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HomeMy WebLinkAbout20211604 Ver 1_Shoreline Stabilization_20211104Submission 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: Little prefile.pdf 528.45KB Pre -fling Meeting or Request Date 10/19/2021 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* carissa@bennickgrading.com Please provide an email address for payment and requests for more information here. Owner Information: Name: * Don & Karen Little Email: * klittlebusiness@outlook.com Phone Number: * (325)669-9951 (xxx)xxx-xxxx Mailing Address:* Street Address 3652 N Powerhouse Rd Address Line 2 City State / Province / Region Morganton NC Postal / Zip Code Country 28655 Us Is there an agent working on the project?* Yes No Agent/Consultant Information ................................................................................................... Name: * Company Affiliation: Email: * Phone Number: Mailing Address:* Carissa Parker Bennick Enterprises carissa@bennickgrading.com (828)659-1000 (xxx)xxx-xxxx Street Address 7836 US Hwy 70 E Address Line 2 City Nebo Postal / Zip Code 28761 A signed and dated copy of the Agent Authorization letter: auth.pdf 218.1KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name: * Beach Club 2 State / Province / Region NC Country US 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 Property Address Lookup: * Latitude: * 35.727547 Street Address 3652 North Powerhouse Road Address Line 2 City Morganton Postal / Zip Code 28655 State / Province / Region NC Country US Longitude: *-81.855505 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* site plan.pdf 366.19KB plat.pdf 798.96KB Please use the diagram at the link below: https:Hedocs.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.)* Little pic.pdf 2.64MB 4. Location of the property (where work is to be conducted) Nearest Town: * Morganton County: * Burke Lake/ river/ ocean adjacent to Lake James property: Subdivisions name or site address:* Beach Club at Lake James lot 2 3652 N Powerhouse Rd Include phase/lot number Directions to site: * Hwy 126 to Powerhouse Rd to property Please include road names 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 2.3 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): 245' shoreline stabilization by barge. height will be 7' 8. How will the work be done?* From Land 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.) 245 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.) 1470 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) 8 TREES LESS THAN 6" AND 4 TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJECT. THEY WILL BE REPLACED INCH FOR INCH, WITH TREES TOTALING THE SAME DIAMETER. ANY REMAINING DISTURBED AREA WILL HAVE MULCH APPLIED TO IT 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): 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:* Carissa Parker Signature: �irQ�-ISS,# Submittal Date: 11 '4/2021 Initial Review Is this accepted into the review process?* Yes No Project Number:* 20211604 Version: * Select Reviewer:* Select Reviewing Office: Has payment been received?* What amount is owed?* Mitchell Anderson:eads\mlanderson Asheville Regional Office - (828) 296-4500 No Payment Needed Fee Received • Need Fee - send electronic notification • $240.00 $570.00