HomeMy WebLinkAbout20200229 Ver 1_Shoreline Stabilization_20200211DWR
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water ,purces
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Sthbilit-aAn
FORM: SSGP 10-20Y'
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the appl
to:
Division of Water Resources O�7��
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617 \P�FY
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Troy Ovitsky
Mailing Address: 20023 Shearwater Point Dr
Cornelius NC 28031
d be sent
Telephone Number: 7045648107 Fax Number:
E-mail Address: t.ovitsky@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: Dean Fisher
Company Affiliation: Lake Norman Custom Dock & Pile Driving, Inc
Mailing Address: PO Box 1439
Denver NC 28037
Telephone Number: 7044832144
E-mail Address:
Fax Number:
Person to receive the Certification Approval: Troy Ovitsky and Dean Fisher
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: Mecklenburg Nearest Town: Cornelius
Subdivision name or site address (include phase/lot number): _
Shearwater Point Lot 14
Directions to site - please include road names and numbers, landmarks, etc.:
Take NC-73 E towards Huntersville. Turn left onto W Catawba Ave.
Turn left onto Jetton Rd. Turn right onto Meta Rd. Meta Rd turns slightly left and
becomes Shearwater Point Dr. Property is straight ahead.
Latitude (in decimal degrees) 35.4827945 Longitude (decimal degrees) -80.9191172
S. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): residential
6. Property size (acres): 1.460
7
Lake/ river/ ocean adjacent to property: Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Installation of approx 2700saft of 6x6posts with 4/6 whaler
and 2x8 T&G to obtain a 1-6ft total wall height along 500ft of shoreline
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:
1500 sq ft -
11. Total amount of disturbance (including ail 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: 6,000 sa ft
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): manicured lawn
Owner/Ag s Signature` f 15A NCAC 02H .0502(f))
/-36-2020
Date
'Agent's signature is valid only if an authorization letterfrom the owner is provided
FORM: SSGP 10-2013 Page 2 of 3
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 14 PLAN NO. PARCEL ID: 00109169
STREET ADDRESS: 20023 Shearwater Point Dr., Cornelius, NC 28031
Please print:
Property Owner: Troy Ovitsky
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Dean Fisher
(Contractor / Agent)
of Lake Norman Custom Dock & Pile Driving, Inc
(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: 7045648107
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized gna
ture
Date: ' — c) 2. 02,b
Authorized Signature
Date:
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NOTES
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20023 Shearwater Point Dr - Google Maps
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The Home Depo
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Existing site photo 1
20023 Shearwater Point Ln
Cornelius, NC 28031
Troy Ovitsky
Existing site photo 2
20023 Shearwater Point Ln
Cornelius, NC 28031
Troy Ovitsky
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