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Home My WebLink About20220777 Ver 1_Shoreline Stabilization_20220609Shoreline 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 * brittany@lakelifepermits.com Please provide an email address for payment and requests for more information here. Pre -Filing Meeting Date Request was 6/6/2022 submitted on: * Owner Information: Name: * Melvin Cohoon Email: * melvincohoon@yahoo.com Phone Number: (910)331-0269 (xxx)xxx-xxxx Mailing Address:* Street Address 554 Fairway Shores Road Address Line 2 City Mt Gilead Postal / Zip Code 27306-9188 State / Province / Region NC Country US Is there an agent working on the project?* Yes No Agent/Consultant Information Name: * Brittany Hepler Company Affiliation: * Lake Life Permits Email:* brittany@lakelifepermits.com Phone Number:* Mailing Address:* (704)230-7297 (xxx)xxx-xxxx Street Address 123 Institute St Address Line 2 Unit 393 City State / Province / Region Mooresville NC Postal / Zip Code Country 28115 US A signed and dated copy of the Agent Authorization letter:* Cohoon Agent Auth Form.pdf 149.24KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name: * Cohoon Stabilization 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:* 35.229328 Street Address 554 Fairway Shores Road Address Line 2 City State / Province / Region Mt Gilead NC Postal / Zip Code Country 27306-9188 US Longitude: *-80.069055 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* Cohoon Plan Image 2 (1).pdf 154.7KB Cohoon Plan Image 2 (2).pdf 152.2KB 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.) Cohoon Plan Image 2 (1).pdf 154.7KB Cohoon Plan Image 2 (2).pdf 152.2KB 4. Location of the property (where work is to be conducted) Nearest Town: * County:* Lake/ river/ ocean adjacent to property: Subdivisions name or site address: * Mt. Gilead Montgomery Lake Tillery Fairway Shores/ Lot #1 Include phase/lot number Directions to site: * Head southwest on S Church St toward W Stonewall St 1 min (0.3 mi) Take NC-27 E to NC-73 in Montgomery County 1 hr 7 min (49.6 mi) Turn right at the 3rd cross street onto W Morehead St 89 ft Turn right onto the I-277/US-74 E ramp to I-77/1-85 0.5 mi Keep left and merge onto I-277 N/US-74 E 1.1 mi Keep right at the fork to continue on US-74 E, follow signs for NC-27 E/Independence Expy 2.0 mi Keep left to continue on US-74 E/E Independence Blvd/E Independence Expy 0.9 mi Keep left to continue on E Independence Blvd/E Independence Expy 0.8 mi Use the left 2 lanes to take exit 246 for NC-27 E/Albemarle Rd 0.4 mi Continue onto NC-27 E/Albemarle Rd Continue to follow NC-27 E Pass by Taco Bell (on the right in 37.5 mi) 37.6mi Turn right onto NC-24 E/NC-27 W/E Main St Continue to follow NC-24 E/NC-27 W 6.3 mi Take Lillys Bridge Rd to Fairway Shores Rd 8 min (6.0 mi) Turn right onto NC-73 1.1 mi Turn right onto Lillys Bridge Rd 4.4 mi Turn right onto Fairway Shores Rd 459 ft Turn left to stay on Fairway Shores Rd Destination will be on the left 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 0.26 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Replacing 65' of wooden seawall that is failing. The bank height is approximately 4' tall. The homeowner is requesting to remove 1 tree within the buffer that is in the way of access for the contractor to work on his pier and seawall. 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.) 260 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.) 65 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) Trees and bushes. 