20150060 Ver 1_Shoreline Stabilization_20150116

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Oivision of Water Resotira -es
2 0 1 5 0 0 6 0 State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H 0500 — Water Quality Certification, Shoreline Stabilization
tM ?_� a a PFZ�' 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 [i5A I\ICAC 0 2 H (3�G11
1 Owner Information
Name
Mailing
Telephone Number- 8D �i� %_ Fax Number A/W
E -mail Address ow ,yl,`,� �,, C o e, _ c,"
2 Agent/ Contact Person Information U
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here
rat jaw +nrvv sdwsa�a�,� �irra�y rr�i� #?or�al� ���dc�c re L'd
UR1ZATii�iW _FC)B1Vi_ .0df) must be attached if the Agent has signed this application form
Name
Company Affiliation
Mailing Address r
Telephone Number Fax N ber
E -mail Address
Person to receive the Certification Approval
II. Project Information [1.5A KCAL 02H 05o2ja) & (b)l
Ji Attach a vicinity map (i e street ma� p) clearly showing the location of the property with
/ respect to local landmarks such as towns, rivers, and roads � � W,\,
2 Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces,
FORM SSGP 10 -2013 Page 1 of 3

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 phere work is to be conducted
(
County Nearest Town /" ^n ,
"V\
Subdivision name or, site address (include phase /lot number)
I (`'-' /v Gcrvt } 2G
Directions to site - please include road name and a numbers, landmarks, etc
Vw
Latitude (in decimal degrees) Longitude (decimal degrees) o ' S3 P
5 Describe the existing land use or condition of�ite� at the time of this application
(residential, undeveloped, etc)
6 Property size (acres) © G , 41 aL
7 Lake/ river/ ocean adjacent to property W�-
8 Describe proposed work (include di cussion a to how hardening of shoreline has been
avoided, or why it i s necessary) o Azk ��t� $cam
r- r i � n. I t n I
9 Will work be conducted from land? ���pp��p Fr ate ? [ '�� 4N �G��
10 Total amount of disturbance (including all excavation, backfill, rip rap, re aining wail , etc )
below the normal pool lake level/ Normal Water Level in square feet or acres
3,y- 110 ' = �V 9-t�o sr-
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 61 X u b � 660 Sr- 10Uc) S I-
12 Please describe the vegetation above the normal pool lake level/ Normal Water Level and �� f
50 feet landward to be impacted (number of trees, for instance) �—
r /Agent's Signature
96'Ja U
Printed Name
[ISA NCAt _0_2h u�W t)1
Agent's signature is valid only if an authorization letter from the owner is provided
Date
FORM SSGP 10 -2013 Page 2 of 3

Full Pond/
Normal Water Level
Shoreline
Lake
(At Full Pond; Normal Water Level)
S¢e sale (•C�
/ N>UU-
Please approximately sketch the following information on this plan (provide d1mensions for each
item, such as 10 ft x 100 ft)* A
1 All proposed vegetation clearing IV%N --'
2 Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
t— 3 Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
f 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
l 6 Location of construction access corridors
FORM SSGP 10 -2013 Page 3 of 3

To:
FRED BAIRD BLACKLEY, ASLA
LANDSCAPE ARCHITECT
504 SOUTH DEKALB STREET
SHELBY, NORTH CAROLINA 28150
[phone]
Transmittal
Attn:
Project: _
Date:��� t7
Copies
Item
Description
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JAN 6 7 !1
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DENR .WATER ""'_' • - I
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For: APPROVAL INFORMATION RECORD REQUEST REVIEW COMMENT USE
Remarks:
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Copy To: Q By:
Via: US MAIL AIRBORNE_, PICK UP UPS FAX HAND DELIVER OTHER

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704.484.1731
504 SOUTH DEKALB STREET
SHELBY. NORTH GAROLINA 28150
41 , o
.0, 1
ARAr4TAPROPERTY
5k 13q GANDLEWOOD DRIVE
KINGS MOUNTAIN, N G
THI5 DRAWING 15 THE PROPERTY OF FRED B. BLACKLEY. A5LA
AND 15 NOT TO BE REPRODUCED OR COPIED IN WHOLE OR
IN PART WITHOUT PERM15510N. IT 15 NOT TO BE U5ED ON ANY
OTHER PROJECT AND 15 TO BE RETURNED UPON REQUE5T.
C . W � \,ARANT\ARA.NT20
12/01/14 ARANT20 5MEET 1 OF 3

