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Home My WebLink About20200043 Ver 1_Shoreline Stabilization_20200107�2612000V3 'r State of North Carolina Department of Environment and Natural Resources Division of Water Resources K I a - Water Resourc es 15A NCAC 02H .0500 -Water Quality Certification, Shoreline Stabilization ENVIRONMENTAL 0UAL:1 V FORM: SSGP02-2017 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the application fee should be sent'to" If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.) Karen Higgins Karen Higgins DWR-401 & Buffer Permitting Branch DWR-401 & Buffer Permitting Branch 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699-1617 Raleigh, NC 27604 A. Applicant Information [15A NCAC 02H .0502(a)] --�) KJ 1. Owner Information Name: Y1 C fC Mailing Address: W Y1 Y'1 r .►11 11-7 Telephone Number: - Fax Number: — E-mail Address: man Ict 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signed this application form. (A form can be downloaded here: httr)://www.saw.usace.armv.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ ATION FORM. df) Name: JAY- -IL Company Affiliation: Y C)r ✓iC.. Mailing Address: 1 Telephone Number: -T-A nZ��-I (n Fax Number: ',IU 4 - E-mail Address: Aoylno . I Qy)C0 e e_(—dCK KS( B. Project Information f15A 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, buildings, retaining walls, docks, impervious surfaces, 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. FORM: SSGP 02-2017 Page 1 of 3 � . ' a � , i ' i 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: \,reAe.II Nearest Town: tIle. le. Lake river/ ocean adjacent to property: Kor YYl0-n Propertysize(acres): •97 acres ivision name or site address (include phase/lot number): Directions to site - please include road names and numbers, landmarks, etc.: Fmrk l ll N3 ne. vrover • T .ocsu• decimal degrees). �.5 (0�0 Longitude (decimal degrees)'U.QrJ45[TT 5. Describe the existing land use or cori4ition of the site at the time of this application (residential, undeveloped, etc.):YipSIck-n-liak 6. Describe proposed work (include discussion as to how hardening of shoreline has or why it is necessary): 7. Will work be conducted from land? [r From water? Er 8. Total amount of impacts below the normal pool lake level / Normal Water Level uding all excavation, backfill, rip rap, retaining walls, etc.) in square feet: Temporary impacts in square feet: 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet: Y pnts(t in square feet: 10. Please describe the vegetation above the normal pool lake level/ N�of mal Water Level and 50 feet landward to be impacted (number of trees, for instance): /V011e� 11. Signature /Z15-19 Owner/Agent's Signature* f15A NCAC 02H .0502(f)l Date -Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 02-2017 Page 2 of 4 t 12. Please approximately sketch the following information on this plan and provide dimensions for each item: a. All proposed vegetation clearing b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation d. Location of any proposed structures such as buildings, retaining walls, docks, etc. e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation ull Pond/ Normal Water Leve �77�� Shoreline Plan View FORM: SSGP 02-2017 La ke (At Full Pond/ Normal Water Level) Lake uu Full Fa 1-1) Existing Dock IDx,7h Sea 35Ua eelowluu waN xwl Full Pond/ Normal Water LerAMPLE r ��reiine <ft. Mitt ]h �Ift. E Plan View 4Z lI �� • �f�� Page 3 of 4 Lake (At Full Pond/ Normal Water Le Side View 10 it. bank Side Vi C O 3 ft. below full pond water level 4 ft. above full pad water level 2 ft. additional clearing *if neceuary Existing bank AMPLE FORM: SSGP 02-2017 Page 4 of 4 D DON ALLEN & ASSOCIATES.P. A. e "Since Mort Surveys Commercial + Residential +Mortgage �rveys + MultT—Fgmily, Construction Staking * Subdivision Design * Topographical 111—D Raceway Drive * Mooresville * NC * 28117 (704) 664-7029 (704) 664-8041 Fax I, certify that this map was drawn under my supervision from an actual survey made under my supervision recorded in deed book 1441 page 2048 -and/or plat book 14 - page that the ratio of precision is 1':10,000, that this map was prepared in accordance with the General Statutes of North Carolina Chapter 89C. my hand and seal on the 24 _ day of SEPT ��;f��a'•71�1� 5--- 5p00 8 svSy by � i CMAL RE1D COIRM LINE ER 35973''00 .W 09 LOT f 19 81 DOUGLAS WILLIAM LOT 118 LAMBERT �m A 1f/ 188111615 _ �, I,, i 0.77 AC. ^'s PROPOM Tml cc i ' Px NA0. l SET rYO / LAKE NORM" FAWN LANE 60' PUBLIC R/W b �% rr�r el t'' " Ara. " ;g, IG, R/W p0 ry0. 'PIS 0''� LOT 117 D. ROBERT AYERS Co " ' x JANET S. AYERS .c�,6` CURVE TABLE 11391644 / �`� S'�' CURVE RADIUS LENGTK REARM I CHORD Ci 50,00, 93 IVSOWNr E NOTES 0' 20' 40' lowlE(E�ID Ct].a - P.P. - POWER POLE 1) THIS PROPEFnY MAY BE SUB.F.OT TO ANY EASEMENT AND/OR RICHM-OF-WAY - OM POWER TRANS OF RECORD. 2) ��OOMPI11E7) BY THE COORDINATE SCALE IN. FEET E.IP. = EMSDNG IRON FOUND LP4 - # REBAR SET ') as wcCONTWR BOUNDARY\SEEDC SURVEY R/�' AAIMN 1�D E Na LAKE LM AT COWAN'S I = DAM (READING -t'�-0�'�'"Y = ON 0,&/2018. OF CP - COMPUTED POW 4) NO GRID MONOMEM FOM WnHW 195 FAWN LANE 20OD FEEL LOT 118 CRESCENT LAND & TIMBER CORP SECT 6 SCALE 1"_ 40' DAVIDSON TWSP.. IREDELL CO.. N.C. � OLT 10r 11e ACQUIRED BY: DENNIS LEHMAN Do FM TAX MAP NO:_ 4MS82400 Earth LM, i 195 Fawn Ln 100 ft NO* .r 411 IL n I. iV, Amp Ar I y 1� I 1 l �« _ n .. IINN�� i'4'e li �I' /(� 1.; _- r�,9 `..4.i V' 7"T "f f - I .�y�yy�y��''{y�, R� 4+ .♦,f�.'h7. ♦ "tA, •a 1'� `I CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Owner: PV)h ; e' rn - Contractor/agent: 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 028 .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. [1SA 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. [15A NCAC 02H .0502 and 15A NCAC 02B .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 "_Len✓1 I S L thrm n 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 and intent of the 401 Water Quality Certification and Buffer Rules, the approved plan s -Specification(s), and other supporting materials. �1 Signature (owner): _ / Date:. 12 lS /_/9 k