20151235 Ver 1_Shoreline Stabilization_20151130

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State of North Carolina
Department of Environment and Natural Resources
D_ _R
(f Division of Water Resources
_W $
Dillon 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 should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: L41—tZ -/CC— D&4W
20 15 12 35
�u VLSI,I
NAV 3 o
Mailing Address: �$1l n :4 ^^ 11,+AT-br/ 12,0 46 rtRpERM i
Telephone Number: 'f0q-b6/ - 035`0 Fax Number: 40!f — 11 L - 52_213
E-mail Address: L-D64rI&6zo @ Ko i,0,4o L
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/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: DC AAJ vA ,,11,60
Company Affiliation:
Mailing Address:
2`6 - 577 - 2-15 3
Telephone Number: ax Number:
E-mail Address: cC"A, 50-(fcP,00✓5✓(_ P�'�"""Ki�
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: Jcic-kSoA Nearest Town: �-1 lPti��'Ip , /V G
Subdivision name or site address (include phase/lot number):
L.gu ICA -y we GIe"0,RP
Directions to site - please include road names and numbers, landmarks, etc.:
llane (�lP14
PrJ_ # 75-64 -31-0 23.yV ' 8 00 k l°6z,y�4. 7s/ , (0.44 1
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.): OVticJ evtlb �!A
6. Property size (acres)
74 c -c -vee
7. Lake/ river/ ocean adjacent to property: �,ge GkA d I�
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Ail Ire cit sea V -M 1
I
) -�v o,re✓p�-�
9. Will work be conducted from land? Rr 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:
vw'y I i�MI`W
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:
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): th'tIq,I^,0►
�je; �.o, r^e rwoyR 5ja C ,i `'^ IAka4 5, C/ktF _ o P►r° f e�
Owner/Agent's Signature* [15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

5(�'A t-* 1)
Full Pond/ P"f,
Normal Water Level �►
Q:
Shoreline
La ke
(At Full Pond/ Normal Water Level)
TZ"X UVB lG^. ti
3-0X 2 0t)
VM Sm M
3-4 X'zoo Ae,f-
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ftx 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

