HomeMy WebLinkAbout20221379 Ver 1_Shoreline Stabilization_20221005Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email*
ldickens340@gmail.com
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 10/4/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
joseph and lynn dickens
sherianne27520@gmail.com
(704)746-7005
(xxx)xxx-xxxx
Street Address
125 Hollyhock Lane
Address Line 2
City
Apex
Postal / Zip Code
27539-5644
Is there an agent working on the project? * Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
State / Province / Region
NC
Country
US
Project Name: *
dickens hollyhock road rip rap
If your project has a formal name please use this. If your project does not have a formal name, please identify your project
by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses
any other names that have been used to identify the project in the past.
1. Provide 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. *
Upload File
Look up address
Upload Map: 125 hollyhock.pdf 120.4KB
survey 2022.pdf 44.97KB
Latitude: * 35.607220
Longitude: *-80.918030
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging below
Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram under
section 12.normal pool lake level/normal water level*
plan.pdf 39.43KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard
stick, shovel handle, etc.)
shoreline.pdf 690.68KB
4. Location of the property (where work is to be conducted)
Nearest Town: * mooresville
County: * Iredell
Lake/ river/ ocean adjacent to norman
property:
Subdivisions name or site address: *
125 hollyhock lane
Include phase/lot number
Directions to site: *
150 west, right on Waddell, rt on Hermance, left on Sherbrook, left on
Hollyhock
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
residential
Residential, undeveloped, etc.
6. Property Size
1.17
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Install rip rap to secure shoreline.
8. How will the work be done? *
From Land
From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
81
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet land-
ward:*
*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
81
square feet
11. 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)
No vegetation will be impacted.
Sketch: side view.pdf 28.78KB
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o I, 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.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Lynn Dickens
Signature:
Submittal Date: 10/4/2022
Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20221379 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - (704) 663-1699
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?* $240.00
$570.00
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Mooresville, NC 28117
D S DON ALLEN & ASSOCIATES,P. A.
"Since 1971"
Commercial * Residential * Mortgage Surveys * Multi —Family
Construction Staking * Subdivision Design * Topographical
131 Crosslake Park Drive — Suite 102 * Mooresville * NC * 28117
(704) 664-7029 (704) 664-8041 Fax
I, certify that this map was drawn under my supervision frorn an actual
survey made under my supervision recorded in deed book 1528 _ page_ 556 , and/or
plat book 19 , page__3 . , that the ratio of precision is 1':10,000, that this map
was prepared in accordance with the General Statutes of North Carolina Chapter 89C.
my hand and seal on the N_4 _, day of APRIL
A.D. 20 22
LINE TABLE
LINE
BEARING
LENGTH
L1
N 39'03'35" W
43.45'
PB.19 PG.36
LOT 1127
HAN M. &
CHRISTOPHER E. FANN
2703/2224
R/W
LEGEND
R W
E.I.P. = EXISTING IRON FOUN
I.P.S. = #4 REBAR SET
R/W = RIGHT—OF—WAY
CP = COMPUTED POINT
= WELL
0' 30' 60' 100'
SCALE IN FEET
SCALE
1" = 60'
ACQUIRED BY:
**LAKE
NORMAN**
!� • �s�ri:acp
1 abs�
WILLIAM M. ALLEIa�,= •••R07;08'
SEAL •
•� 3499 �:
Al M. A
•LA®
$ V
�% o, LOT 270
ElP :r' G, o STACY H. &
CODY L. HODGES
2701/1906
S01 '52'27"E
110.78'
HOLLYHOCK LANE
(60' R/W)
NOTES
1) THIS PROPERTY MAY BE SUBJECT TO
ANY EASEMENT AND/OR RIGHTS —OF —WAY
R/W OF RECORD.
2) AREA COMPUTED BY THE COORDINATE
METHOD.
3) EXISTING 760' & 761' CONTOUR ELEV—
ATION BASED ON LAKE NORMAN LAKE
LEVEL AT COWAN'S FORD DAM (READING
ON 3/29/2022) ELEVATION: 756.9'
4 UNDERGROUND POWER
5 NO GRID MONUMENT FOUND WITHIN
PHYSICAL_ SURVEY 6) S000 FEET.
ETBACKS SHOWN PER CL&T ZONING
RES i KICTIONS IN IREDELL CO.
OF
125 HOLLYHOCK LANE
LOT 1126 CRESCENT LAND AND TIMBER CORP SECTION 11
DAVIDSON TWSP., IREDELL CO., N.C.
JOSEPH & LYNN DICKENS
EIP
FIELD BOOK: 900C
FILE: CLT 1126 S11.DWG
DC FILE
TAX MAP NO: 462891838E
Lake
(At lull pontl#Norrnal water level)
411 1l
00 0000000
FuN PoncliNormsl Waler level Q9 $ n 6
orloo000•
ovv� . ■ 00 00 0
Shoreline d o d o i' 0 0 0 0
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