HomeMy WebLinkAbout20140672 Ver 1_Shoreline Stabilization_2014062720140672
State of North Carolina
$ PAID
Department of Environment and Natural Resources
DWR Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
Applicant Information [15A NCAC 02H_.0502( l
�0C9C�Ga p
JJIv .2 7 2014
DEW - VVAI R QUALITY
& o� rmitW Branch
1. Owner Information
Name: _/'V\Ak-- it {- 44 IT (c .T.4 Z4 e,.J
Mailing Address: f O t 5 Pt"dj le D,C ,
AAft) E.y, AJ c__ 'Z LY&SO
Telephone Number: BZS--234 -54ffy Fax Number:
E -mail Address: Mp,&T- !L,rr'/FSR[CS �bA/2TZ✓iE' . rUE7�
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http: / /www.saw.usace. army. mil/ Portals/591docs1regulatory /regdocs Permits /SAMPLE_ AGENT_AUTH
ORIZATION_FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E -mail Address:
Person to receive the Certification Approval:
Fax Number:
II. Project Information [15A NCAC 02H .050a) &AW]
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, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10 -2013 Page 1 of 4
etc.), 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 b& stabilized. (Include a, scale
of some sort -,a yard stick, shovel handle, etc.)
4. 'Location of the property (where'work is to, be, conducted) - J
County: �Ci, I -A1t� ��� Nearest Town: ��d&, `�/ / 1$ ��R,�,_� �.
L Subdivision name or site address (include phase /lot number):
Directions to site l- please include road names and numbers, landmarks, etc.:
- t'i2em She ,^rcLj< FoA-h �NrE_A_5ECrj0 [ 1,6 W G�1 6-nep!'11kiGc,S
t PaJ O'A)
r,cw /1l' �T' 4y► e c oz
Latitude (in decimal degrees) Longitude (decimal degrees)
5. Describe the existing land use or condition of the�site at the time of this application _
(residential, undeveloped, etc.): eE S j4bE IJT//7- /_ ® r1 Ie,Ch LO
6. Property size (acres):
7. Lake/ river/ ocean adjacent'to property: LA O le 1;14&)
8. Describe proposed work (include discussion as to how hardening of shoreline has -been
avoided, or why`it is necessary):
n It
9. W,ill`Work be conducted from land? Do' From water? ❑
Ae
,a)
10. 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:
3'ti , ti X 140 ' o-? VZW s4.4.
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
ysquare feet or acres:
12.'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):
EXc
Owner, /Ag is Signature* [15A NC C'02H .0502 f Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10 -2013 Page 2,of 3
La ke
(At Full Pond/ Normal Water Level)
Full Pond/
Normal Wat r I
5 7orelinI
.r- -2k
MTu
AO
-74E6
7-
[tie
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft) *:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10 -2013 Page 3 of 3
,
DUKE ENERGY DIREC-rfoNS BY ROAD FORM
Lake Use Permit Applicants and Contractors Ease of locating the proposed project stte,can have a big
impact io permit processing time Please complete this-form and return.tt along with your completed,permit
application to-
DUKE ENERGY
C/O- LAKE SERVICES = EC 12 Q
PO BOX 1006
CHARLOTTE, NC 28201 -1006
1- 800443 -5193 and select Option 5
Applicant's Name: - —,' I �Pz- rff
Street Address (at lake): –�z 3s— D
Lake•Narne , Wet) ��� % Z1173
Subdivision Name: `^
Tax Parcel [D (If—known).
��"" Lot #�j
City. �j� ii l�S County:
State: A-1
Ztp: —ZU? �
Latitude; Longitude:
Longitude:
Telephone:
Directions (from major road or "highway):
—MA-A-)
& &T `asst at- 5rf�de r f. /S J�c� t�C� sr � #s, 4k imp. f x1ic-
Descriptive Structure(s) on Pro ert
p y (i.e. brick garage, white fence, mobile homen , etc)
We j //o it s e C-x L I/e u) �t/pa t' b Lr� •
G-
������ T� Ot�bo,�isvt �i e
s� ell
gpauLAKEMGMT/Package Inrormad
��irccUOns by Road Fort, doc tVCo L�
DUKE ENERGY LAKE SERVICES
PO BOX 1006
MAIL CODE: EC12Q i
CHARLOTTE, NC 28201 -1000 1 JUN 9, 7 2014 I r
TOLL FREE 1- 800 - 443 -5193
rye WATER QUALITY
APPLICATION FOR PERMIT TO STABILIZE THE SHORELINE IN NORTH Branch
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in the blank.
PLEASE SUBMIT THE APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE
TO DUK E ENERGY, TO THE ABOVE ADDRESS.
