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HomeMy WebLinkAbout20201571 Ver 1_Shoreline Stabilization_20201207Submission Form Pre -Filing Meeting Information Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying authority at least 30 days prior to submitting the certification request. Click here to read more information on when this form is needed prior to application submission or here to viewthe form. Attach documentation of Pre -Filing Meeting Request here: Caldwell Pre -Filing Meeting Request Form.pdf 51.64KB Pre -fling Meeting or Request Date 10/23/2020 ID# 20201571 Version 1 I. Applicant Information [15A NCAC 02H .0502(a)] Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered. Primary Contact Email * donna. lancasterdocks@gmail.com Rease provide an err -ail address for payrrent and requests for pure infornation here. Owner Information: Name:* Beverly Caldwell Email: * bcaldwe11203ggmail.com Phone Number:* (828)461-0173 (xxx)xxx-xxxx Mailing Address:* Street Address 3763 Landmark Drive Address Line 2 City State / Frovince / Region Sherrills Ford NC Postal / Zip Code Country 28673 US Is there an agent working on the r Yes project?* r No Agent/Consultant Information Name:* DonnaP. Hrko Company Affiliation: * Lancaster Custom Dock and Lift Systems, Inc. Email:* donna. lancasterdocks@gmaiLcorn Phone Number:* (304)629-6096 (XXX)XXX-XXXX Address:* Street Address 1156 Perth Road Address Line 2 City State / Province / Region Troutman North Carolina Fbstal / Zip Code Country 28166 US Asigned and dated copy of the Agent Authorization letter:* Beverly Caldwell Signed Agent Authorization 210KB Form.pdf Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] ....................................................................................................................................................................................... Project Name:* Caldwell Shoreline Repair and Refresh If your project has a formal name please use this. If your project does not haw a formal name, please identify your project by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any other names that haee been used to identify the project in the past. 1. Provide 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. f Upload File r Lookup address Property Address Lookup:* Street Address 3763 Landmark Drive Address Line 2 City Sherrills Ford Fbstal / Zip Code 28673 Latitude:* 35.588779 State / Province / Fbgion NC Country US Longitude:*-81.013305 2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram under section 12.normal pool lake level/normal water level* Caldwell Shoreline Repair and Refresh Sketch 1.28MB of Work and Info Packet.pdf Please use the diagram at the link below: https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.docx 3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard stick, shovel handle, etc.)* Caldwell Shoreline Photos 3763 Landmark 1.89MB Drive Sherrills Ford, NC.pdf 4. Location of the property (where work is to be conducted) Nearest Town:* Sherrills Ford County:* Catawba Lake/ river/ ocean adjacent to Norman property: Subdivisions name or site address:* Lot 1 Gabriel J. Little Property 3763 Landmark Drive Sherrills Ford, NC 28673 hclude phase/lot nun ber Directions to site:* NC-150 WB thru Sherrills Ford, Right onto Little Mountain Road, Right onto Landmark Drive, Property is on the right. Take 1st Entrance onto Landmark Drive and property will be on right. If taking the second entrance to Landmark Drive, property will be on the left. Rease include road narres and nunbers, landr arks etc. 5. Describe the existing land use or condition of the site at the time of this application:* Residential Residential, undeveloped, etc. 6. Property Size .438 Acres Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Stabilize and reinforce existing block wall by adding Class A Rock and filling gaps with gravel and rock. Remove existing boat ramp and stabilize area with geotech fabric and Class A Rock. 8. How will the work be done?* m From Land V From Water 9. Total amount of disturbance below the normal pool lake level/ normal water level:* (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) 612 sf square feet 10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet land -ward:* (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) 560 sf square feet 11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet landward to be impacted:* (nunber of trees, for instance) None Sketch: Application Fee: Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The application fee is as follows (pursuant to G.S. 143-215.3D): o $240.00 for impacts to lake (below normal water level) of less than 1 acre o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre By digitally signing below, I certify that: o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time. o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act'); o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act'); 0 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND o I intend to electronically sign and submit the Shoreline Stabilization online form. Full Name:* DonnaP. Hrko Signature:}}7 Initial Review Is this accepted into the review process?