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Home My WebLink About20150548 Ver 1_Shoreline Stabilization_20150602David Doss 7938 Placid Court Denver, NC 28037 704 - 382 -6503 work 704 - 607 -8072 cell May 27, 2015 Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699 -1617 Dear Sir /Madame, Please find attached three (3) copies of the Shoreline Stabilization Application Form for the work that I wish to perform on my property located on Lake Norman at the above address. I discussed my project via phone with Alan Johnson of the Mooresville Regional Office, who was very helpful and responsive After going over the scope of work involved with this project, I asked Mr. Johnson what fees were involved. He was not sure, but he graciously offered to check into it for me He called back later and informed me that no fees would apply to my small project, and therefore 1 have not included any application fees with this submission. Since ely, David Doss 2 0 State of North Carolina 1 5 0 ,5 4 8epartment of Environment and Natural Resources D,a 00, Division of Water Resources ,000aWR " 7510 Mw Division of Wager 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 should be sent to: Division of Water Resources 401 & Buffer Permitting Unit PJUN 1617 Mail Service Center Raleigh, NC 27699 -1617 0 2 2015 I 1. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: David Doss Mailing Address: 7938 Placid Ct. Denver, NC 28037 Telephone Number: 704 - 382 -6503 Fax Number: 980 - 373 -8781 E -mail Address: David.Doss @Duke- Energy.com 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: http: / /www.saw.usace.army. mil / Portals /59]docs /repulatory /reRdocs /Permits /SAMPLE AGENT AUTH ORIZATION FORM.pdf) 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 Approval: II. Project Information [15A NCAC 02H .0502(a) & (b)] 1. 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. 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 property (where work is to be conducted) County: Lincoln Nearest Town: Denver Subdivision name or site address (include phase /lot number): Westport Lot #133W & Lot #134W Directions to site - please include road names and numbers, landmarks, etc.: From the, intersection of NC -16 Business N and Lake Shore Rd S, go east on Lake Shore Rd S for 1.6 miles and then turn right onto Placid Court. #7938 is the first house on the right. - Latitude (in decimal degrees) 35.499989 Longitude (decimal degrees) - 80.977381 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Residential 6. Property size (acres): 1.25 7. Lake/ river/ ocean adjacent to property: Lake Norman 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Install additional rip rap, install additional retaining wall anchor, repair crack in retaining wall, and fill in hole with dirt. 9. Will work be conducted from land? � From water? ❑ 10. Total amount of disturbance (including all excavation, backf ill, rip rap, retaining walls, etc.) below the normal pool lake level/ Normal Water Level in square feet or acres: Install additional rip rap (aft x 50ft = 150sf). 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: Install additional rip rap (aft x 50ft = 150sf); install additional retaining wall anchor and add fill dirt (3ft x 10ft = 30sf): repair crack in retaining wall. 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): The only vegetation to be impacted is grass. Owner /Agehs Signature* [15A NCAC 02H .0502(f)l �7- -1 Date Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 10 -2013 Page 2 of 3 Full Pond /tom "�,� Normal Water level Shoreline Labe {At Full Pond/ Normal Water Level) I. X4:1 r a ra i 6row.ab 1.6tP� cable. +'a e�- Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft) *: 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 �QQ 4 "kt A cq y t f, s�r'V . FORM: SSGP 10 -2013 Page 3 of 3 .OTES' / • PROPERTY MAY BE SUBJECT TO RECORDED OR I Chore UNRECORDED RIGHTS OF WAYS OR EASEMENTS c1 NOT OBSERVED 7a.1$ 1 7 • OWNER TO VERIFY ALL SETBACKS AND IONING N 07 REGULATIONS PRIOR TO ANY PUNNING OR Si.90 II CONSTRUCTION. 1. I • DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON THIS PLAT SrDUtO NOT BE SCALED oA AIULO ROAD SOU UPON FOR DESIGN DR CONSTRUCTION WITHOUT vC SHOR� LA \W A FIELD VERIFICATION OF ALL DIMENSIONS. 601 R • DIGITAL COPIES OF THS FILE ARE FOR REFERENCE ONLY AND MAY NOT BE USEO FOR DESIGN WORK • N0 PORTON OE THE RESIDENTIAL STRUCTURE 6 LOCATED M THE 100 YEAR FLOOD PLAIN. H • A PORTION OF THS PROPERTY 5 LOCATED IN A 100 YEAR FLOOD PLAIN % E• 4Yw 'L #. nw a DIANE SHEER FAMILTY TRUST DB 2243 -335 CuI.R I Rod— I toNth I Chore CnWd 9- c1 1 14 7a.1$ 1 7 238 N 07 * 1 r r r r r {. Si.90 II 3 .,6 1. I S ]5'0540 C 50. 31. • ]074 5 ]5' 4 40 0 40 so 120 GRAPHIC SCALE - FEET S c i LOT # 133 W ) & LOT #134W PB C -129 1.222 AC Ay,yLl � JANE SEACORD DB 2304 -681 PHYSICAL SURVEY FOR DAVID & JULIE DOSS LOT #133W 8 #134W, WESTPORT. PWLSE 1 MAY 21. 2014 LOB. 2243 PG: 335 pg PG: SCALE: I' . 50 FIB: C PG, 129 CATAWBA SPRINGS TOWNSHIP LINCOLN COUNTY. NC DEDMON SURVEYS CHUCK POOVEY, PLS #3762 ROBERT DEDMON, PLS #3899 3704 NC HIGHWAY M6 NORTH P.O. BOX 494 - DENVER, NC 28037 PHONE: 704148314908 FAR: 7 0 414 8 3121 7 0 SEAL - L -3899 I I c F• KW -1 CERTiY FIRS PUT WA3 DRAWN FROM AN ACTUAL .I N BTT9'JOIV 1_ _ M SVEY AND IS CORRECT AND TRUE TO THE BEST * 1 r r r r r {. Si.90 II .— — — — — _ -� ^ ^ •-- ^ ^ OF yr KHOWTEDCE. �� L n 7'� 1�a& ;q IO[r— 3899 + COKIgY1 IMETm ^ _ = = L.A[KE ^ = _ _ = PROFESSION& LAND SLXNEYOR LICENSE NO = == NORMAN = = == ^ AN, mcKs. 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