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
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Page 1 of 3
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FORM: SSGP 02-2017 Page 2 of 2
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M AAING. LIVING. 111TER.
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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
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- - - - - - _ � �. �• �C..-Wes::=�= -
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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