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Home My WebLink About20140678 Ver 1_Shoreline Stabilization_201406272 0 1 40 6 7 8 Shoreline Stabilization Application Form Four copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources �co; Now 1 l� 401 &Buffer Permitting Unit � �A' D 1650 Mail Service Center Li `' 7 �1T Raleigh, NC 27699 -1650 - way, ou�in� g stortnwel r Branch 0 Applicant Information [15A NCAC 02H .0502(x)] 1. Owner Information Name: Toe /Vlc_(_onkeV Mailing Address: 53o I Ctn4,Q,lc.'c (_n- WctxincxvJ 2-,3-173 Telephone Number: 701- $77- 3(o94 Fax Number: E -mail Address: �n _ M _Cor1 Veu Icy pWCc I C-p 11:1 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: n tp : / /vvwvv.savv.usace.ar;-ii%,.i -iil/ Portals /59 /ciocs /re; ula- orV /regdocs %Pei nits /SAMPL E AGENT AUTHORIZATION FORNI.pd ) must be attached if the Agent has signed this application form. Name: ICIVJV Cfuyjson tLJWnn_c Company Affiliation: Iawsov,'S ��1� C,vlv\�4, AVI r�nS�6w� -{1O^ Mailing Address: SS-OS - Fies+ -tA CAovgc S - C. 7 1 �'v3N) Telephone Number: 103- SS31- "I'Lo Fax Numbe�. -K, 1 - SU 55 E -mail Address: fc(av,1S35 e e�6�L,1'►►�k, ne..-I'- Person to receive the Certification Approval:nc,�y 0 (uwson • Project Information [15A,NCAC 02H .0502(a) & (b)] • 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. • 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 b "elow Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram - provided'at the end of this application form. • Attach a photograph of the shoreline/ buffer,proposed to b&stabilized. (Include a scale of some sort- a yard stick,,shovel handle, etc.) • Location of the property (where work is to be conducted) County: Me.Lklenbufce_ _ Nearest Town: Lake_ tAla Ii e. _ ivisibn name or site address (include phase /lot number): G 4 12'd Hof / Directions to site - please include road names and numbers, landmarks, etc.: ip'o Mao S nn� -1;0 "A —I- �Q n e.S • Describe the existing land use or condition of the site at the time of this application (residential; undeveloped, etc.); UYJ61e,A--loPe /AGEtur-e_ erne_ sites • Property size (acres): -, SG 7 a c yc s • Lake/ river/ ocean adjacent to property: �/_M)� - Describe proposed work (include discussion as fo how hardening of shoreline 2 has been avoided; or why it is necessary): Zof alas San `Vaca-Lf L-r *, rS.'thus o�oSi,� F )nigh r. /a�if Gw�� i/✓1usfLfafs Elio 6e.n Wi I ffdtvr;•- t/zu,�s , ® Will work be conducted from land? 1AAk From water? Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level/ Normal Water Level in square feet or acres: / Y77 �X 3 to If RAp K.4, 3 'ec i inn -h'1 A11,111- 11, iyAo l 011(i l ° 000X. ,S /`l g� 11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level/ Normal' Water Level and 50 feet land -ward in square feet or acres: 12. Please descri a the veg�on above the normal pool lake level/ Normal Water Level and 50 feet landward to belimpacted (number of trees, for instance):,Q�,�„4g,va% of M q 7d` C5 �/ nr.a otrrn'P fo�,/r so 90! /D "�ia. c �SyrrR / /+�sfs �? to3'a/.a..CSc.-, P s, Cwt of ,� �4- 1/iN,_5 c r ('c0.( 3wtal( (/tG.staf'�'L_, Owner /Agent's Signature" [15A NCACO2H .0502(f)] Date 'Agent's signature is valid only if an authorization letter from the owner is provided. 3 G?� � s7 ' '1j ' . ;'. f• i!; i.aaiom.FHt - ALcresoR Dcwt•Po;M L3 Home Insert res�pn Anmatsors5 Shde Show Rene.+ Y-ew Lasartittm ,- J .... JLayoin- -g -=. _ !'iii'.. - El � �'.�' -• -- - yj Reset Paste New -. g Slide- n7 Delete .hobca•d Sniz! Fan: Daragil0^ t La ke (At Full Pond/ Normal Water Level) �r Full Pond /ice ►� Norma=W� EIrLevel _ nn Shoreline ��"7 X o 5 1✓%td� po551't7 Ae— fih01 Slide4ot4 'OMice Themt' �y Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft) *: • All proposed vegetation clearing • Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation • Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation • Location of any proposed structures such as buildings, retaining walls, docks, etc. • Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 51 ® Location of construction access corridors 5 SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: STREET ADDRESS: aver I o x' c , J(• C . 2ss Z-7 K Please print: Property Owner: c-oe Me- tonlc.214 Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize ` ( 15 G (A,4j S --,._ , of _CrakjSalc v �I JJn•tA� ;rucf C (Contractor / Agent) (Name of consng 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): �apl L�✓1��L>1� t c-'Vxe w��h —.mil NC zIF f �3 Telephone: --70 cl — ,Fs--77, �� ! We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authonzed Signature honzed Signature Date: C0 I to I y Date: �� V MwAL i k A 40 , am IV o dit, Olt 4A. • A( Ar kit jo li I' Its "JA Pall- p folk T I of .000V a jo 410 At 401� mw f 4p Vim +� 'r, �r ;r+ Awl- Ao Ir 1 � l � r r ��1' { s .r lip *. v r ■■ r 00 f AW ftA f d I } .. _ ; OF Atf AP jot f .411 IAPF �'.al r. i t s R * , �^'°�. -• +- -�*+�� sue!'. �� `r r �� ss +fir ow�r• 4� tA i r r y�� 1 a r ► ,� � ,� w ' -fit ti �. *rtsr 1[► t (. b; r 4 it No Tub- P� I f t y 10 JAW Coo* Lie Na- or AW ♦ .t i4 • # V , .r Driving Directions from 3990 Charlotte Hwy, Clover, South Carolina 29710 to 16525 Tulloch Rd, Charlotte, ... Page 1 of 2 Notes IM mapquestn Trip to: 16525 Tulloch Rd Charlotte, NC 28278 1.32 miles / 2 minutes 3990 Charlotte Hwy, Clover, SC 29710 -8083 Download Free App 1. Start out going northwest on Charlotte Hwy / SC- 0.04 