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Home My WebLink About20221251 Ver 1_Shoreline Stabilization_20220914ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Director NORTH CAROLINA Environmental Quality oa3ia.5 / 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 Paul Wojoski DWR — 401 & Buffer Permitting Branch 1617 Mail Service Center Raleigh, NC 27699-1617 If sending via delivery service (UPS, FedEx, etc.) Paul Wojoski DWR — 401 & Buffer Permitting Branch 512 N. Salisbury Street 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: DWR ID # A. (required) RECEIVED Version (if applicable) Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: .S cy Mailing Address: Telephone Number: E-mail Address: N:rDE Department of Environmental Onset V S E P 1 4 2022 DEQ-WATER RESOURCES 401 & BUFFER PERMITTING i 13 61, 6e 6,ak Or DaT,dso,, N c 2.8 0 3 C 154f-1.ig. 6687 Fax Number: rtiu,Sf-441561p-41- 56zjra•i,cQn North Carolina Department of Environmental Quality 1 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: VGusln Company Affiliation: Mailing Address: Telephone Number: E-mail Address: 1.ak� Vorn4„ 0 MAIS14,3 Ptr/h:Efrr ' d 1 ' Y'f K e5Pre 1 1/g 4e, y. Lafawb4 Nc s 86 4'9 704 - Ka L- 314-0 Fax Number: vaayl,n 1402 ®Sroa,teco,., 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: Tri.Jc'(' Nearest Town: Trvufr►1 Lake/ river/ ocean adjacent to property: Property size (acres): 9. N' 6 Subdivision name or site address (include phase/lot number): 41(64 Lai,, Paint Let- ' Lek fJ errta,,, Directions to site - please include road names and numbers, landmarks, etc.: F.-or» iivy 1 Sti cR/P1 Ad., +MrN r,3it "do NAYn o riF., P.'(41 14.4,i +1..m 140 o r+'r 9-44 e Pod It. a ., +wh Latitude (in decimal degrees) 35. (.3117 �aff a►,4e+ elor/iun Longitude (decimal degrees) 4), (11641- 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): (1,0414-K4 l 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): 4 pp (rcJ,+,vn o4 6(...51 6 rip rip ;.1 b4Yror, art&S tielp Longo f prosr-Ai FORM: SSGP 09-2020 Page 2 of 5 7. Will work be conducted from land? n From water? `r 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: 0 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: -oo ef 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): (.,ytif ly 1,-44e4A/ n 40 f"7 bt 11. Signature iMi aae4 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 Owner/Agent's Signature* [15A NCAC 02H .05020 4/// AZ - Date *Agent's signature is valid only if an authorization letter from the owner is provided. 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 Full Pond/ Normal Water Level i i Shoreline Plan View Lake (At Full Pond/ Normal Water Level) t Nck #O Areas .}-d bt rt p4; reJ br 130 .4. Wino i i ENE LP- b1 130f" 46044 /wU fo4d Full Pond/ Normal Water Level ""thoreline — 2 ft. x 150 ft. additional clearing f necessary E Plan View Lake (At Full Pond' Nofrnal Water Le'/ell Riprap x xx Existing Dock 30ftz7ft KAMPL 3ftz150ft Below full pond/ NWL NOM 4ftx150ft Above full pond/ NWL FORM: SSGP 09-2020 Page 4 of 5 z P 4 O ve, ti - LIItt Y\ L ke {At Full Pond/ ornal Water Lev Side View J 0 10 ft. bank height Side View 3 ft. belaw full pond water level 4 ft. above full pond water level 2 ft. additional clearing "if necessary Existing bank FORM: SSGP 09-2020 Page 5 of 5 CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address: 51-k&Y 54-ah I fCh;d14" te) County: Ire41 Owner: -tG+1$4PI4 115 CJt a,.'o(/- ,1 . Print Signature Contractor/agent: •tt in.4 gnym4/1"- Syr 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, J L'`l \ 44-dt A+• ell- , 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, tlya-approved plan(s) and specification(s), and other supporting materials. Signature (owner Date: �'�2--20.23- • • , _ A ._; CIS 0 o) 4 a 1 kp 4 t 99 000 .,0 , 21 4.t Go gle ••"':,lit, 242 Allendale Cir Ftri 242 Allendale Cir O O O Phaetons Save Nearby Send to Share phone Q 242 Allendale Cir, Troutman, NC 28166 JBJC*FJ Troutman, North Carolina Photos