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FUTURE COVERED BOAT SLIP
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SOUTH ELEVATION
D PERIMETER BAND
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)55 BRACE A$ REQUIRED
PROP05ED MODULAR 51-0CK 5EAWALL
AAT PROPERTY
131 C.-ANDLEWOOD DR
KINGS MOUNTAIN, N C,
TH15 DRAWING 15 THE PROPERTY OF FRED B. BLACKLEY, A51 -A
AND 16 NOT TO BE REPRODUCED OR COPIED IN WHOLE OR
IN PART WITHOUT PERM15510N. IT 15 NOT TO BE U5ED ON ANY
OTHER PROJECT AND 15 TO BE RETURNED UPON REQUE5T.
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12/01/14 KDO'AIS &MG 5FIEET 2 OF 3

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4X. SEDIMENT STORAGE LEVEL
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INSTALL AND MAINTAIN SLT FENCE AND OTHER MEASURES FOR DURATION OF PROJECT
EXCAVATE
DO NOT ALTER SLOPE
STABILIZE ANY BARE AREAS
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GAP UNIT -ADHERE TO TOP UNIT
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MODULAR CONCRETE FACING UNITS
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STABLE SUBGRADE
NOTE, INSTALL WAIT. FM MANUFAGTLRER'5 5MGIFH'iATION5
DECKING C5/4xG OR 2x6 OR TREX')
4x10 BEAM C2 - 2x10'6 WITH BLOGKING3
ATTACH MEMBERS TO POST WITH 3 - 3/8' LAG BOLTS
5EQTION
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2x8 J015T C16' OG MAX.) 12' FOR 'TREX'
2x2 LEDGER - ALT.- JOIST HANGER
I'UI.i. POND rTL'rZG-.o.0)
6x6 POST
ALL WOOD PRE55URE TREATED SOUTHERN YELLOW PINE
ALL FASTENERS MOT DIPPED GALVANIZED
1
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ATTACH MEMBERS TO POST WITH 3 - 3/8' LAG BOLTS
2x8 JOIST CIG' OG MAX.) 12' FOR 'TREX'
2x2 LEDGER - ALT.- JOIST HANGER
rt,11_!.. POND Q:i..T 03
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ALL FASTENERS HOT DIPPED GALVANIZED
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FRED B. BLAGKL YB A5LA
LAND GAPE ARCHITECT
704.484.1731
504 SOUTH DEKALB 5TRF-ET
SHELBY, NORTH CAROLINA 25150
. .m+nine
DECKING C5/4xG OF. 2x6 OR 'TREX')
2x8 J0151 - TO R5T ON BEAM C16' OC MAX.) 12' FOR 'TREX'
4x10 BEAM C2 - 2x10'b WITH BLOCKING)
ATTACH MEMBERS 70 POST WITH 3 - 3/8' LAG BOLTS
rULL POND Ct 1.,T'. 'e'.O:s
6x6 P057
ALL WOOD PRE5VRE TREATED SOUTHERN YELLOW PINE OR APPROVED TROPICAL HARDWOOD
ALL FASTENERS mOT DIPPED GALVANIZED
P05T TO SUPPOgr ROOF ABOVE
DEGKNG C5/4xG WDR 2xG OR 'TREX')
2x8 JOIST CSG' OG MAX.) 12' FOR 'TREX'
4x10 BEAM C2 - 240's WITH BLOCKINW
ATTACH MEMBERS TO POST WITH 3 ='3/8' LAG BOLTS
FLU POND --
6x6 P05T
ALL WOOD PRE°�URE TREATED SOUTHERN YELLOW PINE OR APPROVED TROPICAL HARDWOOD
ALL FASTENERSi110T DIPPED GALVANIZED
5ECTION
1. \ 4 BE" POST
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ALL POSTS PRESSURE TREATED CGROUND CONTACT) SOUTHERN YELLOW FINE
iT
5HORELINE
IMPROVI:ME:NT
6x6 POST
DUAIL 5
CONCRETE FOOTING
ARANT P
1311 OANDLEWOOD Df
KINGS MOUNTAIN, N 0
THS DRAWING 15 THE PROPERTY OF FRED B. BLACKLEY, A51 -A
AND 15 NOT TO BE REPRODUCED OR COPIED IN WHOLE OR
IN PART WITHOUT PERM15510N. IT 15 NOT TO BE USED ON ANY
OTttEF PROJECT AND 15 TO BE RETURNED UPON RECUEST.
Cw ' 51) 1,41 G E;,\ARAINT\D. -- AILA-9WG
12/01/14 DETAILADWG 5MEET 3 OF 3