Mi 49 toward Blucher Cir. Map 0.04 Mi Total 2. Make a U -turn at Blucher Cir onto Charlotte Hwy / 0.4 Mi SC-49 (Crossing into North Carolina). Map 0.4 Mi Total y 3. Charlotte Hwy / SC-49 becomes NC -49 / York 0.4 Mi Rd. Map 0.9 Mi Total • 4. Turn right onto Red Fez Club Rd. Map 0.2 Mi 1.0 Mi Total 5. Stay straight to go onto Walnut Hill Dr. Map 0.02 Mi 1.1 Mi Total f+ 6. Take the 1 st right onto Tulloch Rd. Map 0.3 Mi 1.3 Mi Total 0 7.16525 TULLOCH RD is on the left. Map Q 16525 Tulloch Rd, Charlotte, NC 28278 http: / /www.mapquest.com/ print ?a = app .core.fb5582b45b6f4738732e8d4d 6/12/2014 Driving Directions from 3990 Charlotte Hwy, Clover, South Carolina 29710 to 16525 Tulloch Rd, Charlotte,... Page 2 of 2 Total Travel Estimate: 1.32 miles - about 2 minutes r, r r- 2000ft mapquest 1500m i Lake Wylie ' &kD<mYAMA 02014 MapQuest - P000ns 02014 TomTam i Terms i Privacy 02014 MapQuest, Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content, road conditions or route usability. You assume all risk of use. View Terms of Use http://www.mapquest.com/print?a--app.core.fb5582b45b6f473 8732e8d4d 6/12/2014 w &kD<mYAMA 02014 MapQuest - P000ns 02014 TomTam i Terms i Privacy 02014 MapQuest, Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content, road conditions or route usability. You assume all risk of use. View Terms of Use http://www.mapquest.com/print?a--app.core.fb5582b45b6f473 8732e8d4d 6/12/2014 JUPROVEME M CERFIFY THAT ON THE 23sr DA'f CF____��_— "'-` •"• r"' ""„ - . tPERIASION OF THE PROPERTY SHOWN ON THIS PLAT, AND THAT THE BOUNDARY LINES AND THE S. IF ANY, ARE AS SHOWN HEREON. FCOkWPLICS N EXEMPT SUBDIOSION UNDER CHARLOTTE- AIECKLENSURG R NCE EXEUP710N(4) -THE OIVTSJON OF A TRACT IN SINGLE O E EN17RE AREA IS NO GREATER THAN TWD ACRES INTO NOr EE COTS: KHERE NO SIREET' RIGHT' -OF -WAY DEDICAROr.1 ER£ THE RESULTANT LOTS ARE EOUAC TO OR EXCEEL THE RDS CF THE APPROPRIATE ZONINC CLA5SIr7CAT1Ul�' Y n 4 0. Z. CURVE TABLE CURS RADIUS LENGTH BEARING CAORD r CA 1 4IJ72 i 154.7Z I N77'57 "CJ "F. 1532) L2 1l18 4!'00 W .3j. 54 1 t1 C t: y r.3 5S7I5'OD "W 1 4213 1 i L4 ; '19'0' "W 60 6 =J 0 C 1 f F pp�� R D L Ox� � pR U� f1 O TLJL LOGS WAY � -�� "° P �•�}'.. - 60, RIGHT 17 \506 rF P�vr� r V M o VIED, cs clr PER tE< `D $3'e R G; J j N l NB ti. A`�,: LOT 1 V6 v1 �SO ^� 0.56 7 A CRE- T .:X R.?7 T2JV2 1 cw -NOW OR FORMERL ?' - it1 CAROLINA CENTERS, LLC ; . OECD-- 760614 75 ErP ' PORT70N OF TAX 12172.3244 t . SS1p •• g 0 .SuR;��: ' f,, y E,1Fd ` "4�6N 'Eaeaat s•. .�F.f�. �6DE: •t7> POP IION S* O� fAX %?1 F ws - WA TFP 0VALITY BUFFER C;:. ?e P 6�. P G irk IQ NOTE IRLII: ,^IIi$ S{I T AT ALL CORNERS UNLESS oT...4ERW15E Npam Z RnOPERT'Y ? PNED- R-5, MIM -MUM SE rc ACK J2' FROM FUTURE 6ACK OF CURB Mi14iMJM r4RL `. V1N.'