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
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