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Home My WebLink About20150355 Ver 1_Shoreline Stabilization_20150410FRED BAIRD BLACKLEY; ASLA LANDSCAPE ARCHITECT ;,04 SOUTH DEKALB STREET SHELBY, NORTH CAROLINA 28150 (704) 484 1731 Transmittal To: pd&�—_ V . PuvrlAttn: A vl "" Project: 611 -7 ,P�u4_ Iy��ice �c: Z�bq,�t -i6h Project 46, Date: Copies Item Description � v e--)P rkAh APR 10 2015 l DENR - WATER RESOUR E For: APPROVAL INFORMATION RECORD REQUEST REVIEW ('Q COMMENT USE Remarks: Via: US MAIL AIRBORNE_ ___ PICK UP UPS FAX HAND DELIVER OTHER 2 0 1 5 0 3 5 5 AsProvide three (3) copies of the application and supporting information (maps, drings,L °ea ), as well as the appropriate application fee (see below), to the Division of Water Resources 401 & Buffer Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699 -1617. I Ap licant Information Owner Information: Please provide complete and accurate contact information PAJ❑ Agent Information Per 15A NCAC 02I-I 0502, an agent may be given signatory authority for the owner /applicant if a signed and dated copy of an Agent Authorization letter is included with the application (A sample form may be found at http Z/vww saw usace army mil /Port.oi�,/59 /does /regulatory /r_ egdocs[permits /SAiVIPL£ AGEI1IT AUTHORIZATION FORM pdf) - - -- Pr sect Information [� Vicinity/ Site Map: Some type of site map so that someone unfamiliar with the area can locate your project. A county map or USGS topographic map indicating the project location is usually sufficient [V� Site Plan: A site plan showing the location of the shoreline, location of the impacts to the shoreline and /or lake bottom and the location and any vegetated areas that will be impacted In most cases the site plans do not have to be professionally prepared. However, if you intend to conduct hydraulic dredging, professionally prepared drawings will likely be required for the spoil structures. See example below Photograph of shoreline to be impacted/ disturbed [� Description of property (including location information and lat /long coordinates) and [� existing features on and near the site Description of project and impacts/ disturbance proposed III Si nature Per 15A NCAc 02H 0502 , the application shall be considered a "valid application" only if it bears the signature of a responsible officer of the company, municipal official, partner or owner This signature certifies that the applicant has title to the property, has been authorized by the owner to apply for certification or is a public entity and has the power of eminent domain. IV Application Fee [ The application must be accompanied by the appropriate application fee tchecks made out to the NC Division of Water Resources) The application fee is as follows (pursuant to G S 143 -215 3D) ➢ $240 00 f impacts to lake (below normal water level) of less than 1 acre ➢ $570 00 for impacts to lake (below normal water level) of greater or equal to 1 acre UR APR 1`0 2015 INSTRUCTIONS FOR APPLICATION SSGP307980 08 -13 & SUPPORTING DOCUMENfA State of North Carolina Department of Environment and Natural Resources i Division of Water Resources Division of Water Resources 15A NCAC 02H 0500 — Water Quality Certification, Shoreline Stabilization FORM- SSGP 10 -2013 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the application fee sh�oaldib sent to: Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center 2 1 5 0 3 5 5 Raleigh, NC 27699 -1617 1 Applicant Information [15A NCAC 0 ?F1 0502(a)] Owner ' Name Mailing Telephone Number ';b -qq7 g063 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 hap / vv+wvv w w a e army rr�i1F'or #als��:��'�i��clr uhtyry[r� dpcs Perrr3�ls Sr11�114�Lc ��tl �V l rU' }1 ORILATION _F 1 Lcif) must be attached if the Agent has signed this application form Name Company Affiliation. Mailing Address Telephone Number Fax Number E -mail Address: Person to receive the Certification Appr val II. Project Information [15 NCAC 02H O,)u2(a (b�] k-A Attach a vicinity map (I e. street map) clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads \,12. 