.NUAf RE %* 'AR-0 J5' 71f. < VAP VI c 1,107 ?R= )-;AREP IN ACCORDANCE 417)4 C S 4 DEED RE ERQNC£: 4,16 7606\475, uS J21J64 & DS 's:036 125+. 48 17\506 SOLA CIAPY ckJf v[r oNL )' i-HpcUCH POIJiTS AS SHOI'fIV. c A _' TI 7hIS PROPERTY 15 :OCATED WITHIN AN AREA A ONG A Z NE Dc SJGNA TION AE BY THE FEDERA,, GMEniiLti' Y 4fAIVAGEMENT AGENCr (FEAA). Orl F-LOJC INSURANCE TE MAP (FIRM) NO J71045900J W1 TH A DA fF 0,7 IDE AFICA ACN OF MARCH 2, 2009. ? ANY CONSTRUpT7GN OR USE wy; -TIN 774E AREAS OEL1N£ATfO AS' =CJODViA FRINGE DISTRICT BOUNDARY L)NE AND F, 000 WAY DISTRICT ENCROACHMENT LINE 15 SUBJr CT TC 7H_ RESTr?7 '711 11 8Y THE F 000;YA Y 8. THI$ PROF£R Y NA Y BE SUBJECT TO ADDITIONAL RECORDED OR tJ D EASEMENTS. RIGHTS-CF-WAY, BUFFERS OR """RIER cS7R COVENAIJ7S, 07RER THAN SJ-IOIrk .SURVEY WG' T THE 6EN nT OF A 77TLE EXAMINATION. 9 AREA C. :?'Vp'J ED BY COORD)NATFD MET.S'OD. 1G. ::C NCCS MO '11,14D�'T FOUND Kf7h/N 2000'. 1F: CONTRACTO ARE TO HAVE ALL U77LI7765 .ACCURATELY MAr7XE0 PRI TO ANY CONSTRUCTION. 12• STRUCTURES i"D IMPROVEMENTS NOT SHOWN NOR PART OF 5ZJ.4V� r j Eip BOUNDARY SR v, I V ' � V ' C , OF , ;IP a� �J• J y P� —LAKE_ VVYL;r- •. cT^.. CAL::,!_ � _. �v h L VICINi iY MAP' -C' TO SCALF -- LOT 7 ons TULLOCH ROAD SCALE i'icjQ' 5 1FE2 E CREEK TOi%N5HiF, AfECKLENSURC COUNTY, NORTI•f CiROL1h• ILI Yc0 FCR -__, -- CA rj VL 1NA CEN Tc RS, LL C carE a xurF G .Zr Harr MAP RECCRDED N . SOOK__A i FACE -- -DEED RECORDED BOOK DRAWN. 6'(___!ti —FIELD WORK_ CW,;R FiELD BOOK — - -- T:IIL`.3x7`. LINE FABLE UNE I B BEARING I I LENG7rl L] I 524 00" IQ 5B F pp�� R D L Ox� � pR U� f1 O TLJL LOGS WAY � -�� "° P �•�}'.. - 60, RIGHT 17 \506 rF P�vr� r V M o VIED, cs clr PER tE< `D $3'e R G; J j N l NB ti. A`�,: LOT 1 V6 v1 �SO ^� 0.56 7 A CRE- T .:X R.?7 T2JV2 1 cw -NOW OR FORMERL ?' - it1 CAROLINA CENTERS, LLC ; . OECD-- 760614 75 ErP ' PORT70N OF TAX 12172.3244 t . SS1p •• g 0 .SuR;��: ' f,, y E,1Fd ` "4�6N 'Eaeaat s•. .�F.f�. �6DE: •t7> POP IION S* O� fAX %?1 F ws - WA TFP 0VALITY BUFFER C;:. ?e P 6�. P G irk IQ NOTE IRLII: ,^IIi$ S{I T AT ALL CORNERS UNLESS oT...4ERW15E Npam Z RnOPERT'Y ? PNED- R-5, MIM -MUM SE rc ACK J2' FROM FUTURE 6ACK OF CURB Mi14iMJM r4RL `. V1N.'.NUAf RE %* 'AR-0 J5' 71f. < VAP VI c 1,107 ?R= )-;AREP IN ACCORDANCE 417)4 C S 4 DEED RE ERQNC£: 4,16 7606\475, uS J21J64 & DS 's:036 125+. 48 17\506 SOLA CIAPY ckJf v[r oNL )' i-HpcUCH POIJiTS AS SHOI'fIV. c A _' TI 7hIS PROPERTY 15 :OCATED WITHIN AN AREA A ONG A Z NE Dc SJGNA TION AE BY THE FEDERA,, GMEniiLti' Y 4fAIVAGEMENT AGENCr (FEAA). Orl F-LOJC INSURANCE TE MAP (FIRM) NO J71045900J W1 TH A DA fF 0,7 IDE AFICA ACN OF MARCH 2, 2009. ? ANY CONSTRUpT7GN OR USE wy; -TIN 774E AREAS OEL1N£ATfO AS' =CJODViA FRINGE DISTRICT BOUNDARY L)NE AND F, 000 WAY DISTRICT ENCROACHMENT LINE 15 SUBJr CT TC 7H_ RESTr?7 '711 11 8Y THE F 000;YA Y 8. THI$ PROF£R Y NA Y BE SUBJECT TO ADDITIONAL RECORDED OR tJ D EASEMENTS. RIGHTS-CF-WAY, BUFFERS OR """RIER cS7R COVENAIJ7S, 07RER THAN SJ-IOIrk .SURVEY WG' T THE 6EN nT OF A 77TLE EXAMINATION. 