HomeMy WebLinkAbout20220903 Ver 1_Shoreline Stabilization_20220705 <,STAFE
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ROY COOPER _ ,6
Governor _ --
MICHAEL S.REGAN
Secretary *ft '
S.DANIEL SMITH NORTH CAROLINA State of North Carolina
Director Environmental Quality
Department of Environment Quality
Division of Water Resources
15A NCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
FORM: SSGP 09-2020
Shoreline Stabilization Application Form
Three copies of the application (including attachments)and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski Paul Wojoski
DWR—401 & Buffer Permitting Branch DWR—401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
NOTE: 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)which states "At least 30
days prior to submitting a certification request,the project proponent shall request a pre-filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must 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 to this application.
Date of Pre-filing Meeting Request: / / (required) RECEIVED
DWR ID# Version (if applicable) JUN — 5 2022
DEQ-WATER RESOURCES
401 &BUFFER PERMITTING
A. Applicant Information [15A NCAC 02H .0502(a)1
1. Owner Information
Name: 6(.11 ( Bost
Mailing Address: 'f454 Pov/r-/ Dr.
5lnerrktls P4 / 'tic: 2$c73
Telephone Number: 70'i q66 - 40-11 Fax Number:
E-mail Address: L•ik - r~4x-1-,oA 6l irk ael.cob,
DE
p North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center 1 Raleigh,North Carolina 27699-1617
NORTH CAROL INA v//
o.paumewe. twee, 919.707.9000
2. Agent/Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: Vc4A3lin rnyew fr
Company Affiliation: L.qKG Norrien IOeraqH-ly
Mailing Address: (ifY`t W-rtt Val* ("tic
2-gb Oct
Telephone Number: TOH_qp2--3Z$O Fax Number:
E-mail Address: Ua(,( ti,, 1442-el5/`tai't.ca/'Th
B. Project Information [15A NCAC 02H .0502(a) &(b)1
1. Attach 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.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation
or dredging below Full Pond/ Normal Water Level elevations, and construction access
corridors. You may use the diagram provided at the end of this application form.
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: Co, tv 60( Nearest Town: 5JcrrYIIS f=
Lake/ river/ocean adjacent to property: GmGcc Norman
Property size (acres): 0,qc(
Subdivision name or site address (include phase/lot number): ®• Re, -Viva) r re51-
L F -7
Directions to site - please include road names and numbers, landmarks, etc.: Fro,' µ. ,{Sp
f v rh d d 0 lPo,,zer Of.
Latitude (in decimal degrees) 3S 571�g Longitude (decimal degrees) 'g O12 36
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): (1.S;of e,t'i I
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): i4a44+-en44ce 61- ex,sfing 6kone1 ,t 4 -coifra l
emsinh
FORM:SSGP 09-2020 Page 2 of 5
7. Will work be conducted from land? n From water? [-V{
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:
10�
Temporary impacts in square feet:
0
9. Total amount of impacts above the normal pool lake level/Normal Water Level and 50 feet
land-ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
/00
Temporary impacts (temporary clearing, construction corridor) in square feet:
0
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): LAY }�
L Aii -! ‘41001cJ
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• 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
oz.
Owner/Agent's Signature' [15A NCAC 02H .0502(f)1 Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
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
FORM:SSGP 09-2020 Page 3 of 5
Lake
(At Full Pond/NoimaI Water LF'ael l
PF,-&-;n9
poor,
Fulfil Pond/ Normal Water Level Qgcy g6`a . a.rsag ?�j e,-;4-'s
RP(4? 2-44-
Liar , .6
Shoreline C Crd �4 o �>. E �,� P r.0 2pv. ( va-
PIan View
Lake
(At Full Pend no,m i Water ieselk Existing Dock
30 1.7ft
aft x156Ae
• Beioarfull pond,WW1
Full Pond/Normal Water Levu •
1 OM horerne skx�s tz
addNmn lamas;
•f nece<saa,
E AMPLE
Plan View
FORM: SSGP 09-2020 Page 4 of 5
Vr Cets,✓ F Y 15t4
(v4 ?off F,�u i "d
Warr
Lake
(At Full Pond/Normal Water Level
cal
Side View 2
3 ft.below ful pond water lee�el 4ft.abaege lull pctrd aaten IeseB ft.additcmalclearing
II "if necessary '
Existing bank '11
41)041'�r
vflloft bark b.�height �� ��e
SS cQQ
raja " I PI°
Side Viof
r
FORM:SSGP 09-2020 Page 5 of 5
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: $, ((y (2-47St Sivrr,'Mt. Shbi It2a��{^: County: Ca#CCU✓bq
/� L • dS� %'CJ�area.4.
Owner: �J . � _
Print Signature
Contractor/agent: 1/a(511n thread— /14/32`' 41-40--
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)]
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 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)]
Acknowledg men f tification
I, , 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.
Signature(owner): � ' Date: 64 1 /Z�
comas. ma. Woodrow Beam d Paaaeth Beam
Nnuntala Crook Township
Catawba Coasty. North Carolina
Sikh OF NONTB C DOLI i1
COUNTY OF C►T/WBl
The udereigned arreyor, Doing duly sworn, deposes and eggs
that tie plat upon edged thin cartifient* sppeers is !a all respects
oorr..t ..cording to the beat of his knorledga aui belief and was
pre tree a partial surrey made by aim on the � day of
1_7� Msp was revised and eompleted by gm from a map
furai ed by the owners of thin lend. Reference map nes been
previously recorded in Cat/gabs County Registry under the tome of
I. L. 11111 Subdtvislon-•lake City accorgins to toe owners.
/iZ QQ/
1 855 1.8i.t.r.d Surveyor
Rt.F 5. Lineolnton, N.C. ?iO91
'J'Ot7 f4✓.ID 91..4Ckla i1t tal1, th.�e instrument
der or% r. li lot with the ifinete r weeorded.
ISMS/ 1)
Clerk Superior Court
DUKE POWER CO. PROP
y11cc for regiat ties/ et /a5 • �, rrf Cain the //
:-,
1 ♦O /fj8 and recorded
I'e: :E Pajed,il
register of Deeds
°.MEP CO, Pv,t?
SCALE,OM£ INCH=100FEET
0 50 100
200
OIRONS AT ALL WRN4fla
13CEMENT MARKERS
1 1
300
d0C
<t te
tPf pf
14-0110\
_.,,nRES� LLf
*WA ALL NEN BY fISOI PRL'1NTS, that we Wr.. WoodrarBeam and
Mato Seam hereby certify that _gL are t e owner. of tna property
•deem on tnle plat. that _12_ hereby acknowledge tale plat end allotment
to be our tree act and do hereby dedloste to public use all streets.
allege. meat& end other public area. shown on this plat. We further
earthy that peps Ness (surveyor) .ure.yed and sada Chi. plat st
her direetioe. and that the entire abdivi.ion is within the boundaries
et a tweet .oO•eyed to us by a deed resorted in Deed Book
Aso .Oetavb. County $Sgiatry.
SNBBCRIBED VD 3001 TO /AFORE Mk, tog: the Q day off i
, t.
Ny cork:am Eq+o; Meth NI. INl
Ity Q. !spat
£PPROVYD
CCT/DBt COUNTY PL.NRI.'+., bGaid.
Recskimendad to Gouaty tkeridsioher_
for their approval f
Date 1 '1 1?
424,
./` 0 7 approved For Record 1s
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