HomeMy WebLinkAbout20140999 Ver 1_Shoreline Stabilization_2014091920140999
State of North Carolina
Department of Environment and Natural' rces
DWR
Division of a r R r
�°`" 15A NCAC 02H .0500— Water Quality Certification, Shoreline Stabilization
Division of Water 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 Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
2
Mailing Address: rn C rt C.Q
Z i
EEP 1 9 2014
DENR - WATER RESOURCES I
ani a o,
Telephone Number: J7 o4 88(c -(4-71 >u Fax Number:
E -mail Address: /q. C_ Ls ar(( ry"a'
,l:"C- A�VhWCA'_r: - C-p-, _
Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
h"p: / /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:
Company Affiliation:- i`hrtS�l�.�c
Mailing Address: SC:Gc) tw
Telephone Number:
-7 -'-t �(�1 4 3 C Fax Number:
E -mail Address: bu, I4-h".nca
Person to receive the Certification Approval: kcVj, cl jn0j-, ll
II. 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
C_
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
I 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,: G43+1%;1
Nearest Town: 13(i my -n,f -
Subdivision name or site address,(include phase /lot number)-
2 i J u Le, la s S ('12 L& f- Z-`1�, S,I Z& &
Directions to site - please include road names and numbers, landmarks, etc -
f t w Zi 3 4–z Cz 4v dr All =2 EA f-1-4 f Zd VICS– (fL L,
Latitude (in decimal degrees) � 143OL`f 3 Longitude (decimal degrees) 'is i . O 3z 9 ZJ
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped,,etc.)- &s.dc-efi4 i
6. Property size (acres)• ' CP7
7 Lake/ river/ ocean adjacent to property C-C, U (mot I
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary)- ,Sty li I-, g +-c,I) &i.,ki
9. Will work be conducted from land? [�] From 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:
r 1 ,
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 describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be' impacted (number of trees, for instance).
� I " 6 (��,
Owner /Agent's Signature, [15A NCAC 02H .0502(f)l
f Q a,-
91 1 114
Date
Agent's signature is valid on(yff an authorization Jetterfrom the owner ts�provided
FORM SSGP 10 -2013 Page 2 of 3
Please approximately sketch the following information on this plan (provide dimensions foreach
item, such as 10 ft 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: 5SGP 10 -2013 Page 3 of 3
STATE OF NORTH CAROLINA
GASTON COUNTY
I certify that this map was drown from y ®dander my
supervision V
The unadjusted error of closure as co au
Boundaries not surveyed f any are no 6 9
recorded In Book hz Page
t5�',
Witness my hand and seal thbZL� of In�, _
\ )* fin
N 60'32'52" E
4265'\ j
�1 PIN(F) ttt
'7
CH =18 52' p+t 0� +
9
1 PIN(F)
LEGEND \ \
LINES SURVEYED \
LINES NOT SURVEYED— — — — — —
ALL CORNERS ARE AS NOTED O
N T S "NOT TO SCALE
C P CALCULATED POINT
OVERHEAD UTILITY LINES — E — E — E —
UTTLITY POLE
METAL FENCE —x— —x— — —x—
WOODEN FENCE - - - - - -
SEWER MANHOLE
MBSL - MINIMUM NUILDING, SETBACK LINE
I PINS) - IRON PIN SET
I PIN F) -IRON PIN FOUND
I - IRON' CMF - CONCRETE MONUMENT(F),
F) +FOUND
S) SET
CAROLINAS
DESIGN
<5 GROUP,PLLC
BLAND SURVEYINGeLAND PLANNING
201 West Second Avenue Gastonia NC 28052
Phone 704 -B54 -9328 a 704 - 864-9007 a Fox 704- 854 -9328
FOUNDATION
OF
LOT 28 RIVER
PIN(F)
iE
Ltt� 0 d'
lL'
F- 1�
S 62'08'54" E a in
31 16' CL
S 25'22'08" E
37 68'
\
\
PIN(F)
LOT 29
P B 71 PG 41
NOTES SURVEY MADE USING EXISTING PHYSICAL
EVIDENCE FOUND AT TIME OF SURVEY
SUBJECT PROPERTY MAY BE SUBJECT TO
RECORDED OR UNRECORDED EASEMENTS,
,RIGHT -OF -WAYS SETBACKS AND /OR
RESTRICTIVE COVENANTS NOT SHOWN
HEREON
GR ,PHIC SCALE
60 30 0 GO 120
