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HomeMy WebLinkAbout20221586 Ver 1_Shoreline Stabilization_20221104Staff Review Form NORTH CAROLINA Ertrlmnmertlrtl Quality Updated September 4, 2020 Staff Review Does this application have all the attachments needed to accept it into the review process?* Yes No ID# * 20221586 Version* 1 Is this project a public transportation project?* Reviewer List:* Select Reviewing Office: * Submittal Type:* Yes No Zachary Thomas:eads\ztthomas Raleigh Regional Office - (919) 791-4200 Shoreline Stabilization Does this project require a request for payment to be sent?* Yes No How much is owed?* $240.00 $570.00 Project Submittal Form 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. Project Type: * For the Record Only (Courtesy Copy) New Project Modification/New Project with Existing ID More Information Response Other Agency Comments Pre -Application Submittal Re-Issuance\Renewal Request Stream or Buffer Appeal Pre -Filing Meeting Date Request was submitted on: 10/15/2022 Project Contact Information Name: Amy Bowes Who is submitting the information? Email Address: Bowescc@esinc.net Project Information Project Name: Bowes Rip Rap Is this a public transportation project? Yes No Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No Unknown County (ies) Person Please upload all files that need to be submited. Click the upload button or drag and drop files here to attach document Bowes to NCDENR.pdf Only pdf or kmz files are accepted. Describe the attachments or comments: 8.35MB Shoreline Stabilization Application Form for approval to place rip rap Sign and Submit ............................................................................................................................................................................................................................ By checking the box and signing box below, I certify that: • I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief. • 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. • I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); • 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"); • 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 online form. Signature: Submittal Date: Is filled in automatically. Water Resources ENVIRONMENTAL QUAEITY State of North Carolina Department of Environment and Natural Resources Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization FORM: SSGP 02-2017 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 If sending via delivery service (UPS, FedEx, etc.) Karen Higgins Karen Higgins DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 276 9-1617 Raleigh, NC 27604 A. Applicant Informatio[15A NCAC 02H .0502(a)1 1. Owner Information Name: `�, o q &s Mailing Address: 9 1 axi)Ova NC 019qq Telephone Numb r:ql q. 3 a3-,7313 Fax Number: E-mail Address: 26 (-BPS r` e', & es1�),C, r1 +- 2. Agent/ Contact Person Information A signed and dat d copy of the Agent Authorization letter must be attached if the Agent has signed this applic tion form. (A form can be downloaded here: ATION FORM.pdf) Name: Company Affiliation: Mailing Address: Telephone Numb r: Fax Number- E-mail Address: B. Project Information [15A NCAC 02H 1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with respect to local la dmarks such as towns, rivers, and roads. 5:A�A-�chr e� 2. Provide a detai vegetation cleari or dredging belo corridors. You rr site plan showing property boundaries and proposed locations of g, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation Full Pond/ Normal Water Level elevations, and construction access iy use the diagram provided at the end of this application form. s� A a I^c�rn FORM: SSGP 02-2017 Page 1 of 3 3. Attach a photogr ph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard stick, shovel handle, etc.) 4. Location of e property (where work is to be conducted) County: 5 "IA Nearest Town: oK � ( 0 Lake/ river/ ocean adjacent to property: G LaJLZ Property size (acres): N3.7 Subdivision name or site address (include phase/lot number): w was _ C d91 Directions to site please include road names and numbers, landmarks, etc.: FroM Ro Or- PWL,5r7 N try f { U c6 LaKp - cl'DSS 14cr'o h n4cla L - Latitude (in decimal degrees) _ Longitude (decimal degrees)-36,467 5. Describe the exist�ng land use or condition of the site at the time of this application (residential, uncle eloped, etc.): 6 6. Describe propose work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): . _ n - F L __ 1 _ _ - . ` 7. Will work be conducted from land? From water? ❑ 8. Total amount of i pacts below the normal pool lake level / Normal Water Level Permanent mpac s (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet: Temporary impacts in square feet: 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward Permane t i Talc s (including back fill, excavation, rip rap, retaining walls, etc.) in square feet: Temporary impacts (temporary clearing, construction corridor) in square feet: 10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 feet landward to he impacted (number of trees, for instance): k) (r U 62-1 app+ (o -ems r-emcu vt. o (i to f FORM: SSGP 02-2017 Page 2 of 5 11. Signature !/ Owner/Agent'sSignature* [15A NCAC 02H .0502 f Date "Agent's signature is valid only if an authorization letter from the owner is provided. 12. Please approximz each item: a. All proposed b. Location of c. Location of d. Location of ; e. Location of Full Pond/ Normal Water Shoreline Plan View ly sketch the following information on this plan and provide dimensions for vegetation clearing p rap or fill to be placed above the Full Pond/ Normal Water Level elevation p rap or fill to be placed below the Full Pond/ Normal Water Level elevation ny proposed structures such as buildings, retaining walls, docks, etc. ny excavation or dredging below the Full Pond/ Normal Water Level elevation Lake (At Full Pond/ Normal Water Level) I , ADC vt p F v v FORM: SSGP 02-2017 Page 3 of 5 Lake (At Full Pond/ Normal Water Side View O U— Lake {At rull Pmcl/Narmal Water Levels Existing Dock /30Rx7ft rrv����=,r rr in►v. «+►aYr .i� �rwY �.a'r v - ine -n View FORM: SSGP 02-2017 Page 4 of 5 3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing *If necessary Existing bank 10 ft. bank FORM: SSGP 02-2017 Page 5 of 5 ��FYN�ln �enQ'- oo }QOCOy� NNSS pGCC'^TN yyyyyy6Pnf ly a rr �f•+�n�a Y`z�l N���ij�61j1� 6s .N ' CF r.? i XH �s N � M 1 � V 1� , , / P• y Q , k� w O ���jjj W� ff7.77 N Ll s g7,777r w / y;N a� Psi$ b .'N N U ,W 9� >N rn MO,w En 4�- 0 � � F � •.A + �i ��r•s1 �� ryA tl y6y.A 9 0p 99 54 m y w uN 99 o .. 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