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Home My WebLink About20150129 Ver 1_Shoreline Stabilization_20150130$ PAID State of North Carolina DWR 2 0 D1pAnQnJ of?Engronment and Natural Resources Division of Water 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 Et Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699 -1617 JAN Q 2��S I. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information OtALFrY Lod on Lake Lure /RSMB Holdings LLC. SrORM�y�TE�PE&& T j'3 Mailing Address: 361 Charlotte Dr. Lake Lure NC 28746 Telephone Number: 828 980 4480 Fax Number: E -mail Address: 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: http: / /wwwsaw.usace army. mil /Portals /59 /docs /regulatory/ regdocs /Permits /SAMPLE AGENT AUTHORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: Dale Shields Company Affiliation: Shields Tree Service Mailing Address: 2973 Hwy 108 Rutherfordton NC 28139 Telephone Number: 828 223 0528 Fax Number: 828 395 2200 E -mail Address: shieldstree@email.com Person to receive the Certification Approval: Dale Shields II. Project Information [15A NCAC 02H .0502(a) Et (b)] 1. Attach a vicinity map (1.e. street map) clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. FORM SSGP 10 -2013 Page 1 of 3 2. Provide a detailed site plan showing property boundanes 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 corndors. 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: Rutherford Nearest Town: Lake Lure Subdivision name or site address (include phase /tot number): Directions to site - please include road names and numbers, landmarks, etc.: _ Memonal Hwy / HM 64 to Charlotte Dr. approximately one mile on the left. Latitude (in decimal degrees) Longitude (decimal degrees) 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Commercial- Lodge/ Restaurant 6. Property size (acres): 2.01 7. Lake/ river/ ocean adjacent to property: Lake Lure 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Severe erosion problem 9. Will work be conducted from land? YES From water? NO 10.Totat 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: 2500 sq. 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 FORM SSGP 10 -2013 Page 2 of 4 and 50 feet land -ward in square feet or acres: 1/4 acre 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): _ 15 hardwood trees. 10 to 16 inch diameter. 60 small bushes under 10 inches Owner /Agent's Signature' [15A NCAC 02H .0502(f)1 Date 'Agent's signature is valid only if an authorization letter from the owner is provided. Full Pond/ Normal Water Level SI Lake (At Full llondlWorennldMd itLe"l) Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft) *: FORM SSGP 10 -2013 Page 3 of 4 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 4 of 4 SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION• / /70-,/63/?0q LOT NO. PLAN NO. PARCEL ID: / 6 3 Please print ` ^ Property Owner �l Property Owner IPSVy-\3 4) /alinc,,� LLC r The undersigned, registered property owners of the above noted property, do hereby authorize of (Contractor / Agent) (Name of consulting firm) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached Property Owner's Address (if different than property above). Telephone. �,) y- q k 1) — L1460 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge Authorized Signature �� Date -eye �� \�� ._ ��\ X r S t V. 4 '�� t ,. ti .� �Vr � ., ,! .� ,�� . �. (8 r',- w�� 4 f�. f �� 'r, ,� / £ ��' �� - a ��` �� s �,. Install a filter fabric along wall and also install rip -rap approximately 4 foot wide and 3 foot tall. Tear out existing boardwalk and wall. Rebuild slope and instal filter fabric and rip -rap. Approximately 4 foot high and 3 feet wide. Remove Existing retaining wall and rebuild slope and also install filter fabric and rip -rap approximately 4 foot high and 3 feet wide. Tear out block wall and rebuild �1\ shoreline with I rip -rap and filter fabric. Install filter, fabric and rip -rap along shoreline. OL Tear out existing boardwalk and existing wall. And rebuild shoreline with filter fabric N. y and rip-rap. , Red line represents where the�F temporary road will be built.