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HomeMy WebLinkAbout20211367 Ver 1_Shoreline Stabilization_20210915Submission 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: 329RiverwoodDWQPreliminary30day.pdf 355.88KB Pre -fling Meeting or Request Date 7/14/2021 ID# Version 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 * mandyrenegarrealestate@gmail.com Rease provide an err -ail address for payment and requests for pure infornation here. Owner Information: Name: * Ryan Rosa Email: * Ryan@tinotile.com Phone Number:* (704)200-8818 (xxx)xxx-xxxx Mailing Address:* Street Address PO Box 1551 Address Line 2 City State / Frovince / Region Salisbury NC Fbstal / Zip Code Country 28145 United States Is there an agent working on the project? * Agent/Consultant Information ................................................................................................................. Name: Company Affiliation:* Email: Phone Number:* Mailing Address:* F Yes r No Mandy Renegar Renegar Construction mandyrenegarrealestate@gmaiL com (828)781-1562 (XXX)XXX-XXXX Address 6026 Hwy 150 East Address Line 2 City Denver Fbstal / Zip Code 28037 Asigned and dated copyof the Agent Authorization letter:* 329RiverwoodRosaAgentform.pdf 253.02KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* Rosa Wall State / Province / Fbgion NC Country United States If your project has a formal name please use this. If your project does not hake 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.* r Upload File r Lookup address Property Address Lookup:* Street Address 329 Riverwood Road Address Line 2 City Mooresville Fbstal / Zip Code 28117-8896 Latitude:* 35.591435 State / Province / Region NC Country US Longitude:*-80.915956 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* 329RiverwoodSitePlan.pdf 458.67KB 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.)* 329Riverwooddirections.pdf 192.28KB RosaPic.pdf 838.01KB 4. Location of the property (where work is to be conducted) Nearest Town:* Mooresville County:* Iredell Lake/ river/ ocean adjacent to Norman property: Subdivisions name or site address:* Crescent Lot 84 Include phase/lot nunber Directions to site:* See attached with photos Rease include road nacres and nunbers, 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 .83 acres Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Build new wooden seawall to prevent shoreline from eroding into lake 240 ft long 8. How will the work be done?* V From Land IJ From Water 9. Total amount of disturbance below the normal pool lake level/ normal water level:* (including all clearing, backfill, excavation, rip rap, retaining walls, etc.) 420 sq ft 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.) 140 sq ft 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) none Sketch: 329RiverwoodSketch.pdf 1.09MB 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): 0 $240.00 for impacts to lake (below normal water level) of less than 1 acre 0 $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:* Ryan Rosa Signature: 1�1,314 i?45c Submittal Date: 9/14/2021 Initial Review Is this accepted into the review process?* Project Number:* 20211367 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 Please note that multiple forms may be necessary if there are more than two owners of the PROPERTY LEGAL DESCRIPTION: STREET ADDRESS OF EXISTING HOME or LATITUDE/LONGITUDE OF NEW CONSTRUCTION: Parcel ID: ` 3-7o5;aS-1(o, boo Property Owner Name(s) —please print: Property Owner: (j Lr� 'A. Property Owner: ; I: The undersigned, registered property owners of the above notedproperty,do hereb authorize y 1 CA , of C �6 { ntractorfAgent) Name cocompany) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of tl Permit or certification and any and all standard and special conditions attached. Owners Mailing Address (if different than property address above): /) a — — . 