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
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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
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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
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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.