HomeMy WebLinkAbout20070856 Ver 2_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: * Richard Efird
Email: * richard.efird@gmail.com
Phone Number: (704)201-8619
(xxx)xxx-xxxx
Mailing Address:* Street Address
49303 Swift Water Road
Address Line 2
City
Albemarle
Postal / Zip Code
28001-7623
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:* (704)230-7297
(xxx)xxx-xxxx
Mailing Address:* Street Address
123 Professional Park Drive
Address Line 2
Unit 393 ..
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117-5524 US
A signed and dated copy of the Agent Authorization letter:*
sample agent Auth form.pdf 373.44KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Efird Stabilization Repair
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:*
35.296801
Street Address
49303 Swift Water Road
Address Line 2
City State / Province / Region
Albemarle NC
Postal / Zip Code Country
28001-7623 US
Longitude: *-80.092645
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*
Efird plan drawing.pdf
Efird Survey.pdf
Please use the diagram at the link below:
422.24KB
1.07MB
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.)
Efird picture.pdf 881.03KB
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: *
Directions to site: *
Albemarle
Stanly
Lake Tillery
Lake Tillery Estates/Lot #69/70/71
Include phase/lot number
Head southwest on S Church St toward W Stonewall St
1 min (0.3 mi)
Take NC-27 E to Lake Tillery Rd in Stanly County
1 hr 6 min (49.1 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/I-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/NC-73 W/E Main St
Continue to follow NC-24 E/NC-27 W/NC-73 W
5.8 mi
Follow Lake Tillery Rd to Swift Water Rd
4 min (1.2 mi)
Turn right onto Lake Tillery Rd
1.1 mi
Turn left onto Swift Water Rd
499 ft
49303 Swift Water Rd
Albemarle, NC 28001
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
0.17
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Repairing 6 ft x 4 ft within the wooden sea wall that was damaged by a
tree after a storm. Total shoreline length is 216 ft. Homeowner would only
like to repair the damaged portion. As of now materials can easily
continue to erode into the lake.
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.)
24
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.)
6
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:
Efird picture.pdf 881.03KB
Efird plan drawing.pdf 422.24KB
efird catawba buffer.pdf 563.77KB
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
a $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
• 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");
a 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: * Brittany Hepler
Signature:
Submittal Date: 6/6/2022
Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20070856 Version:* 2
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
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: �n/ j� ? �/
LOT NO. r�� I I PLAN NO. PARCEL ID: tL y� �L O J 3 011 S
STREET ADDRESS: LI(II/UJ
Please print: wr�`' • ��
Property Owner; (f/1"QI
Property Owner:
The undersigned, registered property owners of the above noted property, doohereby
authoriize
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(Contractor I Agen) (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 Owner's
OOww�ner's Adddrr'ess (iiff different
rth�rrann property
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Telephone: ' W I' 01a i
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
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Authorized Signatuff
Date: 1 G
Authorized Signature
Date:
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Proposed
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I, ROGELL E. HUNSUCKER CERTIFY THAT THIS
MAP WAS DRAWN UNDER MY SUPERVISION FROM AN
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ACTUAL FIELD SURVEY PERFORMED BY ME THAT
THE RATIO OF PRECISION AS COMPUTED BY
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NOTE: ALL DISTANCES SHOWN HEREON ARE
MEASURED HORIZONTAL DISTANCES IN FEET
UNLESS NOTED OTHERWISE.
NOTE: ALL LINES SHOWN HEREON ARE OLD
(EXISTING) PROPERTY LINES UNLESS
NOTED OTHERW1SE,
NOTE: THIS SURVEY IS SUBJECT TO ANY FACTS
THAT MAY BE DISCLOSED BY A FULL AND
ACCURATE TITLE SEARCH.
NOTE: THIS MAP OR DRAWING AND ANY
ACCOMPANYING DOCUMENT ARE FURNISHED
TO THE PERSON(S) NAMED THEREON AND IS
FOR THEIR EXCLUSIVE USE.
NO ALTERATIONS ARE PERMITTED BY
ANYONE UNLESS AUTHORIZED BY
ROGELL E. HUNSUCKER @ ASSOCIATES, INC.
THIS MAP IS NOT FOR RECORDATION.
DEED REFERENCES:
D.B. 632, P. 605 (LOT 69),
D.B. 1106. P. 712 (LOTS 70 8: 71)
P.B. 5, P. 109
CP&L ORAWNC NO. L-A-9109
FLOOD DETERMINATION SURVEY FOR
RICHARD D. EFIRD
and wife,
CARM P. EFW
S. ALBEMARLE TOWNSHIP, STANLY CO., N.C.
SCALE I"m 30'
19 DECEMBER 2006 FILE N0. 06374
ROGELL E. HUNSUCKER 8 ASSOCIATES. INC.
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Proposed
(Plan View)
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Ala r Level
7 1 1 T.
Shoreline
Ixl�
a.arn� � eX�-I geic
Saar Y1"
U
05-1'
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EXAM P E
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
�'+ uy� -f-r _
Project Name/address:12- )�� I I Z / Pdkco ty
Owner: S �lPrin[ S` ur?Contractor/agent: \� ,?Vr =`S.)t —
Print
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)]
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)]
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)]
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 026.0243(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 026.0243(5),(6)]
Acknowledgement�� �� of Notification
��✓lrV1I, ""'v` ' 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 a d Buffer Rules,the approved plan(s)and specification(s),and other supporting
materials. hi
Signature(owner): 1.?2 Date: 7 I i7I7f2—
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