The URL can be used to link to this page

Home My WebLink About20210901 Ver 1_Shoreline Stabilization_20210616Shoreline 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: Hardisonprefill.pdf 386.86KB Pre -fling Meeting or Request Date 5/5/2021 ID# 20210901 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 * kim@dockmastersonline.com Rease provide an email address for payrrent and requests for pore information here. Owner Information: Name:* Doug & Kelly Hardison Email: * kjhardison5@gmail.com Phone Number:* (540)446-8084 (xxx)xxx-xxxx Mailing Address:* Street Address 17099 Belle Isle Drive Address Line 2 Dumfries Rbstal / Zip Code 22026-3005 State / Bovine / Region VA Country US Is there an agent working on the project? * Agent/Consultant Information ....................................................................................................... Name:* Company Affiliation: * Email:* Phone Number:* Mailing Address:* • Yes ✓ No Kim Broome Dock Masters Marine Icim@dockmastersonline.com (803)831-1633 (xxx)m- Street Address 5850 Charlotte Hwy Address Line 2 City State / Province / Legion Clover SC Fbstal / Zip Code Country 29710 United Staes Asigned and dated copy of the Agent Authorization letter:* Hardisonagent.pdf 281.93KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* Hardison Shoreline If your project has a formal name please use this. If your project does not have 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 have 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.* ✓ Upload File ✓ Look up address Upload Map: Hardisonmap.pdf 152.2KB Latitude:* 35,174,172.000000 Longitude:* -81.045400 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* hardisonsurvey.pdf 522.12KB 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.)* hardisonriprap.pdf 485.14KB 4. Location of the property (where work is to be conducted) Nearest Town:* County:* Lake/ river/ ocean adjacent to property: Belmont Gaston Lake Wylie Subdivisions name or site address:* 7034 Lakeside Point Dr. Belmont, NC 28012 Include phase/lot nunber Directions to site:* SC274N pole branch rd and 279W to Woodland Bay continue to Lake Point Dr Rease include road narres and numbers, landmarks 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 0.856 acres Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Place Rip Rap along approx 150' of shoreline to aid in erosion control 8. How will the work be done?* r 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.) 450 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.) 600 square feet 11. 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) No trees will be removed unless undermined or 2" or less Sketch: Hardisonpic.pdf 517.08KB 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"); 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 • I intend to electronically sign and submit the Shoreline Stabilization online form. Full Name:* Signature: Kim Broome C-GiG t v e Initial Review Is this accepted into the review fr Yes 0 No process?* Project Number:* 20210901 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 PROPERTY LEGAL DESCRIPTION: LOT NO. aLD PLAN NO. PARCELD: \Q\--23 �I STREET ADDRESS : “" C 12\ Please print: Property Owner. Property Owner: \\ e--\\ The undersigned, registered property owners of the above noted property, do hereby authorize (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): Telephone: �4 --C± " ` 4, �r aco--\ce9 rifYvt We hereby certify the above information submitted in this application is true and accurate to the bestof our knowledge. / orize �/ Date: d l l L 7 Date: I1 q t9-4 7034 Lakeside Point Dr belmont nc - Bing Page 1 of 1 bing 7034 Lakeside Point Dr, Belmont, NC 28012 279 Location of where proposed work will be done 9 7034 Lakeside Point Dr, Belmont. NC 28012 South Fork Catawba River 4 Data from: Zillow - Redfin Realtor - GreatSchools 273 273 0 2321 TornTam. e