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HomeMy WebLinkAbout20220630 Ver 1_Shoreline Stabilization_20220505Shoreline Stabilization Application Form NORTH CAROLINA Environmental Quality 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization FORM: SSGP 10-2013 DRAFT -NOT FOR USE AT THIS TIME Submission Form 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 * office@marineconstructionllc.com Please provide an email address for payment and requests for more information here. Pre -Filing Meeting Date Request was 5/2/2022 submitted on: * Owner Information: Name: * Email: * Phone Number: Mailing Address: * Tom & Cheryl Broster tbroster123@gmail.com (859)608-3295 (xxx)xxx-xxxx Street Address 976 18th Avenue Circle Northwest Address Line 2 City State / Province / Region Hickory NC Postal / Zip Code Country 28601 United States Is there an agent working on the project?* Yes No Agent/Consultant Information Name: * Charlie Washburn Company Affiliation: * Marine Construction LLC Email: * office@marineconstructionllc.com Phone Number:* Mailing Address:* (828)495-3040 (xxx)xxx-xxxx Street Address PO Box 6400 Address Line 2 City State / Province / Region Hickory NC Postal / Zip Code Country 28603 United States A signed and dated copy of the Agent Authorization letter: * Tom & Cheryl Broster - Agent 293.66KB Authorization.pdf Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name: * Broster - Hickory 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: Tom & Cheryl Broster - Directions & GIS.pdf 1.79MB Latitude: * 35.766522 Longitude: *-81.355284 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* Tom & Cheryl Broster - Scope of Work.pdf 2.3MB 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.) Tom & Cheryl Broster - Property Picture, Buffer, Survey.pdf 2.23MB 4. Location of the property (where work is to be conducted) Nearest Town:* Hickory County: * Catawba Lake/ river/ ocean adjacent to Hickory property: Subdivisions name or site address: * Directions to site: * Le Pointe Subd, Lot # 8 Include phase/lot number Included above 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: * Included above Residential, undeveloped, etc. 6. Property Size 1.27 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Included above 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.) 590 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.) 590 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) Included above 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 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 a I intend to electronically sign and submit the Shoreline Stabilization online form. Full Name: * Charlie Washburn Signature: Submittal Date: 5/2/2022 Initial Review Is this accepted into the review process?* Yes No Project Number:* 20220630 Version:* 1 Select Reviewer: * Doug Perez:eads\djperez Select Reviewing Office: Mooresville Regional Office - (704) 663-1699 Has payment been received?* ( No Payment Needed C Fee Received C• Need Fee - send electronic notification What amount is owed?* C• $240.00 C $570.00 AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO: 8, Le Pointe Subd PLAN NO: PARCEL ID: 370417124141 STREET ADDRESS: sole, 976 18th Ave N W Hickory NC 28601 Please print: Property Owner: Tom Broster _ Property Owner: Cheryl Broster The undersigned, registered property owners of the above noted property, do hereby authorize Charlie Washburn , of Marine Construction LLC (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 Owners Address(if different than property above): same Telephone: 859-608-3259 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authorized Sign ure Authorized Signature Z, / t. /Z, Date Date catawba county Geospatial Real Estate Search MAKi ,„ �, ,N . , r� , Information Services At r4,0� 1,L iiitd ....„ 11110. ii\ .?V* ,,..4. oh, ill. ,4.. y,„ IN r \ ,8 THgV O. 4 6?H:S?. if - *.. .1: 441 I N I* hi 4114 Nr- ...,_______ , 1 1...1 fo, • 1.4 30.0 r ,,,, ,,,,,„ . .. • \ _ , , _., T..) ,,,,,,., , ,,, N 1 in=600ft w-+E Vs Parcel: 370417124141, 976 18TH AVE CIR NW HICKORY, 28601 Owners: BROSTER THOMAS L, BROSTER CHERYL L Owner Address: 3629 WINDING WOOD LN Values - Building(s): $581,000, Land: $412,800, Total: $993,800 This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 02/18/2022 b► bing maps A 1173 Shiloh Church Rd, Hickory, NC 28601 B 976 18th Avenue Circle NW, Hickory, NC 28601 Lig A 1173 Shiloh Church Rd, Hickory, NC 28601 I 1 Head southwest on Shiloh Church Rd toward Rosenbalm Ln 2. Turn right onto NC-127 / NC Highway 127 1* 3 Turn right onto 20th Ave NW 4 Turn right onto 2nd Street Dr NW r----1 5 Bear left onto 20th Avenue Dr NW _ _ m,„,_.__, _ ,.,,,,„ _ __,.._ ,,,,_, 5 6 Bear left onto 18th Avenue Dr NW 15 7 Bear left onto 18th Avenue Circle NW Arrive at 18th Avenue Circle NW 8 The last intersection before your destination is 9th Street Ct NW If you reach 18th Avenue Dr NW, you've gone too far B 976 18th Avenue Circle NW, Hickory, NC 28601 A 1173 Shiloh Church Rd, Hickory, NC 28601 B 976 18th Avenue Circle { ,, i Northlakes ,� LAKEL,A.N ?REST Hills .. Oliver's Goifeitlb I &Tavern %9 Ecrcax 2aS}rarx af° .",„ �. .. 