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HomeMy WebLinkAbout20220903 Ver 1_Shoreline Stabilization_20220705 <,STAFE tv.ram` 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 NOCIA 1 �(r •. C%9 •.d Os.N7Y Ga tlwke County wardwardne f GeIsaias/eraeta C%1�_ J,-J...^L/ Date FLIq�� .% 7 � 1198 heitet fors rearm. right. for Power � e. dater red betmeme. 9y-p. 4450 Power Dr 4450 Power Dr 0 ®0 0 0 Chrechens Save Neaby Serb to Share phone Qe 4450 Poser Yk, Shohas Ford. NC 265,3 Photos 4d_01'ower Ui y • Q 4450 Power Dr O O O o�re�i�o�: sm raee�W semio sna,e P'KK» Q' 4450 Power 84 Shelves caret NC 28573 Photos