Applicant Information
A. Name: -AAA?Ti.�) 44�'LiA./ Zi17 -le- / —JXA � L1rr,
B. Mailing Address: `�1 ��l�q,�LIC �iE� / /JJ�fj,��. x/td�`p�
C. Telephone: 8�
I1, Location of Proposed Project
A. Lake:
B. Street Add es ; $- /C WOOD
C. County:
D. City, town, commiRity or landmark: Ai It S
E. Section: p Lot #: S+
F. Directions to pypperty by road :, r
— —
G. Latitude /Longitude t6r the project site (optional):
f-i. Please submit a map showing the coordinates and the exact location of the projec 'tc. (NOTE.
Latitude /longitude coordinates can be found on internet site htt L. /set >.orbisinc.coni /. ) L i4T, 10 -3?
111. Description of Project —60" `= 7' I T " -0
A. Length of wall:
B. Material: C
C. Distance from property line /shoreline: IWI
_
IV, Intended Use of •oject Area
A. Private; '"
B. Commercial: AJIA
V. Applicant Signatut-c 4a" JrA,,' fZ.(� N -5. CXc Date:_ 1x.-19— 13
PLEASE NOTE THE FOLLOWING:
• Two (2) copies of the "Doke.. Energy Application for Permit to Stabilize the Shoreline in North Carolina,"
photographs of the shoreline to be stabilized, and five (5) copies of the completed "NC Division of Water
Quality Pre - Construction Notification Application" must be submitted with the Division of Water Quality
application fee to: r ,; n
l't NC Division of Water Quality
Attention: Cyndt Karoly or Karen Higgins
1.650 Mail Service Center
-- RAIAgh, NC 27699 -1650
Gpa�LAKEWT\Package Information \Package Information \NC SS App
Revised 11.29.12
"'- fO LAND SUPJtYING' ON h`OR-11 CARt'ONA ;[ F, hvfiC 5S 1 o " "u fi ���ooO °ooy
yt ` 0y r4 T} 1S DAY OF )ANUARv oov°OF[SS /p� ®o �
VIE c° 5 :. o
•, ; 6g 3Y NOT TO SCALE 4
RAN W. 'HONEYCUTT PLS -4399
�C,
OAKWOOD� CIR® LE
60' R/W PB 16 PG 6 �o
S 79'42'49 "W �
107 48' / a
10• ASPHALT
I I DRIVE ? z a
I ... -'°1/2" REBAR S 33'38'25 "E, 1
32.63'
30' R/W
�MA(Z NAIL PB 1)6 PG 6 ��
} CONCRETE
9I „> MONUMENT
N 796..E 6163 JUDOH KRUEGER
1,6.63" 2673.00 714,
/
CONCRETE LOT '59 PB 16 PG 6
MAG NfU1 ` �
R/W 18 LONUMENT
�( WELL
+, HOUSE v�
LOT' 58 �•
PB 1.6 PG 6
R/W
1409 48 sq IT OR
003 AC TO BE ASPHALT k0o
ADDED TO LOT 58 DRIVE
PB 16 PG 6
N 2`1'47'33 "W F -STORY BRICK 112" REBAR
d p & VINYL
151 �7.1,'
03 „ /
d PORCH / /
BOA
UAMES D` ALLEN `HOUSE'
DB 1214 PG 360
LOT 57 P8 16 PG 6,
PROPOSED 0157180 ix�.ry6-
NEW LINE PB 16 PC 6
PROPOSED l7 n
NEW LINE �,•
EXISTING N 2 - '' " 1 i
LOT 56 _ 4,7 W
NOTES PB 16 PG 6 t 79 499' '
1 THE PURPOSE OF THIS 4
SURVEY IS TO ADD 003-AC N 14'38`00 "41.
TO ,LOT 58 AND ADD 0 01 AC. 5C ' 3 1`5 08' ��/ LAKE NORMAN
70 LOT 57 P8 16' PG 6
446 46 sq. ft OR
'2 THIS SURVEY WAS 0:01 AC TO BE 5/8" RESAR
PERFORMED 'W17I=f0UT THE ADDED TO ,LOT 57 SET
BENEFIT OF A 177TLE, 'SEARCH PB 16 PG 6
'
THIS PROPERTY MAY BE 15 00 //�\ ,F E M.A FLOOD UNE
SUBJECT TO RIGHTS S WAYS 1 FROM Grs ,RECORDS
H
OR _EASEMENTS NOT SHOWN - -
HEREON 112' REW, S 26'42'00"'W
3 PROPERTY ADDRESS. 8935 / 30 08'
OAKWOOD CIR , SHERRILLS
FORD NC /
NEW LOT 58 = 0:65 AC.
LOT LINE- ADJUSTMENT FOR: - - -
1ARTIN F. LITTLE JR. & JANE L. EAS , N
LOCATION „' 8935�flAKWOOD CIR. SHERRILLS FORD, NC mss, t,•..:•......aa....r_— ___