HomeMy WebLinkAbout20201158 Ver 1_Shoreline Stabilization_20200904State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
Division of Water 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 RECEIVED
1617 Mail Service Center
Raleigh, NC 27699-1617 S E P 0 4 2020
I. Applicant Information [15A NCAC 02H .0502(a)1 NCDEQ/DWR/NPDES
1. Owner Information
Name: Troy & Jennifer Ingham
Mailing Address: 4349 Tree Haven Dr. NE
Atlanta, Georgia 30342
Telephone Number: (404) 416-9360 Fax Number:
E-mail Address: jtingham@yahoo.com / troyingham@gmail.com
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
httr)://www.saw.usace.armv.mil/Portals/59/docs/reeuIatorv/reedocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Person to receive the Certification Approval:
Fax Number:
II. Project Information [15A NCAC 02H .0502(a) & (b)1
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: Jackson
Nearest Town: Glenville
Subdivision name or site address (include phase/lot number): Lot 15, Buck Knob Island
Directions to site - please include road names and numbers, landmarks, etc.:
From Cashiers, NC - Take NC-107 North for 5.7 miles. Turn left onto Glenville School Road.
Follow Glenville School Road for 0.3 miles until gate entrance of Buck Knob Island.
Latitude (in decimal degrees) 35.165938 Longitude (decimal degrees)-83.140110
5. Describe the existing land use or condition of the site at the time of this application
1.1
7
(residential, undeveloped, etc.): undeveloped
Property size (acres): 0.85 acres
Lake/ river/ ocean adjacent to property: Glenville
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): We will stabilize all shoreline erosion by installing
rip -rap and a nature stone seawall.
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:
Limited to only the 168 feet of shoreline stabilization.
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: Limited to only the 168 feet of shoreline stabilization.
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): Limited to the few trees
impacted by above reference seawall (see photos). No other vegetation will be removed.
ZL�l
Owner/Age n 's Signature` [15A NCAC 02H .0502(f)1 Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3
La ke
(At Full Pond/Normal Water Level)
Full Pond/
Normal Water Level
T����
Shoreline
N a . St Sc.'
WcUk
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Ctz
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
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