Stabilization — redo has existing dock 316ar tlY - W011l .Vt - lE W6Y1 .v/C -O OLfM SY wM pI1660 -• lE OMNIOn A -• NM a/,6 PoPV � WV o I° •.a�M VAv lw s0 �l-l4rY lid � +OM J�..�9M W CNN Ptl ro •1Y IOIMw N N 4+.vlb•� 1° N••-� N I.1/ rV r./ l•�A ra a J�w.a'o dN-•°L Nv aY•Yrl►�JZ7J�R�t wro ro —ft 9ms0 Y•NL•_M ro Ap w+—•°•✓ ^—pN v rbaa3 N••N Lr-•1 ro �•v ro �JM•Y rN /° aF w M nr� l!W w.av J•o 1p Nw � � M•.^w.V�.N A � M w /•Yo.J• a/ao aW4 a+N s�+rro �•w J•w t Ob •J6.41 NI4v 10t/ J /MfiF NFM la•x • ro ••Jdnw M•d-w •n —MV ^�-••N) NaM M N •p mMJM [N wrX.o•NN�NMV N � •N ro N/v0 •M-dw •{0 N �/A •W '-'Ir6)�m �.0 u +sYs� nW v dr+ru wwn a�w• •w�.N•• rw w ro...xm+wa ro r.a6.-w NY 'y�bbJ Lai' ••� JNr - t .on..s rwr/�t�p�•/..*wwv��w cwJN p��w w�ilp� 4ww .a w IN wr n. urn s� M .wo./wr W �C /,tlM ADS gw.�' a'doa Gel,, \ L33d 0, - MNI l Sl StMVN0 !0 37v3S rasuN t�mfi 3W se.N arr s®° anrmnuY do O OZ OY root Y L3• ssv6 wL ZJO Loot°-Cu°R ml °°DV A9 �J°I6at>a 01 W v3W OWZVN 000E Y MNW II110N 5b0 AlYbOW 0131Y(6 31Y 9 LMYt !D 6IDWd ID IDWI OMIiW W O Ai.M6 v A A !l'V SIILL Y aIiWLStO 0WM10 N1wtIYDM 3YY SLWY61011Y t awuvLtwJ6o uvMmoo3 Ae mMi6NtM svLw LMull uaJumLr Sur 5nam A6 oss6N'0Y 3sYum ,t -SSLON / 6S OWA lwY1 NNOMN mw A9 :WA W3tl MMMN / / \ Al mtA 3M6 110111MN / � AlYldOYd A A6°t MNLLM 6LN]IVYI011 600N OM .I a66L 'WMW a aura=,U % 666t 'AWIYM SL 036M]tl - MI'L66 w Zt aura A m 69L - v3w W= / �0J016J/001 6901 Td OLSLXa330A3M130 T NYPw A30M T 'Jrvm .S/6 \ \ Og1603 \ ev \ li�C fLML \ \ WN-cc-LEW Md BStt 'Od 69LL ')IB 03311 / \\\Pw vWawa HIM / I` •4 �OiAYO 2a / 1� 9LZL 'Od BZOL 'MB 0330 \\ / -• - 1 IN 7 v161lllvd PUD IMtl.30 YI lu3BOM V 9R 101 1 6WYMI ^t/l 1 eMtsm ZZ°° CJCJ1° J• t w:e m•u•,W�IWW. ����eomom®m�m0�i LYE[ ,tILL M Al ,Cl m S ,W'01Z U MMst •+I �1•M Wo °Ww•8 iM •N°•Y ••+G A611 3 ^W ,S" 3 •LS ,er .SC S L1 .+�m•M 6w••a •m NVWMON 3HH'l Vf -0 -0 -A p °,-' z N m.o a,O 7 O V X- 03 N m N q Ql 0 im M N Q- '+ N S O :V O Z O �• O rh A N N m 0 L,Ln �. 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