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Home My WebLink About20220821 Ver 1_Shoreline Stabilization_20220616Shoreline 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 6/15/2022 submitted on: * Owner Information: Name: * Perry Simpson Email: * psimp71@gmail.com Phone Number: (919)770-7359 (xxx)xxx-xxxx Mailing Address:* Street Address 198 Sugar Loaf Road Address Line 2 City Troy Postal / Zip Code 27371 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, LLC. 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:* Simpson Auth agent.pdf 448.88KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name: * Simpson Stabilization/Rip Rap 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:* 35.353000 Street Address 198 Sugar Loaf Road Address Line 2 City State / Province / Region Troy NC Postal / Zip Code Country 27371 US Longitude: *-80.063556 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* 198sugarloafsurvey (3).pdf 744.71KB Simpson plan.pdf 1.05MB 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.) perrysimpson pic 1.pdf 68.02KB perrysimpson pic 2.pdf perrysimpson pic 3.pdf 8.64MB 7.62MB 4. Location of the property (where work is to be conducted) Nearest Town: * Troy County: * Montgomery Lake/ river/ ocean adjacent to Lake Tillery property: Subdivisions name or site address: * Sugar Loaf Shores/ Lots 45-47 Include phase/lot number Directions to site: * 526 S Church St Charlotte, NC 28202 Head southwest on S Church St toward W Stonewall St 1 min (0.3 mi) Take NC-27 E to River Rd in Montgomery County l hr 8 min (50.5 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 7.2 mi Continue on River Rd. Drive to Sugar Loaf Dr 6 min (4.0 mi) Turn left onto River Rd 2.9 mi Turn left onto Sugar Loaf Rd 0.8 mi Sharp left onto Sugar Loaf Dr Destination will be on the right 0.3 mi 198 Sugar Loaf Rd Troy, NC 27371 These directions are for planning pur 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 0.81 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Homeowner is seeking permission to reinforce his shoreline. Adding more rip rap stone to 120' of his shoreline, in hopes to avoid any worsening erosion and loss of shoreline. 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.) 480 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.) 240 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) Looking at the shoreline to the right there are fallen trees lying over the current rip rap/lake, those trees will be removed. Please see pictures attached for reference. Sketch: perrysimpson pic 1.pdf perrysimpson pic 2.pdf perrysimpson pic 3.pdf Application Fee: 68.02KB 8.64MB 7.62MB 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: * Brittany Hepler Signature: Submittal Date: 6/15/2022 Initial Review Is this accepted into the review process?* Yes No Project Number:* 20220821 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 @ Need Fee - send electronic notification What amount is owed?* C• $240.00 C $570.00 SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. -(-4 1 PLAN NO. STREET ADDRESS: 100 �me,, Please print:w I Oil 1/VVo 1 �1 Property Owner; V PARCEL ID: (i0 430 (0-% 'SOS r Kai Property Owner: The undersigned, registered property owners oftheabove noted rproperty, ndo "hereb1yauthorize t� b r �r 1 l 11'>° — , of l .Yf . N-ie p..2i MA'f (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 Owner's Address (if different than property above): Telephone: "t� 1 1 7 1 'I We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authoriz"d Signature Date: (.07(417:2— Authorized Signature Date: Scanned with CamScanner SETBACKS, o FRONT= 30' A �' SIDE= 10' L7 REAR= 10' A U Q Z Z ®( � 1 N 04'13'05" E IRF 177.05' r_ _ I +/-1,308 Sq. Ft. DECK & BOAT HOUSE I IDECK WOODEN IW WALK "Lake Tillery" . +�11111111111111111111 IPIN I L IPF — REFERENCE: DEED BOOK 670 S 86'57' 18" E _-_- _ 197.47' _ _ SHED 670/589-591 0.81 ACRES RETAINING I WALL I AY I EXISTING DWELLING 28.7' I PAGE 589 IRF 0 GROUND COORDS, N:585,021.927' E11,682,979,671' IRF S 00'41'02" 3.02' 198 M❑NTG❑MERY 0 50 �C4 O9tk ea F d, SITE o¢ 0 u� VICINITY MAP y� NOT TO SCALE ADDRESS 198 SUGAR LOAF DRIVE No. 6588-10-25-8089 E SITE L❑CATI❑N OF SUGAR LOAF DRIVE LAKE TILLERY COUNTY 100 150 to N I `r N 00'02'14" W 2.9' IRF AARON J. McNEILL LAND SURVEYING 1147 UPPER ROAD SEAGROVE, NC. 27341 (910) 690-3305 NOTEiTHIS PLAT WAS NOT PREPARED FOR RECORDATION IN ACCORDANCE WITH 0547 30. THIS PLAT MAY NOT BE A CERTIFIED SURVEY AND HAS NOT BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS AND HAS NOT BEEN REVIEWED FOR COMPLIANCE — 197.31' _ J . N 86'59'3,8" IPF ��`� ��,�� .`�� /Nq',, i ,, ' lo'', _ '1�� _ `Q SEAL r = = _ € L-4224 .7 - - 0 = ''• %,y "" /'��A/��` 1,,,, ' SCALE 1"=50' WITH RECORDING REQUIREMENTS FOR PLATS. AARON J. 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