Loading...
HomeMy WebLinkAbout20200680 Ver 1_Shoreline Stabilization_20200518DECEIVE MAY 18 2020 NCDEQ/DWR/NPD SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. 3 S PLAN NO. PARCEL ID: STREET ADDRESS: / L/ Lt i O fi 1`l 1 L-L- ►" t Please print PM" Owner. Property Owner The tetdnrskjned, ri ertY omnias of the above noW pgDerty, do hereby authorize •fit . of -Ma � � CTt i �,� T'r'x— (Contract0r / Agent) (Name of aortsulUrtg ) to act on my behalf and take aH actions nea MMY for the prooessM bmance and aaWtanoe of Ws permit or certification and any and aA standard and special mmWons attached. Property Owner's Address (if cliffert, ):nl� zS2�� �Zo2 Tdleplww ?o 0 3 We hereby oariify the above mfomnat,on s knated in this application is true and aoourate to the best of our knowledge. r Date Vj:kDate: `a4a n State of North Carolina Department of Environment and Natural Resources DWR Division of Water Resources Division of Waver Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization FORM: 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 27699-1617 1. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information elrl Name: l � �Y t 15 v/ ee2 Mailing Address: ZZO g > ke_- P,4--W 47,Ae-- ��-I r_�' Or-1- z�z 70 Telephone Number: — OK— Fax Number: 70 Y- '//— 82� %/ E-mail Address: pw'+ • 4 i '�✓FBI-IJS 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: httpl/www saw usace army mil/Portals/59Ldocslregulatory/rep,docs/Permits/SAMPLE AGENT AUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: Da N i -,,- - bu�C(L - - Company Affiliation: `r R C_�— Mailing Address: / -' —i 31- 44 V , % 3 9t<'rfic-tt-s Ui'u-f- f-:_. Telephone Number: r c p 7C.Y- '�/-5 7V I Fax Number: E-mail Address: 7� 1�s�.r217 f %�� L< <C �'T� • N Person to receive the Certification Approval: 1DA tJ) tic- /'J C V'rE'YL 11. 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: J_R.F PNE ( Nearest Town: iT) C1 L'(� ✓ LLB Subdivision name or site address (include phase/lot number): 3 S~ )`t't 6 , ►iLl­ jlt Directions to site - please include road names and numbers, landmarks, etc.: Latitude (!n decimal degrees) l 03 7 'J� r I r Longitude (decimal degrees) �y s a J� 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): W 7OJ u' 141 ISE&_�111 6. Property size (acres): (, CAL 7. Lake/ river/ ocean adjacent to property: L 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): 07: �—_ X 1 Stlhy' ri, r p /Lli p j 9. Will work be conducted from land? 2 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: j0t�_-, Sr 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: 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 in tance): ` eni J a d-- (V- t�Ltj,,u Owner/Agent's ignature* [15A NCAC 02H .0502(f)l Date 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) Nor OCI'-- �� a)ry r 2- P7- X -o,8,pT \.1�vtj, 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. S. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 6. Location of construction access corridors �s A rq r S '� P>z� bs 10pr cic �IFL"' lj Pat-ty 141�i FORM: SSGP 10-2013 I i ,', f air Page 3 of 3 5I5r2m CortrtedGlS Feature Report APICONNEOGIS WEB HOSTING Iredell Printed May OS, 20 .01 See Below for Disclaimer TRH '!!