* Project Number:* 20201571 Select Reviewer:* Select Reviewing Office Has payment been received?* What amount is owed?* rYes allo Version:* 1 Alan Johnsomeads\adjohnsonl Mooresville Regional Office - (704) 663-1699 r No Payment Needed r Fee Received r Need Fee - send electronic notification r $240.00 f $570.00 AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO: 1 STREET ADDRESS: 3763 LANDMARK DRIVE SHERRILLS FORD 28673 Please print: Property Owner: Property Owner: PLAN NO: BEVERLY CALDWELL PARCEL ID: 460701154279 The undersigned, registered property owners of the above noted property, do herebyauthorize DONNA P HRKO of LANCASTER'S CUSTOM DOCK & LIFT SYSTEMS, INC. (Contractor/Agent) (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 Owners Address (if different than property above): Telephone: 828-461-0173 We hereby certify the above information submitted in this application is true and accurate tothe best of our knowledge. zie44" nU�� Authorized Signahlyr Authorized Signature 11-20-2020 Date Date CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address: W r lir County: -r, . 37k 3 LC.u-a"10J_ K r, 5 y7P j17 1 �9 C. 10 Owner: U Cv Pri Contractor/agent: Print Signature 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 02B .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. [15A 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 I, �exl 1 JW e I 1 - hereby state that I have been informed of the Catawba Riparian Buffer Rue. 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) and specification(s), and other supporting materials. Signature (owner): Date: 11~ U' D ray N, State of North Carolina Department of Environment and Natural Resources Division of Water Resources Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization ENVIRONMENTAL QUALITY FORM: SSGP 02-2017 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 FuH 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 Full Pond/ Normal Water Le Shoreline Plan view FORM: SSGP 02-2017 Full Pond/ Normal Water Lev 7rorerine 2 fi.x 150 R. addinanaickann� a —mry La ke (At Full Pond/ Normal Water Levely r h L L D� 10, X Lake iAt FO Puna/ Normal 1%Ic, Le p) Existing Dock /30 fix7 ft r.0-2.� a.�.��� ��� ZZU A B ILI JA "ik = XiS��all Page 1 of 3 Plan View 0) N La ke u (At Full Pond/ Normal Water Level) Cl�s� 7 2� bo.cVi�II a5neet-AeA \rf 1 + Ccra-NeI q ►"OCK FORM: SSGP 02-2017 Page 2 of 2 Q i % cot HII3IS sssd - twos DrxdvdD 021 QB of 0 01F dY11 A,L]NI�IA ' NNWONI ie0f rdMNMYND SWAB 'ANnS '0114 3Sl A3gns OyQ TYNOI5s3doNd Z9Ll • 'OzOZ aY ' I]l 30 Aya H161 sIHL 7y3s aW �;'Asuw 1i wpm N3eWnN NOLLYtl13iO3tl '3NrILVNDS TIUSIN0 AM SONNM '0 - l ��x�rezroia �J I 13l SY Ol SO HIIM 30Nvilli y '+DOOOI�I T� C NI 031:il SVM IY7d SIH1 1YH1 5033'JM3 a3!.Y!na(WJ SY N015!03E1d !0 Olin 3HL 1YH1 (Dd ' 9d)(Y9t Dd LCYt ea) NOISNll All Ill 30VR Aa MnS WPXW NY MOB! 1MR41a sYM Lyld sl 0% Ad1143 AWOd 'D all 'I ... 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LIVING. 111TER. N 1 in w�E =60ft s Parcel: 460701154279, 3763 LANDMARK DR SHERRILLS FORD, 28673 Owners: CALDWELL BEVERLY CALE, Owner Address: 3763 LANDMARK DR Values - Building(s}: $243,400, Land: $98,500, Total: $341,900 This maplreport product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liabie for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this maplreport product or the use thereof by any person or entity. Copyright 2020 Catawba County NC 11/30/2020 � ^r -' - - - - - - _ � �. �• �C..-Wes::=�= - i, ^.r 0 ID#* 20201571 Version* 1 Regional Office * Mooresville Regional Office - (704) 663-1699 Reviewer List* Alan Johnson Pre -Filing Meeting Request submitted 10/23/2020 Contact Name* Donna P. Hrko Contact Email Address* donna. lancasterdocks@gmail.com Project Name* Caldwell Shoreline Repair and Refresh Project Owner* Beverly Caldwell Project County* Catawba Owner Address: Street Address 3763 Landmark Drive Address Line 2 aty State / Province / Pegion Sherrills Ford NC Postal / Zip axle Country 28117 United States Is this a transportation project?* r Yes (' No Type(s) of approval sought from the DWR: F 401 Water Quality Certification - F 401 Water Quality Certification - Regular Express F- Individual Permit F- Modification W Shoreline Stabilization Does this project have an existing project ID#?* C Yes (-- No Do you know the name of the staff member you would like to request a meeting with? Please give a brief project description below.* Stabilize and reinforce e)asting block wall with Class A Hammer Rock and gravel. Remove e)asting boat ramp and stabilized shoreline with geotech fabric and Class A Hammer Rock. Please give a couple of dates you are available for a meeting. Please attach the documentation you would like to have the meeting about. pdf only By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section 401 Certification Rule the following statements: This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification Rule. 1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing meeting request. 1 also understand that DWR is not required to respond or grant the meeting request. Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an application. Signature Submittal Date 10/23/2020