HomeMy WebLinkAbout20141012 Ver 1_Shoreline Stabilization_2014092220141012
3 State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of War Resources 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 UnitrS
1617 Mail Service Center
Raleigh, NC 27699 -1617 9 U
2014 1
I. Applicant Information [15A NCAC 02H .0502La 40, , OFT_?�FS ,
BU�F�R pep
, URN
1. Owner Information
Name: Gary Stuebine
Mailing Address: 2265 Riverside Drive
Lexington NC 27292
Telephone Number: 513/260 -7200 Fax Number:
E -mail Address: sastuebing @gmail.com
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 /59 /docs/ regulatory /regdocs /Permits /SAMPLE_AGENT_AUTH
ORIZATION_FORM,pdf) must be attached if the Agent has signed this application form.
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number:
E -mail Address:
Person to receive the Certification Approval:
Fax Number:
11. 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, 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 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 Davidson Nearest Town: Southmont
Subdivision name or site address (include phase /lot number)
-Lot #45 Watership Downs
Directions to site - please include road names and numbers, landmarks, etc.:
1 -85 to Exit 91 take NC Hwy 8 south to Southmont approximately 7 miles, turn right onto
Southmont Linwood Road turn left on Riverside Drive, property on left No. 2265.
Latitude (in decimal degrees) 35.677919 Longitude (declma! degrees) 80 316045
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc ). Existing developed residential property
6. Property size (acres): 091 acres
7 Lake/ river/ ocean adjacent to property High Rock Lake
8 Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or °why it is necessary) To stabilize and eroding shoreline and protect it from—
further erosion.
9 Will' work be conducted from land? ®, Fromi water? ❑
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_
288 Sq. Ft.
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. 9936 Sq Ft.
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) Many trees of varied
species, size and condition and understory weeds and brush will be removed in order to
complete -the stabilization project.
2�JA__� e? i6 , Z -
Own gent's Signature (15A NCAC 0 H 0502a Date
FORM SSGP 10 -2013 Page 2 of 3
'Agent's,signature is valid only if an authorization letter from the owner is provided
Full Pond/
Nnrmal Water Level
SI
Lake
(At F,ulI'Pond /Normal Water Level)
SEE ATTACHED SITE PLAN AND DETAILS
Please approximately sketch the following information on this plan (provide dimensions for each
item; such as 10 ftx 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
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FOR
GARY & STEPHANIE STUEBING
LOCAnON, LOT 45, WATERSHIP DOWNS
RESERVOIR: HIGH ROCK LAKE
PROJECT SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. — BADIN, NORTH CAROLINA
DRAWING TITLE
DETAIL
MODERATE RIP RAP STABILIZATION 3
N Carolina 8, North Carolina to 2265 Riverside Dr, Lexington, NC 27292 - Google Maps Page 1 of 2
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