0..L 'd r os twrn 0 t To ' 0 u' '4#' F. a These directions are subject to the Microsoft® Service Agreement and are for informational purposes only.No guarantee is made regarding their Construction projects,traffic,or other events may cause actual conditions to differ from these results.Map and traffic data©2022 TomTom. (ell-) 3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard stick, shovel handle, etc.) 4. Location of the property (where work is to be conducted) County: Catawba Nearest Town: Hickory Lake/ river/ocean adjacent to property: Lk Hickory Property size (acres): 1.27 acres Subdivision name �r��ddress (include phase/lot number): 976 18th Ave NW Hickory NC 28601- Le Pointe Subd, Lot# 8 7. Directions to site - please include road names and numbers, landmarks, etc.: Included in packet Latitude (in decimal degrees) 35.766522 Longitude (decimal degrees) -81.355284 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Residential/Developed 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): We plan to place riprap stone, via barge, along the shoreline to prevent further erosion. 7. Will work be conducted from land? From water? XX 8. Total amount of impacts below the normal pool lake level / Normal Water Level Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet: 5 9 0 5 v f f ( a,'r,7) Tempoory impacts in square feet: 5 0- 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land-ward Permanent impacts (including ba k fill, excavation, rip rap, retaining walls, etc.) in square feet: Temporary impacts(temporary clearing, construction corridor) in square feet: 0 5 .1/ ¢� 10. 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): O JA 5 co,. 4./ , 1 I �{ trwS$Y 7Ard • 11. Signat re Owner/Agent's Si nature' [15A NCAC 02H .0502(f)j Date *Agent's signature is valid only if an authorization letter from the owner is provided. FORM:SSGP 02-2017 Page 2 of 4 12. 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, docks, etc. e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation Lake (At Full Pond/Normal Water Level) i 21 C. k2. (3.e-; t 11,JL.j: .,/ iv;l P.o.d ire driavor i ."7orov V=Irajv11/V4.1SX"VA ~A j f f Full Pond Normal Water Levelr ( •laic.- lfori`oci,'',4, V` ,W r. y'— Shoreline +vti fvesd kl0 Ctt..af ,'" 1 i Plan View Lake a a0 , (At Full Pond/Numut Water Unreq Existing©ock 3fl fta7ti 3ftx15f)tt Full Pond/Norma!Water level . ,,,w,r„„,,, e ` horea�in ' 4ftz150ft Above full pond/NM. 2 ft.z 150 h. .K.Rx.X_prap ,� •. :. additional clearing....5r. •if necessary E %., „i . , Plan View L f FORM:SSGP 02-2017 Page 3 of 4 l ' ffsj\ii7Jr143 ii.ti i V" Lake : rArr,o,t4 T k1;yawl is'aic,i 'i' ,. C Side View u_ 3 ft.below full pond water level 4 ft.above full pond water level 2 ft.additionalif necessary clearing I I I S. a Existing bank gib ,' s qlklib s` si ue �L 4. t s St. .mac ', �� � d 10 ft.bank / Y,6 ,,;s A 1r f' ¢ height �% �i � �"o- r P 0 { p is IK x „v ,_ A s Side Viet FORM:SSGP 02-2017 Page 4 of 4 Tom -�- Ch?v I ry t� i S ! / �Poi +� y, f• 4_,...._ a,,-w...s. t. - .e r. r e... w ...,...,.:A. ,S R C' " - ,. s r Y'J yf ?4 .A(M .„.5i '. .f.,?, ` 06„ " ;v a .- /.ram 1 g $ + '*t -ter _ P, �� eta<di�� 4< � er w_ 4 ./ 3s Y. l � y l r .k ,;:i -1, r -- r M. II layl ... .. . .. _ _ . . .,t r ,• fig". •x- ,'"t wr '- » 4.: .:,�r .• max- v 4. S.' < a z f -�..� ,R �.1 � '� .ice � ', ` ` �- F( Yam? .d 4 4. 4' #nisi. `. • Jj a _- x;:. `�' Mtn; .�•-•*4, , -+, ty. • w.T- . .y 4 - a ,iP" i -, 7, • r r • g • .fir t• x'+q `, . G lne..rl ' • eK per.;,: :`, k f ,r f', i , Y` " ter_ ' • . • ' ' ;"---- - `--'Wr-',*.A4Vii-,s 1 '-'4.42,41t; •A'''' ''''. -C---; --••--.,1"-,-;-i -_--1-1,;-'\-: ;•:.;--- ;‘,-- .= I _ _--' rt 4 • p3Z CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address: Broster— Hickory County: Catawba Owner: Tom & Cher I Broster 19 Print Sign ure Contractor/agent: Charlie Washburn— Marine Construction LLC Print Signature The approval is for the purpose and design described in your application. Impacts not indicated in the application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC 02H .0506 and 15A NCAC 02B .0243(8)1 Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless approved. Exception,those trees that are severely undermined along the immediate shoreline can be removed. Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)1 Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B.0243 (6)] Beaches,impervious 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)1 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 at 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 of Notification We, Tom & Cheryl Broster , 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 built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules,the approved plan(s)and specification(s),and other supporting materials. 0XSignature (owner): au.A.4._____- Date: Z "L 1 -2-2-- LC)o u yg 3 =off z 40 1' N j�P a os ff x of \ o 'a. 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