SCALE IN FEET
SURVEY
LAKES
SCALE 1" = 60' SOUTH POINT TOWNSHIP, GASTON COUNTY, NC DATE AUGUST 20, 2014
PROPERTY TO BE ACQUIRED BY
MAP RECORDED IN BOOK AT PAGE DEED RECORDED IN BOOK PAGE
CADD # 7255SPARGO FOUNDATION WORK ORDER # 7255 DRAWN BY GMS TAX ID NO 204456
n
LOT 27
P 71
B PG 41 290Z;
\`b
LOT 28
\
r�
/
P 71 PG 41
0 673 Acres
1 PIN(F)
A =74 31'
R =50 00'
N 16'31'19" W
CH =67 66'
ti
CP I
CP
A =19 25'
R =20 00' \�
CH =18 52' p+t 0� +
9
1 PIN(F)
LEGEND \ \
LINES SURVEYED \
LINES NOT SURVEYED— — — — — —
ALL CORNERS ARE AS NOTED O
N T S "NOT TO SCALE
C P CALCULATED POINT
OVERHEAD UTILITY LINES — E — E — E —
UTTLITY POLE
METAL FENCE —x— —x— — —x—
WOODEN FENCE - - - - - -
SEWER MANHOLE
MBSL - MINIMUM NUILDING, SETBACK LINE
I PINS) - IRON PIN SET
I PIN F) -IRON PIN FOUND
I - IRON' CMF - CONCRETE MONUMENT(F),
F) +FOUND
S) SET
CAROLINAS
DESIGN
<5 GROUP,PLLC
BLAND SURVEYINGeLAND PLANNING
201 West Second Avenue Gastonia NC 28052
Phone 704 -B54 -9328 a 704 - 864-9007 a Fox 704- 854 -9328
FOUNDATION
OF
LOT 28 RIVER
PIN(F)
iE
Ltt� 0 d'
lL'
F- 1�
S 62'08'54" E a in
31 16' CL
S 25'22'08" E
37 68'
\
\
PIN(F)
LOT 29
P B 71 PG 41
NOTES SURVEY MADE USING EXISTING PHYSICAL
EVIDENCE FOUND AT TIME OF SURVEY
SUBJECT PROPERTY MAY BE SUBJECT TO
RECORDED OR UNRECORDED EASEMENTS,
,RIGHT -OF -WAYS SETBACKS AND /OR
RESTRICTIVE COVENANTS NOT SHOWN
HEREON
GR ,PHIC SCALE
60 30 0 GO 120
SCALE IN FEET
SURVEY
LAKES
SCALE 1" = 60' SOUTH POINT TOWNSHIP, GASTON COUNTY, NC DATE AUGUST 20, 2014
PROPERTY TO BE ACQUIRED BY
MAP RECORDED IN BOOK AT PAGE DEED RECORDED IN BOOK PAGE
CADD # 7255SPARGO FOUNDATION WORK ORDER # 7255 DRAWN BY GMS TAX ID NO 204456
�FAL
L -3657 Q '
BOAT DOCK AND WALKW Y
ry +rril�ttllSry�`\, \�� 2 0 ABOVEMELEVATION
570 (FULL POND)
.,A
0
1 i
CAROLINAS
DESIGN
GROUP,PLLC
BLAND SIRVEYING*LAND PLANNING
201 West Second Avenue Gastonia. NC 28052
Phony 704 - 854 -9328 a 704 -864 -9007 • Fa" 704-894 -9328
29
�kE
wYLI�
PROPOSED
4T SLIP /DOCK
(COVERED)
RAP SHORE
tBILIZA110N
1
1<
\
`
xo '9
\
\
LEGEND
\
LINES SURVEYED
LINES NOT SURVEYED --- - - - - -_
ALL CORNERS ARE AS NOTED O
N T S NOT TO SCALE
C P CALCULATED POINT
OVERHEAD UTILITY LINES— e —e— a —s —e-
UTILITY POLE 0
\
METAL FENCE — — — x— " —x
— "-
WOODEN FENCE
SEWER MANHOLE
\
MBA — MINIMUM UILDING SETBACK
LINE
I PIN(S) — IRON "PIN SET
I PIN(F) — IRON PIN FOUND
I — IRON CMF — CONCRETE MONUMENT(F)
(F) FOUND
(S) SET
CAROLINAS
DESIGN
GROUP,PLLC
BLAND SIRVEYING*LAND PLANNING
201 West Second Avenue Gastonia. NC 28052
Phony 704 - 854 -9328 a 704 -864 -9007 • Fa" 704-894 -9328
29
�kE
wYLI�
PROPOSED
4T SLIP /DOCK
(COVERED)
RAP SHORE
tBILIZA110N
SUBJECT PROPERTY MAY BE SUBJECT TO
RECORDED OR UNRECORDED EASEMENTS
RIGHT —OF —WAYS SETBACKS AND /OR
RESTRICTIVE COVENANTS NOT SHOWN
HEREON
GRAPHIC SCALE
60 30 0 60 120
SCALE IN FEET
PROPOSED SHORE LINE STABILIZATION AND DOCK
OF
LOT 28 RIVER LAKES
SCALE 1" = 60' SOUTH POINT TOWNSHIP, GASTON COUNTY, NC DATE AUGUST 7, 2014
PROPERTY TO BE ACQUIRED BY
MAP RECORDED IN BOOK AT PAGE DEED RECORDED IN BOOK PAGE
BOOK NO CADD # 7255SPARGO WORK ORDER # 7255 DRAWN BY ISMS TAX ID NO
\
\
\
\
\
\
1
SUBJECT PROPERTY MAY BE SUBJECT TO
RECORDED OR UNRECORDED EASEMENTS
RIGHT —OF —WAYS SETBACKS AND /OR
RESTRICTIVE COVENANTS NOT SHOWN
HEREON
GRAPHIC SCALE
60 30 0 60 120
SCALE IN FEET
PROPOSED SHORE LINE STABILIZATION AND DOCK
OF
LOT 28 RIVER LAKES
SCALE 1" = 60' SOUTH POINT TOWNSHIP, GASTON COUNTY, NC DATE AUGUST 7, 2014
PROPERTY TO BE ACQUIRED BY
MAP RECORDED IN BOOK AT PAGE DEED RECORDED IN BOOK PAGE
BOOK NO CADD # 7255SPARGO WORK ORDER # 7255 DRAWN BY ISMS TAX ID NO
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