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 J3 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 prop rty (where work is to be conducted) County , _ Nearest Town (AgPN V / Subdivision ame or site ddress (include phase /lot number): Pew Directions to site - please include road names and numbers, landmarks, etc V i (/i0 4U PAP 104-9" Latitude (In decimal degrees) J0' Longitude (decimal degrees) G y� W '�f' (J 14 5 Describe the existing land use or condition of he site at the time of this application (residential, undeveloped, etc.) ��l 6 Property size (acres): Ct.(i 7 Lake/ river/ ocean adjacent to property 8 Describe proposed work (include disc ssion as to how hardening of shoreline has been avoided, or why it is necessary). Q-0" 9 Will work be conducted from land? From water? ❑ 10 Total amount of disturbance (including all excavation, backfill, rip rap, retaining wails, etc ) below the normal pool lake level/ Normal Water Level in square feet or acres- F) 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: G I k -5 ' t —Le) (P SP:-- 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)- Owner /Agent's Signature t Printed Name 115 ivCAC 022 u502ff)l „Agent's signature is valid only if an authorization letter from the owner is provided "6 -K Date FORM SSGP 10 -2013 Page 2 of 3 Full Pond/ Normal Water Level _� VIES ,�� earl Shoreline La ke (At FLI I I Poi d/ Norma! beater Level) Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft) *- PKI 1 All proposed vegetation clearing ✓2 Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation 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, retaLuLQg w ,411s, docks, etc 5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation V 6. Location of construction access corridors FORM SSGP 10 -2013 Page 3 of 3 ��" � +,�' � � yc i � �'' i`i'i r � " � e, j,:sE"° `'+y 1 �ItC.;� , .r .�, `flay,;. + •iii•►_ '�.;� 71n.:.� "St's` da^' ��r r �k " "w(q � >wr�'�'.�_ J �-' .A. ,.,.a °LPL.. "` `'� � � �k� ° en. . � '"" M �,'yr � l�'F'ti�yY# � .. Z +�hi w +' y` �n �' � 'r • ��° yq` _ � i �''� yr � � a� ; ;, '�': *' � ., �.� L � ,, �V� 4 , `� v� war `"'�M• 1�' fir' z riy�, ..�,,.. �I "�r- -. _ �„ F .. w 1 � � ' .r., .. �. � � .. -.,.. �........ -...c. -taw -.. _ ... . , :, _ -. —: .�« .� _ - �:r fir. �. } � � - �.k• .�+' � wed qy 4'• i •. _ ,.. ��.... c .: 41L'!.. L'c .J`- v.e �� r 4` J. "� f �V� • A r. . �� pp ]Gi�� i Ri �i1 ��' . DRAINAGE AREA FLOW14G TO ANY POINT ON 5CT rr.NCt ShALL NOT EXCEED ONE AflRr TO INCIREAM STOKAGE. CONSTV=T SEDMIC PIT OR TW ABOVE 5LT FENCE, SILT FENCE NT5 .ACK ULTRAVIOLET PE515TAN7 RIFT lOOX FA5RJC OR EQUAL 1/2*x 1 1/2' OAK F'05T 1154* 8'-0' O.G. MAX. AX. SEDIMENT STORAGE LEVEL ,/3) OF HEIGHT INSTALL AND MAINTAIN SILT FENCE AND OTHER MEASURES FOR DURATION OF E DO NOT ALTER SLOPE XCAVATF STABILIZE ANY BARE AREAS 001, EXISTING 501E ri BURY FABRIC 5' XEF' MIRAFI lOQX FABRIC CWRAP 5TONE) 'BERRY' FIRST COURSE h',MODULAR BLOCK 5EAWAL6 NT5 0 GO, ,ALE- 1'= 2 0'- 0' 77-77-7 a #5 STONE LEVELING PAD CFOOTING) 12' THICK, COMPACTED STABLE 5UBGRADF 9 '1� LEGEND 0 EXISTING IRON o LP LIGHT POLE SUBJECT PROPERTY LINE ROAD RIGHT OF WAY LINE LINE PLOTTED DEED (UNLESS SHOWN WITH BEARING AND DISTANCE) �-TT 0) o s 82*49 < G 0 N T R 0 L 5 T R I p 0 0 TIE WALL BACK INTO BANK M 0 5 5 IN L A K E FRED B. BLACKLEY. A5LA LAND5CAPE ARCHITECT 504 5OUTH DEKALB 5TREET SHELBY, NORTH CAROLINA 25150 BANKHEAD SURVEYING , PA 704-481-1040 1203 EAST MARION ST, SUITE 1 SHELBY, N.C. 28150 k\� 01 uIr- IN VICINITY SKETGh Nn LATITUDE N 35' 18' 42' LONGITUDE E 81' 2G' 48' q, r` Ll/ MI FIELDS PROPERTY IG4 HARBOR POINT DRIVE CHERRYVILLE, N 0 THIS DRAWING 15 THE PROPERTY OF FRED B. 5LACKLEY, A5LA AND 15 NOT TO BE REPRODUCED OR COPIED IN WHOLE OR IN PART WITHOUT PERMIS510N. IT 15 NOT TO BE USED ON ANY OTHER PROJECT AND 15 TO BE RETURNED UPON REQUEST. 04/OG/15 r 1/"ll 0. rD 'Al G SHEET I OF 1