9 AREA C. :?'Vp'J ED BY COORD)NATFD MET.S'OD. 1G. ::C NCCS MO '11,14D�'T FOUND Kf7h/N 2000'. 1F: CONTRACTO ARE TO HAVE ALL U77LI7765 .ACCURATELY MAr7XE0 PRI TO ANY CONSTRUCTION. 12• STRUCTURES i"D IMPROVEMENTS NOT SHOWN NOR PART OF 5ZJ.4V� r j Eip BOUNDARY SR v, I V ' � V ' C , OF , ;IP a� �J• J y P� —LAKE_ VVYL;r- •. cT^.. CAL::,!_ � _. �v h L VICINi iY MAP' -C' TO SCALF -- LOT 7 ons TULLOCH ROAD SCALE i'icjQ' 5 1FE2 E CREEK TOi%N5HiF, AfECKLENSURC COUNTY, NORTI•f CiROL1h• ILI Yc0 FCR -__, -- CA rj VL 1NA CEN Tc RS, LL C carE a xurF G .Zr Harr MAP RECCRDED N . SOOK__A i FACE -- -DEED RECORDED BOOK DRAWN. 6'(___!ti —FIELD WORK_ CW,;R FiELD BOOK — - -- T:IIL`.3x7`. WA TFP 0VALITY BUFFER C;:. ?e P 6�. P G irk IQ NOTE IRLII: ,^IIi$ S{I T AT ALL CORNERS UNLESS oT...4ERW15E Npam Z RnOPERT'Y ? PNED- R-5, MIM -MUM SE rc ACK J2' FROM FUTURE 6ACK OF CURB Mi14iMJM r4RL `. V1N.'.NUAf RE %* 'AR-0 J5' 71f. < VAP VI c 1,107 ?R= )-;AREP IN ACCORDANCE 417)4 C S 4 DEED RE ERQNC£: 4,16 7606\475, uS J21J64 & DS 's:036 125+. 48 17\506 SOLA CIAPY ckJf v[r oNL )' i-HpcUCH POIJiTS AS SHOI'fIV. c A _' TI 7hIS PROPERTY 15 :OCATED WITHIN AN AREA A ONG A Z NE Dc SJGNA TION AE BY THE FEDERA,, GMEniiLti' Y 4fAIVAGEMENT AGENCr (FEAA). Orl F-LOJC INSURANCE TE MAP (FIRM) NO J71045900J W1 TH A DA fF 0,7 IDE AFICA ACN OF MARCH 2, 2009. ? ANY CONSTRUpT7GN OR USE wy; -TIN 774E AREAS OEL1N£ATfO AS' =CJODViA FRINGE DISTRICT BOUNDARY L)NE AND F, 000 WAY DISTRICT ENCROACHMENT LINE 15 SUBJr CT TC 7H_ RESTr?7 '711 11 8Y THE F 000;YA Y 8. THI$ PROF£R Y NA Y BE SUBJECT TO ADDITIONAL RECORDED OR tJ D EASEMENTS. RIGHTS-CF-WAY, BUFFERS OR """RIER cS7R COVENAIJ7S, 07RER THAN SJ-IOIrk .SURVEY WG' T THE 6EN nT OF A 77TLE EXAMINATION. 9 AREA C. :?'Vp'J ED BY COORD)NATFD MET.S'OD. 1G. ::C NCCS MO '11,14D�'T FOUND Kf7h/N 2000'. 1F: CONTRACTO ARE TO HAVE ALL U77LI7765 .ACCURATELY MAr7XE0 PRI TO ANY CONSTRUCTION. 12• STRUCTURES i"D IMPROVEMENTS NOT SHOWN NOR PART OF 5ZJ.4V� r j Eip BOUNDARY SR v, I V ' � V ' C , OF , ;IP a� �J• J y P� —LAKE_ VVYL;r- •. cT^.. CAL::,!_ � _. �v h L VICINi iY MAP' -C' TO SCALF -- LOT 7 ons TULLOCH ROAD SCALE i'icjQ' 5 1FE2 E CREEK TOi%N5HiF, AfECKLENSURC COUNTY, NORTI•f CiROL1h• ILI Yc0 FCR -__, -- CA rj VL 1NA CEN Tc RS, LL C carE a xurF G .Zr Harr MAP RECCRDED N . SOOK__A i FACE -- -DEED RECORDED BOOK DRAWN. 6'(___!ti —FIELD WORK_ CW,;R FiELD BOOK — - -- T:IIL`.3x7`.