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Home My WebLink About20200365 Ver 1_Shoreline Stabilization_2020030901 U C, S140 State of North all® Departrnent of Environment and Naturat [fie s D'WR Division of water Resourc Givisicxl of water Resources 1513 NCAC 02h .C;St-i+Vat2r {} :at"rt + f_erfficat#on, Shore4ine Statiikation FORAM: 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 Raleigh, NC 276%- -1617 Applicant Information [15A NCAC 02H .0502(a)1 1. Owner Information Name: -5, 4 V A Mailing Address - CT o51ANd 170 4 &1 liti Ave. Telephone Number: 330-48Z"J70f� Fax Number: E maii Address: SI►VAk. erasjs�.� �in^:l cor•� 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: http:/Iwww.saw.usace.army mil/Portals/5-1/docs/regulatorylrepdocsZPerrritslSAMPLE AGENT AUTHO R17-ATION EC Fk1.ndf} must be attached if the Agent has signed this application form. Name: Company Affiliation. Mailing Address: Telephone Number: E-mail Address: 0 AIICL'4 OM D . ►i SCApi Nq ` 5AVYX 1 iN c- i4,�ji li Z ia✓ lMa'do", NCr �L961 - I/60 - 59rAb Person to receive the Certification Approval: Fax Number: 54Y- \ i H. Project Information 11.5A NCAC 02H .t0;02(a) & ;b14 I. Attach a vicinity map (i.e. street mar)) clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads,. 1. Pr ov de a detailed sitc p1air sb o-wv'`?g Prc?iJ&I y `uititOdai"ie, and proposed location,- 0f vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging below Full Pond) Norma) Water Level elevations, and FORM: SSGP LL 10-2013 Page 1 of 3 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: (: '-AS�w Nearest Town: Subdivision name or site address (include phase/lot number): r'i0.1 Tf/is k:yY-•� /� �3e-ln, eyl Directions to site - please include road names and numbers, landmarks, etc.: �5 S 1y �73 S Soccer �oiN � /�•, {0 fkA)rh C kte4 l - Z7�9-vas Latitude (in decimal degrees) ' O- �P 81 i0. Longitude (decimal degrees) ;r O T �6 3 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Yc SLA" �i^l 6. Property size (acres): /. 0 5 Ac.. 7. Lake/ river/ ocean adjacent to property: k*Ke irJ 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): S1p ti; �;u 3k0MJ'fj, -� neeJC,,JT ekroycaJ 9. Will work be conducted from land? a 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: / / V /07 " 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 i square feet or acres: X %g? 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): /5-7rc - s r cmovcA- t o 'i5 d0,1wood.5) Owner/Agent's Signature* Printed Narne Date (15A NCAC 02H .0502(f}I `Agent's signature is valid only if on authorization letterfrom the owner is provided. FORM: SSGP 10-2013 Page 2 of 3 Lake (At Full Pond/ Normal water Level) Full Pond/ . Normal Water Level M m � .� . .� shoreline 1 Q�L� Acc vss 7504. �-- 14,VG -� Al C 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 I, Robert T. Kel.n. Profeselonel Lend surveyor certify that this plat Is drawn from no .et..l .u. surrey by m. or the Phy.le.I a ame.te SITE which .re .levant to the deeds noted, improvements,end obvious no however; unobserved eesemenU may eclat. floss t surveyed are drawn es noted; th.t the reds of pr.eblon le es caleuleLed as I : IDpaO cc that this plot is drown I. eeeerdene. with N.C.G.9. 47-aa .e emended. T witness any erlgi-1. bend end •... I this 31 st g& of October, 2017 �� ♦!CAnOe% �\�O �rZ�i aQ'cfE55fa,!r��sa ty Tom Kelso a SEAL 1 9. VICINITY L-3145 ° ► SKETCH Land Cveyor : �1 �� 04 6 \ P.O. box 1583 RLS L-3145 0�Q, SUn 41e C-5.0 GASTONIA, NC 28053 ►�Rr �V `, �' N F-Dees •e•••a..We'e �° \ \ a1606, TIMOTHY JOHNSTON 1`1 5 gkti010' 4772-1758 PB 83-22 �622 t4f t'�yt\ LP V o c90. '4 \A .p !� C o r a LOT 20 o� 1.09 ACRES I ai y `0. r S 77055'20" W IPP LOT19 • RYAN SWAIN o / / 4901-2292 A / a / / SURVEY FOR: SARAH E. CROSLAND DEED BOOK 2475 PAGE 224 LOT 20; SECTION 29 FLOOD PLMN LAKE WYLIE RECREATION LOTS COLOANTY PANEL NIA/BER PLAT BOOK 34 PASGE 8 59400 M did 9-2- FLOOD PLAIN ALONG RNER101 5 CITY OF BELMONT NOT OBSfwvED SOUTHPOINT TWSP., GASTON CO. N.C. uueR R.RRegl SUBJECT1" WAY RE "� R/" M� awto LEGEND von pin found IPf A iron pin concrete smonument et 1V. 50 25 D 50 100 150 electric service line E One not surveyed line not to scale sewer line S fence One water line W electric transformer ET Scale 1 " = 50' SP1899$4 CATAWBA RIPARIAN BUFFER NOTIFICATION FORM �rgje' ► ametat3F3re.cc- b OZ NW-5 Rives RA • _ . , t-A S4W Owner: Sarah Croslandh�� Print Signature Contractor/agent: NC�Opgota/ Print Signature Me approval is for the purpose and design descrtbea in your application. impacts not inu`icdad ift lie 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 l of the Buffer (within 30 ft of the full pond elevation), unless approved. Exception, those trees that are severcly undermined along the immediate shoreline can be removed. Minima' shag and s'a W> g a'tenn tbe ; i s eWw i- &kknve d. NASA \CAC tkn 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. 115ANCAC 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 wodc 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 15ANCAC 02B .0243 (4),(6),(8)] Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stomtwaier discharges must be at the na#wat elevation and &chm mkx to entering dne bttffer dared as diffuse or sneer flow at non-<,_as_ve velocities w tcn :mac. (_ ,A _.LA.0 rl.:72 Acknowledgement of iVotification 1 SARAH CROSLAND . 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 witriin subsiaudia' and inteLt of the 401 ester Qua in Cervirl ion aad $tff'u- Rv1es, the apptn-ed pkv�s} and speaifjcabor s), and other srppot*ang materials. Signature (owner): -AI4 " ` '-2-1110t— — Date: 2/13/20 � rMMt +i1F A►' � '�- ' + � +� arm „� ,«ww w ,� .�-� ,�,- �, , ,ram w► +� � 14 ��r�� M,y� ram' 1 G }r• �.� �• 1 ��,}•t ` .;;.- to - �, hw�. �f�' J ' I `�r. 1�,- g .i 1 �f. .�` • �" ,� A" �;�`�,ca��`s � �� x�a � IIII,,,,_ . . �. ��; a MapCard - Print your custom map Page 1 of l 0 0.5 Mi 0 2000 Ft http://map-pass.mytopo.com/maps/print_local.asp?print=l &scale=5.00&layer=DRG&lat=... 2/28/2020