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HomeMy WebLinkAbout20150804 Ver 1_Shoreline Stabilization_20150807State of North Carolina Department of Environment and Natural Resources DWR Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Division of Water Resources FORM: SSGP 10 -2013 as an' A m Shoreline Stabilization Application Form Four copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1650 Mail Service Center Raleigh, NC 27699 -1650 I. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: Mailing Address Telephone Number: E -mail Address: BRENT WISE 26 LAKE CLUB LANE NEBO NC 28761 828 - 552 -2252 Fax Number: 401 0 2 0 5 0 8 0 4 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.armv. mil / Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: CARISSA PARKER Company Affiliation: BENNICK ENTERPRISES LLC Mailing Address: 7836 HWY 70 E NEBO NC 28761 Telephone Number: 828 - 659 -1000 Fax Number: 828 -659 -1001 E -mail Address: CARISSA a)BENNICKGRADING.COM Person to receive the Certification Approval: CARISSA PARKER II. Project Information (15A NCAC 02H .0502(a) & (b)J 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, etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations, FORM: SSGP 10 -2013 Page 1 of 4 -b�-eo_ 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: MCDOWELL Nearest Town: NEBO Subdivision name or site address (include phase /lot number): LAKE VIEW ESTATES / 5 26 LAKE CLIB LANE Directions to site - please include road names and numbers, landmarks, etc.: FROM MORGANTON TAKE HWY 126 / TR ONTO LAKE CLUB DR / TR ONTO LAKE CLUB LN TO PROPERTY 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): VACANT WOODED LOT AREA 6. Property size (acres): 7. Lake/ river/ ocean adjacent to property: LAKE JAMES 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): 88' OF SHORELINE STABILIZATION BY BARGE, HEIGHT WILL BE 5' 9. Will work be conducted from land? ❑ From water? 10. Total 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: 3'X 88'= 264 SQ FT 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: 2'X 88'= 176 SQ FT 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): NO TREE REMOVAL C, "� Can,P ut Cv O Ow gent's Signature* [15 NCAC 0�'H .0502(f)] Date Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 10 -2013 Page 2 of 3 �eyj W , S-2, Lake',- At Full-Pond,' Full Pond ;:. �,.' , ��; c Shoreline a X�5' a C � o.n \ 1 L- - 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 FORM: SSGP 10 -2013 Page 3 of 3 BRENT WISE LAKE JAMES LAKE VIEW ESTATES / 5 To: North Carolina Division of Water Quality I give Carissa Parker, of Bennick Enterprises, LLC., permission to sign as my agent on my application for shoreline stabilization. Signature (s) Date 4 Z y 3 a c� Brent Wise Lake View Estates lot 5 ba)�L jo�y� 3 Q V Ci The materials available at this web site are for informational purposes only and do not constitute a legal document. Brent Wise L a k e J a rn e s 126 IQ Brent Wise Lake View Estates lot 5 26 Lake Club Lane Nebo NC Latitude: 35.73194 Longitude: 81.90906 �? Z7 O� Cy \� �q, v sa f1J � OC G 126 IQ , 0 yds 200 400 600 Copyright ® and (P) 1988 -2012 Microsoft Corporation and /or its suppliers. All rights reserved. hftp:/twww.microsoft.com /streets/ Certain mapping and direction data ® 2012 NAVTEQ. All rights reserved. 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