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HomeMy WebLinkAbout20141283 Ver 1_Shoreline Stabilization_20141212State of North Carolina 2 0 1 4 1 2 a 3 Department?ooff E'nv�onment and Natural Resources Lj Division of Water Resources 'j- k 'r..o Resources 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 I. Applicant Information [15A NCAC 02H .0502(a)) 1. Owner Information Name: Richard and Elizabeth Beaver Mailing Address: 3200 N Ocean Blvd., Apt. 1810, Ft Lauderdale, FI 33308 Telephone Number: 1- 954 - 563 -6968 Fax Number- E-mail Address bettyannebeaver @hotmail 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 pd f) must be attached if the Agent has signed this application form Name: Chad Ensley, Ensley Properties and Excavating, LLC Company Affiliation: Owner Mailing Address. 6327 Hwy 107, Cullowhee, NC 28723 Telephone Number: 1- 828 - 421 -2025 Fax Number: FORM SSGP 10 -2013 Page 1 of 3 E -mail Address- censley23 @aol.com Person to receive the Certification Approval: Chad Ensley 11. Project Information MA NCAC 02H 0502(a) & (b)) 1. Attach a vicinity map (i a 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, 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 Jackson Nearest Town Tuckasegee Subdivision name or site address (include phase /lot number) Lot 107 Longview Ln., Tuckasegee, NC 28783 Bear Lake Reserve Lot 107 Directions to site - please include road names and numbers, landmarks, etc : Turn off Hwy 107 onto Shook Cove Rd., turn right into Bear Lake Reserve (Lake Forest Dr ) go 2 5 miles turn left onto Longview In., site 500 yds ahead on right Latitude (in decimal degrees) 35.238009 Longitude (decimal degrees)83.066312 5 Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.) residential home. 6 Property size (acres): 55 ac. 7 Lake/ river/ ocean adjacent to property: Bear Lake 8 Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary). Shoreline stabilization —trees, roots, soil eroding away _ FORM SSGP 10 -2013 Page 2 of 4 9 Will work be conducted from land? xQ 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 1000 square feet 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- 1600 square feet 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). Approximately 4- 6 trees that have been eroded under ��Z&z &94�51 5 Dec 2014 Owner /Agent's Signature` [15A NC 2H 0502(f)] Date Agent's signature is valid only if an authorization letter from the owner is provided FORM SSGP 10 -2013 Page 3 of 4 SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION. p LOT NO. PLAN NO. PARCEL ID' -75f 6 " � 6 — �% STREET ADDRESS: _ L D T %C77 U in s V/ _ s. a LIf KGs A SNSer' AX- ' K 3` Please print: r Property Owner kf c----4 o�. V-j— Property Owner -� The undersigned, registered property owners of the above noted property, do hereby authorize of�sv -r'�Iiz•�CT ( ntractor / Agent) (Name of consulting firm) ° LLC to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certificabon and any and all standard and special conditions attached Property Owner's Address (if different than property above): Telephone: Z` 95.9 — s63 6 n 9 We hereby certify the above informatbn submitted in this application is true and accurate to the best of our knowledge. 'Authorized Signature Date: H n0 j 1 nco+'C9 Authorized Signature Date: euuv Aueq dnv i n ti L An oen rc .s s J a A V 1 d V d w Iz I n �.iY'To; X51 Z ir N V J U OV,n� '��° 0 Q O to [7 to [C Of O OV90 r u 0zZW Q Dj 1.59 Lij m C n £ L u U L �- C 0 L- L- 0 CY m� o� O N frQ.urx) ata��x 11J m O Q_u r T In O a � l 2 2ty0t 14 oQO1 & Q i n m M m n Z O r t1� w w O Q +1 �: OW��1 8V'aZ Z W Q W W Y UI N ��i - fire s� Lk�W yam, P' • � ' r• Q a I 5 � \l � ,t6 %ry 3„ir, (I O • • •'�� r+ �a UJ r» i10tl►tu ►� °�� Q Y y LLJ M m -C�Y l T Q ZI V LLI U Q Ld [U W J \ \c \\ O Of 7 1 171 112 a m m 0 w w h h p F- J Q ct 0 w r N ^ n n m m v -AIL 60 C n £ L u U L �- C 0 L- L- 0 CY m� o� O N frQ.urx) ata��x 11J m O Q_u r T In O a � l 2 2ty0t 14 oQO1 & Q i n m M m n Z O r t1� w w O Q +1 �: OW��1 8V'aZ Z W Q W W Y UI N ��i - fire s� Lk�W yam, P' • � ' r• Q a I 5 � \l � ,t6 %ry 3„ir, (I O • • •'�� r+ �a UJ r» i10tl►tu ►� °�� Q Y y LLJ M m -C�Y l T Q ZI V LLI U Q Ld [U Bear Lake Reserve This map is prepared for inventory of real property within Jackson County. It is compiled from recorded deeds, plats, and public data records. Users of this map are hereby notified that the aforementioned public information sources should be consulted for verification. Jackson County o any County representative assumes no legal responsibility for the contents of this map. Pri n + led . Dec 10, 2014 5 -ixzml Pimp Full Pond/ 014TW41- go6k Normal Water Level Ik Shoreline ON AVE RA I-C L4-=-+u �J ,/0 �e'v ( 0rt' 12AL. RbC C0jV.5i1 -u c7! 0A/ jq�'m LOT 106 (kC-U & A 514MF 7— 7 -M C) Lake (At Full Pond/ Normal Water Level) r Lo-r lo CL CA.e M 14 "zr-A Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 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 M 97 :- 4%; , der i 1 � P r r. y Y . � r r of ti R l J s t e r � r r j J � � M� .� .� . ;r� k� �,,. ,•�, . t �, ,��� � f �1,, , � +J ��.� i1 r••. �. ,.-� / � ���' ,, �. ., , �'. 4 1�,. T�' �' � f �. i� �'� � ' �. 4 � �,,. ,•�, . t �, ,��� � f �1,, , � +J ��.� i1 r••. �. ,.-� / � ���' ,, �. ., , �'. 4 1�,. T�' �' � f .- ''r L. r. e !,� 1 l J ~ 1 v A )tit r: r Oil �' � •' -i� wry - i v. 4f 16 4' )PL to to kit