1 tree to be removed. Sketch: Cohoon Plan Image 2 (1).pdf 154.7KB Cohoon Plan Image 2 (2).pdf 152.2KB 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 o I intend to electronically sign and submit the Shoreline Stabilization online form. Full Name:* Signature: Submittal Date: Brittany Hepler 6/6/2022 Initial Review Is this accepted into the review process?* Yes No Project Number:* 20220777 Version:* 1 Select Reviewer: * Chad Turlington:eads\ccturlington Select Reviewing Office: Fayetteville Regional Office - (910) 433-3300 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 :alea Z--L c �7 :a1eq ainleu5iS pazijoylnd aanleuu5iS paziaoylnd �, �r •a6palmouN ino jo Isaq aul of aleinooe pue anal si uoile3ildde sayl ui palliwgns uoilewaoJui anoge ayI Agaaaq aM 20. 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SS 3 ft x 150 ft Below full pond/NW L �4441.1 �a�0w�". �iO Full Pond/Normal Water Level .� ,. r..�,, � � a. —�1�f.1^1r' r� "�_ � �alp w� ior�e ine 6= w00100 Riprap Above full�INwL dINCI w� addirional nearing •if necessary AMPLE AMPLE E , Plan View Le I Proposed (Side View) 14 ' 19 tioAi -tLoC t r A1201,vo_.-02S 1 � Sect vkeiwi .• °' TC •• .r� 16 cSL( Fcu Lae #� i cu < hety s Ed - (At Full Pond/ Nor al Wat i vel) = in_ 2 M-t- - 6-ii-eact fve, rt--T3c\./ 41pit — 0 5 t 2 ft.additional clearing I 3 ft.below full pond water level 4 ft above full pond water level •iE necessary I I I , eV 'e° Existing bank ,' , ,WO 10 ft.bank •'�// height • �'F' e !f"AM Side Vi Proposed (Plan View) Lake (At Full Pond/ Normal Water Level) r____F-3-(TEET47-----1______,Y uNi oc Full Pond/ Normal Water evel $ r 1r (6, r � ge(ow ___ d� ME lan- am'_..r " — " - lr l — r — r M.Shoreline 1 8 ll I . .\-.-1- 1?"' i xtor ____ -5-(.4 tcur,,,facv.., sj1 ert c act . vk Lake IAt Full Pond/Normal Water Levet) Existing Dock 30 ft x 7h ��r......:e.1,N. SS 3 ft x 150 ft Below full pond/NW L �4441.1 �a�0w�". �iO Full Pond/Normal Water Level .� ,. r..�,, � � a. —�1�f.1^1r' r� "�_ � �alp w� ior�e ine 6= w00100 Riprap Above full�INwL dINCI w� addirional nearing •if necessary AMPLE AMPLE E , Plan View Le I Proposed (Side View) 14 ' 19 tioAi -tLoC t r A1201,vo_.-02S 1 � Sect vkeiwi .• °' TC •• .r� 16 cSL( Fcu Lae #� i cu < hety s Ed - (At Full Pond/ Nor al Wat i vel) = in_ 2 M-t- - 6-ii-eact fve, rt--T3c\./ 41pit — 0 5 t 2 ft.additional clearing I 3 ft.below full pond water level 4 ft above full pond water level •iE necessary I I I , eV 'e° Existing bank ,' , ,WO 10 ft.bank •'�// height • �'F' e !f"AM Side Vi Proposed (Plan View) Lake (At Full Pond/ Normal Water Level) r____F-3-(TEET47-----1______,Y uNi oc Full Pond/ Normal Water evel $ r 1r (6, r � ge(ow ___ d� ME lan- am'_..r " — " - lr l — r — r M.Shoreline 1 8 ll I . .\-.-1- 1?"' i xtor ____ -5-(.4 tcur,,,facv.., sj1 ert c act . vk Lake IAt Full Pond/Normal Water Levet) Existing Dock 30 ft x 7h ��r......:e.1,N. SS 3 ft x 150 ft Below full pond/NW L �4441.1 �a�0w�". �iO Full Pond/Normal Water Level .� ,. r..�,, � � a. —�1�f.1^1r' r� "�_ � �alp w� ior�e ine 6= w00100 Riprap Above full�INwL dINCI w� addirional nearing •if necessary AMPLE AMPLE E , Plan View Le I Proposed (Side View) 14 ' 19 tioAi -tLoC t r A1201,vo_.-02S 1 � Sect vkeiwi .• °' TC •• .r� 16 cSL( Fcu Lae #� i cu < hety s Ed - (At Full Pond/ Nor al Wat i vel) = in_ 2 M-t- - 6-ii-eact fve, rt--T3c\./ 41pit — 0 5 t 2 ft.additional clearing I 3 ft.below full pond water level 4 ft above full pond water level •iE necessary I I I , eV 'e° Existing bank ,' , ,WO 10 ft.bank •'�// height • �'F' e !f"AM Side Vi