-MrIAN, Streets — Interstate Ramp US Hwy ti State H,v; i•, — hllain Road Local Road i Residential Private r s r tir'; i Inactive jtr; f t City Limi-5 Catawba County =i- I I lake Norman ' 1 Iredell Countylir.e J NC Counties IT ` I County V �t g " ,_ �% 1 5417 Feet _ i ! i^ maps prepared for this website are generated from recorded deeds, plats, and other public records Users of these maps are hereby ratified that the informatior resided herein should be verified Iredell County assumes no legal responsiblities for any of the information contained on this site. Users are advised that the use o rry of this information is at their own risk All maps on this site were prepared using a 10005E^• Grid based upon the North Carolina State Plane Coordinate System fron he 1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon a fficial notice of tax bens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office. DMAUN MOMMVM . MM t,alOMla 0611 r 10144 t *WW KO, MOOIOM Me, Mo Aal l r - ti0W Maps 144 Goathill Rd Mooresville, NC 28117 These dinmadons are for planning Purposes orlly, You may find that constriction projects, traflb, weather, or other evens may cause oonditions to differ from the map results, and you should plan your route socordin*. You must obey all signs or not kxa regarding your route. hMm•Ihww n,v+nls,wnhnw+�ki4H4 R70100R .M ARAAAOAr11A�tL+nN+Ip+A?A �Wrwu1M� +Nf`a9A1171A1174 4AA71Ag An Q9A99g9 4%vi rndklsha19rn11AhliA nIAMmil4lim gniAlim9NA.An itlt11AAAM oloizuLu t 1. Head south toward 1-77 S A 2. Merge onto 1-77 S Mooreavoe, Norm 1,aroiine LO I I ! to 144 Uoatr1111 KO, M001'O"1118, NU GO I 1 r - b00918 Maps 13 min (8.1 nit) 03mi 1 2 mi j' 3. Take exit 33 toward US-21 N 03M1 41 4. Turn left onto Williamson Rd 02m1 t 5. Continue onto US-21 N/Charlotte Hwy S Continue to follow Charlotte Hwy 273 ft 6. Turn left onto the Interstate 77 N ramp it 2 mi 7. Merge onto 1-77 N 1 � m, j 8. Take exit 35 for Brawley School Road toward Charlotte Highway o3m ') 9. Keep left at the fork, follow signs for Brawley School Rd W W and merge onto NC-1100/Brawley School Rd 43m, Continue on McKendree Rd. Drive to 1456/Goathill Rd 5 min (25nit) r► 10. Turn right onto McKendree Rd 1.6 mi r► 11. Turn right onto Lakeview Shores Loop 07 1* 12. Turn right onto 1456/Goathill Rd ® Destination will be on the right 07mi hnn�•/A.nuwnMnl� mr�hnsneMirf95 1;70'%GM An ASrUA7A11AA. -.fh11ND11 a\bwn Mg. ahl(`NAI ITIOT'75 9AA71 A7 -Afl AAr1A"17 ao/a�u mooresvme, norm i-araena [o I I / to 144 Loatnnl Na, mooresvlue, Nu eo I I ( - Uoogle maps Maps Mooresville, North Carolina 28117 to 144 Goathill Rd, Mooresville, NC 28117 Drive 10.6 miles,17 min nee tws rn e Ins- - / Lake Norman - H 1m° of Catawba -" Goa Road 105 _. ooresvllle, NC i -s 1179 tvsl r . 'tw. R17 min n - 10 6 miles nts 4q• I'S nn na Mt Mourne Trump National ® Golf Club Charlotte jnver ...___ G gl tn1 Map data C2020 1 mi Mooresville Take 1-77 S and NC-1100/Brawley School Rd to McKendree Rd K"--11w —i, m tmen,/AirHS 57071004.An J%A"A UU1AA,r—fhIll,QA ael— ... ill, 171^10; SR0.7W) An 141.11dm141Am/717mSHmd11 m711A-nn aFv%AAl-> ............ doW IM62 1 Iv Z4 an ol L **S� 01DIZU4V OPCONNECTGIS I'll•I i CYS ............. . 19, ry 160 3,9 1, t,onneett.7ib i-eature Kepon P �7 11qV -- — — — — — — — — —294 — — — 0 142 84 Feet S tMe maps prepared for this weWte are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information provided herein she legal responsibilities for any of the information contained on this site. Users are advised that the use of any of this Informations at their own risk. All maps on this site were prepared us 144 Goathiii Rd t oo rc