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Home My WebLink About20221239 Ver 1_Shoreline Stabilization_20220907ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Director NORTH CAROLINA Environmental Quality State of North Carolina 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) DWR ID # Version (if applicable) A. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: S�o4 f D:I( RECEIVED SEP-72022 nen_wrrgrArSOURCES Mailing Address: Telephone Number: E-mail Address: 41411 0cvons6;r1 0/: Uvii#16v1l4 / Arc 1SSo78 70'( - SOG - I).}g Fax Number: 542 - 0:Ilvsot.tors D_E eam ��, E lira DrpeRnwnl of Environmental Quality North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617 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: I' " VaG561 �i i yea(k Company Affiliation: Afore" 4., p, 3,,, Peru; Mailing Address: «ifrrl V Atey (*ne, G� t-��rb�► r NC, '346 a9 Telephone Number: 7U41-4621-3).80 Fax Number: E-mail Address: Vauy1+4 (qq1 asruz l.corl B. Project Information [15A NCAC 02H .0502(a) & (b)] 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: MtcKlmbvl Nearest Town: Lora-64 Lake/ river/ ocean adjacent to property: /444r, bike, goo -NA Property size (acres): Deg 3 Subdivision name or site address (include phase/lot number): The L44- 3 b)._ psn,nsu rq / Directions to site - please include road names and numbers, landmarks, etc.: F-n I- 77 9ke a s,-t- 1$ 001.0 W • co a. ra Avg-. >�«. rijur- on*„ Rai +-44-s Latitude (in decimal degrees) 3S, N 73113 Longitude (decimal degrees)' I. i°•12.391 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): (c 1J€4 ct( 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): AJI/wj C1455 6 r,f ru{ iv bore. areas, a'Jo 4dJ; y rit 0,4 2 r;P (hip Vu- bot vP slope rib► 'AA! FORM: SSGP 09-2020 Page 2 of 5 7. Will work be conducted from land? ri From water? 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: ya0 kt, & Temporary impacts in square feet: 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: 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): 4 . {Lew Scabs i v, ('p (p 46 will be. ferove4 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 4(6 Owner/Agent's Signature` [15A NCAC 02H .0502(f)] Date Agent's signature is valid only if an authorization letter from the owner is provided. t S-;a -a a 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/ Normal Water Level} Full Pond/ Normal Water level - I (i - I NMI Shoreline 3frc2.coo} rip En 004( Plan View Full Pond/ Normal Water Level -thore1 7ne 2 ft. x 150 ft. additional clearing 0 necessari Plan View Lake (At Full Pondj Noma! Water Lerel) r�•rr�l�.: Ri rap "� si a'%i ' x. P W U Existing Dock 30 ttx?ft <AMPL 3ftx1505 Below full pond/ NWL MIN NM Aftx150ft Above full pond( NWL E FORM: SSGP 09-2020 Page 4 of 5 2{Oir b))o4/ , 44- Warm/ fk" I R°fiS (At Full Po Lake id! Normal Wate Side View (1 p E 0 z 0 Lk — a) c 0) 1 0 3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing 'if necessary 10 ft. bank height Side Vine Existing bank q0',7 Paler 4111110 AMPLE FORM: SSGP 09-2020 Page 5 of 5 CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address: Sco}+- 0; t( S l�0�(•1�e Owner: Slott- r- p(l. i- Aebsta titto County: /tcK 16,46,6� Print Signature Contractor/agent: Votgmlnaafi— 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)] Acknowledgement of Notification I, Starr T D (LL , 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): A t f,l- 134 Date: 18"ad-aa 113'i VICINITY NAP NOT 10 =LI DETAIL A DETAIL B DETAIL C 4XV, 4474- A& )e)t,.. NOM 1. Mr OMR or CIMme NMOM3 11 cwwwwwwww OR MR IrrniV1 MI UM MAW= la comim TAR ALUMERRNT MaDVet PROM WHIM mellikeRe Um MO nom.. otmaT ettlarurpOrM t, 5.11.1M To TM MIT Homer, RI Demoixeu mMiNme. COMM/TM MorM1 vs011.14..m..N. limmarac nrw wwwwwn r mm wWWWW. WWWW MM. 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