OpenStreetMap file:///C:/Users/KIMBRO-1/AppData/Local/Ternp/Low/H23PMTYX.htm 5/5/2021 STATE OF NORTH CAROLINA GASTON COUNTY I certify that this map was drawn from on actual survey made under my supervision. i o,000,+ The unadjusted error of closure as calculated is 1'• Boundaries not surveyed if any, are noted. Deed descriptions are recorded in Book AS Page SHOWN Witness my hand and seal this_ day of LINE TABLE LINE LENGTH BEARING L3 23.50 S78'31'36'W L4 12.03 N79'44'35'W L5 9,87 N78'01'44'W L6 16.32 S76.31'43'1,/ L7 18.12 S67'12'08'W L8 16.51 S621.6'00'W L9 20,83 S85'15'31'W L10 32.89 S69'55'58'1./ CURVE CURVE Cl LENGT3TI LEGEND 39,15 , 20 Professions! Land Surveyor P ijHii1JS CHDRD 330DIST, AQ S69•fl1'11'W 39.12� r- f� D� V L (F) / . G�j1D� ?O 2 1o'E 95 5 �P� C.P. N� G4 - LPIN(F) LOT 27 PB 70, PG. 38 LINES SURVEYED LINES NOT SURVEYED — ALL CORNERS ARE AS NOTED 0 N.T.S. NOT TO SCALE C.P. CALCULATED POINT OVERHEAD UTILITY LINES u11uTY POLE METAL FENCE ---x—x--x—x—x—x— WOODEN FENCE —a— SEWER MANHOLE MANHOLE MBSL — MINIMUM UILDING SETBACK IJNE I.PIN(S) — IRON PIN SET LPIN(F) — IRON PIN FOUND I. — IRON CMF — CONCRETE MONUMENT(F) (F) FOUND (5) SET = _ LOT 26 PB 70, PG. 38 DB 4563, PG. 1296 AREA = 0.856 ACRES LPIN(F) LAKE \NI LIE. m z MAGNOLIA WAY LN. LAKESIDE PT. DR. SITE LOCATION MAP — NOT TO SCALE LOT 25 PB 70, PG. 38 �E �1 C.P. 4C.P. L3 LPIN(F) L9 BC.P. \ \ \ A \ \ 9-o-sr \ c \ c:P NOTES:' -SURVEY MADE USING EXISTING PHYSICAL EVIDENCE FOUND AT TIME OF SURVEY. SUBJECT PROPERTY MAY BE SUBJECT TO RECORDED OR UNRECORDED EASEMENTS, RIGHT—OF—WAYS, SETBACKS AND/OR orcmIrn, c rntrn l AUTC AinT cunvna GROUP,PLLC *LAND SURVEYING*LAND PLANNING 201 West Second Avenue Gostonio, NC 28052 Phone: 704-854-9328 * 704-884-9007 * Fax 704-854-9328 L7 4-7 60 30 r-� 0 I L ` 60 LG 120 SCALE IN FEET NC UCENSEUNDARY SURVEY & SITE PLAN OF 7034 LAKESIDE POINT DRIVE SCALE: 1" = 60' PROPERTY TO 8E ACQUIRED BY: SOUTH POINT TOWNSHIP - GASTON COUNTY, NC DATE: SPETEMBER 1, 2017 MAP RECORDED IN BOOK 70 AT PAGE 38 DEED RECORDED IN BOOK 4563 PAGE 1296 CADD # 8275HARDISON WORK ORDER # 8275 DRAWN BY: MLC TAX ID NO. 193271 Full Pond/ Normal Water Level ME WM UM Shoreline Plan View Lake (At Full Pond/ Normal Water Level) o2 vlot op Iifiltdir 1684-4gtit* fat irswou►lrrlr��,�i� A. WNW — Lake IAt Fug pond/ Normal Water Level} Full Pond/ Normal Water Level 2ft.x150f. add-ivwnat clearing if necessary Existing Dock 36ftx7ft 3fr x 150ft Belowftil pond/NWL r - - ma 4ftx150ft Above Lull pond/ NWI E AMPLE Plan View FORM: SSGP 09-2020 Page 4 of 6 (At Full Pond/ Normal Water Level) FORM: SSGP 09-2020 Page 5 of 6 Rule. 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. Signature Submittal Date 5/5/2021 DWR Pre -Filing Meeting Request Form 4N:1::N.1 En.iranostnret Quolffy ID#* Regional Office * Reviewer List* 20210901 Version * 1 Mooresville Regional Office - (704) 663-1699 Alan Johnson Pre -Filing Meeting Request submitted 5/512021 Contact Name * Kim Broome Contact Email Address* kim@dockmastersonline.com Project Name * Hardison Shoreline Project Owner* Doug & Kelly Hardison Project County* Gaston Owner Address: Street Address 17099 Belle Isle Drive Address Line 2 aly Slate 1 Rovuice 1 Region Dumfries VA Fbstal 1 Zsp Code Country 22026 Prince William County Is this a transportation project?* r` Yes r No Type(s) of approval sought from the DWR: I! 401 Water Quality Certification - f 401 Water Quality Certification - Regular Express I Individual Permit I— Modification FI Shoreline Stabilization Does this project have an existing project ID#? * rYes r No Do you know the name of the staff member you would like to request a meeting with? No Please give a brief project description below and include location information.* Place rip rap along approx 150' of shoreline to aid in erosion control located at 7034 Lakeside Point Dr in Belmont, NC 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