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HomeMy WebLinkAbout20210582 Ver 1_Shoreline Stabilization_20210420Shoreline Stabilization Application Form 15ANCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization FORM SSGP 10-2013 DRAFT -NOT FOR USE AT THIS TINE Submission 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 view the form. Attach documentation of Pre -Filing Meeting Request here: DWR Pre -Filing Meeting Request Form 56.1KB (44).pdf Pre -fling Meeting or Request Date 3/18/2021 ID# 20210582 I. Applicant Information [15A NCAC 02H .0502(a)] Version 1 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 * Owner Information: Name: * Email: * Phone Number:* Mailing Address:* sbmosteller@ic loud. com Rease provide an email address for payment and requests for more information here. Darren Z & Cathy 0 Hennings hcc@yadtel.net (336)464-5051 (xxx)xxx-xxxx Street Address 2505 Cycle Drive Address Line 2 City Lincolnton Rasta) / Zip Code 28092 State / R-ovince / Region North Carolina Country United States Is there an agent working on the project?* Agent/Consultant Information Name:* Company Affiliation:* Email: * Phone Number:* Mailing Address:* rr Yes r No Saundra B Mosteller Dale & Beth's Lake Use Permit Service sbmosteller@icloud.com (704)996-3245 ( )m- Street Address 988 Clear Creek Circle Address Line 2 City State / Province/ Region Lincolnton North Carolina Fbstal / Zip Code Country 28092 United States Asigned and dated copy of the Agent Authorization letter:* Agent Hennings.pdf Catawba Hennings.pdf Link to: Sample Agent Authorization Form 519KB 863.62KB Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* Hennings Kiser Island 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.* r Upload File F Look up address Property Address Lookup:* Latitude:* 35.567001 Street Address 4598 Kiser Island Road Address Line 2 aty State / R-ovince / Region Lake Norman of Catawba NC Fbstal / Zip Code Country 28682 US Longitude:* -80.965153 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* Plat Hennings.pdf 589.87KB vicinity.pdf 397.96KB drawing.pdf 93.35KB 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.)* pictures.pdf 1.69MB 4. Location of the property (where work is to be conducted) Nearest Town:* Terrell County:* Catawba Lake/ river/ ocean adjacent to Norman property: Subdivisions name or site address:* Lot 2 at 4496 Kiser Island Road, Terrell, NC 28682 hclude phase/lot number Directions to site:* from 526 South Church St Charlotte NC, get on 1-277 S, follow I-77 N to NC 150 W/W Plaza Dr in Mooresville, take exit 36 from I-77 N, continue on NC-150 W, drive to Kiser Island Rd in Lake Norman of Catawba Rease include road narres and nunt,ers, landnerks 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 0.52 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): adding rip rap to existing following the contour of the shoreline 8. How will the work be done?* rJ From Land 17 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.) 292.18 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.) 292.18 square feet 11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet landward to be impacted:* (nunter of trees, for instance) no tree removed 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 • $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"); o I 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:* BethMosteller Signature: Initial Review Is this accepted into the review fr Yes 0 No process?* Project Number:* 20210582 Select Reviewer:* Select Reviewing Office: Has payment been received?* What amount is owed?* Version:* 1 Alan Johnson:eads\adjohnsonl Mooresville Regional Office - (704) 663-1699 r No Payment Needed r Fee Received C' Need Fee - send electronic notification C' $240.00 r $570.00 AGENT AUTHORIZATION FORM [ROPERTY LEGAL DESCRIPTION: LOT NO. 2 PLAN NO. PARCEL ID: 461602576010 STREET ADDRESS: 4598 Kiser Island Road, Terrell, NC 28682 Please print: Property Owner: Darren Z & Cathy 0 F4nnings The undersigned, registered property owners of the above noted property, do hereby authorize Beth Mosteller , of Dale & Beth's Lake Use Permit Service (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 Owner's Address (if different than property above): 2505 Cycle Drive East Bend, NC 27018 Telephone: 336-464-5051 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authorized gnature 31111Z� 1.4/ Authorized nature CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address: 4598 Kiser Island Rd, Terrell, NC Owner: Darren Z H'nnin s Print. Cathy 0 Hnings Print Contractor/agent: The approval is fo application is a viol 02H .0506 and 15A Beth Mosteller Print Co �A ' I19J-. Q QD^. Signature the purpose and design described in your application. Impacts not indicated in the tion of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC CAC 02B .0243(8)] Trees are not allow d to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless approved. Exceptio , those trees that are severely undermined along the immediate shoreline can be removed. Minimal shaping an sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)] Benching, grading i the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)] Beaches, imperviou 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 t 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 f Notification e I, Darren Z & Cathy 0 Iinnings 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 uilt within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plan(s) a spec'fication(s), and other supporting materials. Signature (owner): Signature (owner): riN4 Date: � i /1-/ Date: "), 1/ 2-4 293 ft shoreline adding Class B rip rap to existing DWR Pre-Fil ing Meeting Req u est Form ID#*Ve rsion * Re gional Office * Re v ie we r List * Contact Name * Contact Email Addre ss * Proje ct Name * Proje ct Owne r * Proje ct County * Owne r Addre ss: Is this a transportation proje ct?* Type (s) of approv al sought from the DWR: Doe s this proje ct hav e an e xisting proje ct ID#?* Do you know the name of the staff me mbe r you would like to re que st a me e ting with? Ple ase giv e a brie f proje ct de scription be low and include location information.* Please give a couple of dates you are available for a meeting. 20210582 1 Mooresville Regional Office - (704) 663-1699 Alan Johnson Pre-Filing Me eting Reque st submitte d 3/18/2021 Saundra B Mosteller sbmosteller@icloud.com Hennings Darren Z & Cathy O Hennings Catawba City East Bend State / Province / Region North Carolina Postal / Zip Code 27018 Country United States Street Address 2505 Cycle Drive Address Line 2 Yes No 401 Water Quality Certification - Regular 401 Water Quality Certification - Express Individual Permit Modification Shoreline Stabilization Yes No add Class B rip rap to existing 293 ft of shoreline. Lot 2, address 4598 Kiser Island Road, Terrell, NC 28682 Ple ase attach the docume ntation you would like to hav e the me e ting about. Signature Submittal Date 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. · I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing meeting request. · I 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. 3/18/2021