HomeMy WebLinkAbout20221468 Ver 1_Shoreline Stabilization_20221025Shoreline 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*
hager@lakepermit.com
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 10/21/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
SHANE HAFFEY
SHANEHAFFEY@ATT.NET
(704)608-1358
(xxx)xxx-xxxx
Street Address
3861 Swanson Rd
Address Line 2
City
Sherrills Ford
Postal / Zip Code
28673-8329
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
State / Province / Region
NC
Country
US
Name: * TAMARA HAGER
Company Affiliation: * SCHMOLKE CONSTRUCTION INC
Email: * hager@lakepermit.com
Phone Number:*
(704)575-2227
(xxx)xxx-xxxx
Mailing Address:*
Street Address
PO BOX 5335
Address Line 2
City State / Province / Region
MOORESVILLE NC
Postal / Zip Code Country
28117 US
A signed and dated copy of the Agent Authorization letter:*
haffey auth.pdf 164.92KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
HAFFEY
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: haffey survey.pdf 144.89KB
Latitude:*
35.587900
Longitude: *-80.998198
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*
haffey sketch.pdf 99.9KB
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.)
haffey pic.pdf 112.91KB
4. Location of the property (where work is to be conducted)
Nearest Town: * SHERRILLS FROD
County:* Catawba
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:
Subdivisions name or site address: *
CRESENT LAND & TIMBER LOT NUMBER 167
Include phase/lot number
Directions to site: *
FROM MARSHALL STEAM STATION, RIGHT ONTO 150, RIGHT
ONTO SHERRILLS FORD RD 1.7 MILES, TURN LEFT ONTO
GEATTY RD 1.1 MILES, TURN LEFT ONTO REID CIR .60 MILES,
TURN RIGHT ONTO SWANSON RD .20 MILES, PROPERTY ON
RIGHT.
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 .70
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
REFURBISH SEAWALL FOR SHORELINE STABILIZATION
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: *
0
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
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.)
0
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)
NONE BY BARGE
Sketch: haffey sketch.pdf 99.9KB
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:
o 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");
a I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* SHANE HAFFEY
Signature:
5lAke IIA FFey
Submittal Date: 10/21/2022
Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20221468 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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Pltc lon it a v�o;eticn r tr■ Buffer Rz:}r. Sits apecWc work shouI d be pra-ulded in the application. 115A NCAC
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taprOVIC. 6cmCtall, *haratraae that In sa4--iKlu undwm'nar' :210ng ft WrnadNte sheraiine can k�e ramove,
Mir.€mai api a; ,irlaaF'rrgitr�ttlalmrrad' ::' aardtna's a'laKrgd. SSA NCACO28.0243i6))
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rnatertgl r<:ust ba wide the k ;!'�er_','i5R NC4C �2H .Da02 and Iafi, °�CA� 1128 . ��43 ig}, {b}, ���;
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Please aPprox;rnately sketch the fOf;OIving info rrnaticn on this plan (provide dirnanslonsl5vr eachI'ttem, such aS 1d ftx jOO ftj":
I. Ali proposed vegetation clearing
z- Location of rip rap or RU to be paced above the Full Pond/'Norrrei Water Level elevation
3. Location of rip rap or fill to be placed below the Fill Pond] Normal Water Lave{ elevation
C Location Of any proposed structures such as buildings, retaining walls, docks, etc
S. Lar.�ation of any exeavatlon or dredging below the Full Pond/ Normal Water Leval elevation
6. Loeat]on Of construction access carrldors
FORMA_ SSGP ID.M13
Page 3 of 3
From Tamara Hager tamarahager@icloud.com
5ubjecl Haffey shoreline pies
Date, Oct 4, 2022 at 6:20:15 PM
To TAMARA HAGER lager- wllakeperrnit.com
�r
J
Tamara Hager
704-575-2227
The information contained in this message is confidential and is intended solely for the
recipient(s) identified above. If you are not the intended recipient or there are any
problems, please notify the sender immediately. The unauthorized use, disclosure, or
copying of this message is strictly forbidden and may subject you to legal action.
Full Pnn,(I
Nora
Lake
[At Ful; Pond/ Normal watw l esrei j
it r -J �t �,
W�11.r
-+ -V
Nz� -MEE� Iz6M&Q)
n,:rry r t✓ n rsruA
t3a-I:F -
WJNI� LON(I? TL i
E).C.*VAT&e- ¢- 15hp-; 6�
Please aPprox;rnately sketch the fOf;OIving info rrnaticn on this plan (provide dirnanslonsl5vr eachI'ttem, such aS 1d ftx jOO ftj":
I. Ali proposed vegetation clearing
z- Location of rip rap or RU to be paced above the Full Pond/'Norrrei Water Level elevation
3. Location of rip rap or fill to be placed below the Fill Pond] Normal Water Lave{ elevation
C Location Of any proposed structures such as buildings, retaining walls, docks, etc
S. Lar.�ation of any exeavatlon or dredging below the Full Pond/ Normal Water Leval elevation
6. Loeat]on Of construction access carrldors
FORMA_ SSGP ID.M13
Page 3 of 3