1) Property Owner(s) Telephone: We hereby certify that the above information submitted in this application is true and accurate to best of our knowledge. uthorized gn ore uthoiized sigJawle Date Date I,V bing maps A Mooresville, NC 21 min, 7.1 miles B 329 Riverwood Rd, Mooresville, NC 28117 Light traffic Via NC-150, McCrary Rd ' Local roads A Mooresville, NC 1 1 Head northwest on W McLelland Ave toward S Academy St 0.9 mi <1 Turn left onto NC- 1 So / E Plaza Dr Pass Cook -out in 1.6 mi 4.8 mi *1 3. Turn left onto McCrary Rd 1.0 mi 4. Turn right onto Riverwood Rd (11.5 mi Arrive at Riverwood Rd The last intersection before your destination is Revere Dr 329 Riverwood Rd, Mooresville, NC 28117 These directions are subject to the Microscfts Service Agreement and are for informational purposes only. No guarantee is made regarding their completeness or accuracy. Construction projects, traffic, or other events may cause actual conditions to differ from these results Map and traffic data 0 2021 TomTom. Contact Name * Contact Email Address Project Owner* Project Name * Project County* Owner Address:' Is this a transportation project?* Mandy Renegar mandyrenegarrealestate@gmaii.com Linda Rosa Revoc Trust Rosa Shoreline Iredell Street Address PO Box 1551 Address line 2 city Salisbury Fbstal / Zip Code 28145 r Yes (-_ No Types) of approval sought from the DWR: F 401 Water Quality Certification - J— 401 Water Quality Certification - Regular Express W Individual Permit f-" Modification 17 Shoreline Stabilization Does this project have an existing project lD#?* r Yes r No State I Ravine / NC Cdru" United States Do you know the name of the staff member you would like to request a meeting with? Alan Johnson Please give a brief project description below and include location information.* Replace existing wooden wall with newwooden wall Property Address; 329 Riverwood Rd PIN: 4637052596,000 Iredell County Lot 84 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 �' 01 Certification Rule. • I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -fling 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 `,M-aI� 5 6 �'Iiflt- Submittal Date 7/14/2021 State of North Carolina Department of Environment and !Natural Resources Division of Water Resources -_.:_... 15A NCAC0 zH .0500 — Water Quality certification, Shoreline Stabilization 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 Full 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, dock, etc. e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation l=ulf Pond/ lor Plan View FORM: SSGP 02-2017 r La ke i'At Fuil Pond{ Nosy aj Water Level) CC-,e 55 V . Pagel of 3 If .01b L*� Lk00 r F;,il PG"d/ fiOrI1,121 Water Level) �l C Side' iew 0- Fuff P% Normal Waczr _ _• RSFiu�e�ime . 2Rx75ot x3Jic's. a€a-,6. :F narssarF Lake fAr FO Aznrf u.:m 1•r,,,=er L:J Existing Dock 3 fFx]ioft bzbv. Iu11 ppn^„f Olbvl Fba`.'e'I" F:i(V WIL Flan VIEW FORM: SSGF 02-2017 2 of 3 r d ll Cot `:.. Property Data parcel Number: 46 ;70525 6 OW Inquiry Date: 81130j20" Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not certify the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping data herein, or for their use or interpretation by the User. e Tax Account Number: 77434731 Old Parcel Number: 1702P03o00A084 Owner Name: ROSA LINDA C REVOC TR Mailing Address: p O BOX 1551 SALISBURY NC 28145 Property Location: RIVERWOOD RD Lot Number: 84 Legal Description: CRESCENT LAND+71MBFR CORD SIo Pa15-10 ;.tg�,�l :t�:t�sr r�aa i:aoda Township Code: 17 City Code: 00 Neighborhood Code: 17228 Current Year Property Record Card (PRC). Building Value: 19490 Other Building Features 26650 Land Value: 350000 Tax Assessed Value: 396140 Deferred: o Land info;niatioo - Register of Deeds Online Search 330 - • 9, 3'34 • Iredell Printed A igust 30, 2021 See Belo for Disclaimer v 345 85 5+y s l NKA 83 .I fa 4 W fr I rf 60 eet The maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the informah provided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use any of this information is at their own risk. All maps on this site were prepared using a 10005f— Grid based upon the North Carolina State Plane Coordinate System frc he 1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon ffirial notice of tax liens. For additional 'information regardingrLgarding deiin uent taxes, contact the Iredell County Tax Collector's Office. A&CONNE,CTGIS Iredell Printed August 30, 2021 See Below for Disclaimer 4 r a W T : 60 Feet he maps prepared for this website are generated from recorded deeds, plats, and other public retards. Users of these maps are hereby notified that the informati rovided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use ny of this information is at their own risk. All maps on this site were prepared using a 10005E- Grid based upon the North Carolina State Plane Coordinate System frc ie 1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to he used or relied upon ffirial notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell CountyTax Collector's Office.