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I HEREBY CERTIFY THAT THIS PUT IS OF THE FOLLOl1ING TYPE: NOTES: N. C. GRID NORTH (PROPOSED ROAD) BOUNDARY 3D1O CONTOUR
LEGEND 1) ACREAGE CALC(4. COURSE
G.S. 47- 30 (tNJl)(B)• TRIS SURVEY CREATES A SUBDIVISION OF LAND ULATED BY COORDINATE COMPUTATIONS. (FROM SURVEY BY G.L. SPRINKLE BEARING DISTANCE COURSE BEARING DISTAN
IPS -IRON PIN SET 1I1THl THE AREA OF A COUNTY OR MUNICIPALITY THAT HAS AN p) THIS PROPERTY I.y DOES NOT LIE IN A FLOOD HAZARD AREA. FOR N.P. & L. - SEE NOTE y 3)
ORDINANCE H THAT REGULATES PARCELS OF LAND. 3) MAP REFERENCE:CE: SURVEY BY G.L. SPRINKLE FOR N.P. 8 L. L-1 N 62°17'04"E 47.21' 1-2 S 48'50'4?"E 19.;
LOCATING THE 3 L-2 N 70°57'18"E 52.49' 2-3 S 02.00',u••A 22.;
3I lo' CONTOUR LINE. L-3 N 81°38'S2"E 47.1.7' 3-4 S 21.01'
IPF - PON PIM FOUND 4) BGUNDARY FOLL( 31 '11 20. ,
Nip -NEW IRON PIPE OR 3301.73' NG:��S 3110 CONTOUR LINE (N.P. 8 L. DATUM) L_4 IV 81°38'52"E 48.31' 4-5 S 47.37'31"II 30.;
- VGS DATUM. L-5 S 79°21'47"E 48.81' 5-6 S 49°54'54"11 25.1
Elp - EXRS7ING IRON PIPE
5) TRACT CONTAIW INS 17.14 ACRES TOTAL. L_8 S 79°21'47"E 48.82' 6-7 S 54.24'18"11 37..
-N5 CONCRETE MONUMIENT SET - - 6) DEED REF.: 706 )6-363 L-7 S 53°33'00"E 64.88' 7-8 S 42.58'10'1• 37.;
CMF -CONCRETE MONUMENT FOUND J ES R. DAVENPORT, P.L.S. L- 48w
7) COMMON LOTOT NOT FOR RESIDENTIAL PURPOSES. L-6 S 53.33'00"E 35.07' 8-9 50°50'04"11 37.4
N L-9 S 35°14'39"E 33.52' 8-10 S 57.43'09111 38.<
pp - POWER POLE L-10 S 35°14'39"E 33.52' 10-11 S 53.51105'11 42.-
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SP - SERVICE POLE"GLENVILLE LAKE" L-12 S 04.01'59"1122.68, 12-13 S 47.47'41'11 40.;
PT -POINT (THORPE RESERVOIR) L-13 S 28'58'08"W 37.34' 13-14 S 67'25'30"II 52•;
L-14 S 45.32'19" W 31.52' 14-15 N 73°254811 60.1
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L-15 S 70,01 11 011w 35.55' 15-18 N 81°49'02"1I 55.,
x- x -x- -FENCE L-16 S 8810012611M 118.50' 16-17 S 78.58'23'11 31.
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t �O 0 L-24 N 19°50'47"E 45.13' 24-25 S 82°15108'11 33,
IRS 153 0 00 L-25 N 50°45'57"E 31.13' 25-26 N 88°5623'1► 16.
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b OpOSE-_ c 0.73 AC. 96 58-57 N 62.12'12"E
_ EPS - L L-13 34.02
� 1 125130/-- o0 00 'L,- --?� - _--'"L-17 40 4T 1pS a s� 10.70 IPS NOT T9 SCALE 57-58 N 69.5011011E
s o, 58-59 N 73°19'4I"E
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ko �2 - -o/ cA 0.79 AC. s
v -/�fs 62-63 S 79°02'08"E
co -63-64 S 69°28'01 "E
"GLENVILLE LAKE" 0.79 AC.
0.94 AC. � a 64-65 S 71`08'11"E
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(THORPE RESERVOIR) + ti 15 O� ~ [ =1 '1 r 1 �" .i 65-88 S 8;3'57'24"E
0.8, AC. ry 1.00 AC. c o'I m f; }' 'Ai'p tP 68-87 S 55°11'38"E
�; N o 13 v 1 2 v m �'s �° "GLENVILLE LAKE„ 67-68 S 56°23'17"E
q 68-69 S 58°25'02"E
�y 0.93 AC. 15 / ti 14� C j �Ay, ro (THORPE RESERVOLR)
i 70-78 S 51°00'48"E
1 CP 71-72 S 55°51'18"E
bob f 72-73 S 55*24'11"E
4 �p3 a 73-74 S 44°36'00"E
A 06 74-75 S 34°22'28"E
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a, 4 " 'ps, � ao � 77-76 S 05°27'38"E
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NOTICE: THIS PROPERTY IS LOCATED WITHIN A PUBLIC HATER SUPPLY c>, +. i `O %k �'� �S `tea / // 79-80 S 13°36'48"E
WATERSHED - DEVELOPUENT RESTRICTIONS MAY APPLY N m y a°a 'ate 7
1 CENT]" THAT THE PLAT SHOWN HEREDN COMPLIES V7H THE WA7ERSHED 80-1 .S' DO°49'47"E
PROTECTION ORDINANCE AND IS APPROVED FOR RECORDING THE REGISTER
OF DmS 0F77CE.
,e -,2q- Oc)
DATE WATERSHED SUBDIMON ADMINISTRATOR "GLENVILLE LAKE"
(THORPE RESERVOIR) DAVENPORT & ASSOC., INC.
1, JAMES R. DAVENPORT, CERTIFY THAT THIS PLAT WAS 1RA&PLUINDER MY SUPERVISION FROM AN ACTUAL SURVE MADE TINDER •µuu,,,�°
MY SUPERVISION (DEED DESCRIPTION RECORDED IN BOOK_Q , PAGE, /: THAT THE BOUNDARIES NOT " ��i PROFESSIONAL LAND SURVEYORS
SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM WFORMATIO4 FOUND IN BOOK PAGE THAT ����� N LAR�(i2',��� �EOIS+T[q
THE RATIO OF PRECISION AS CALCULATED IS 1:�8 THAT THIS PLAT WAS PREPARED IN ACCORDANCE WITH GS 47-30 AS
-\
kgs/ ' ,, ,�� P.O BOX 234 CULLOWHEE, N C 28723
Oc •-
ED. WI'NE55 MY O AL SIGNATURE, REGISTR TION NUMBER, AND SEAL 7HIS� DAY OF�( 4. D., -+�9� O29 [phone]
�/v _- :¢ r• V s
L-1462 _ ' `i K�
FESSIONAL LAND SURVEYOR - REGIS RATION NU BER L-'462 O ' N = BUCK KNOB ASSOCIATES, LLC
HAMILi Gid SURVEY FOR
TATE OF NORTH CAROL INA ,!�' Q• -
ChTY CF �� �� '• . . •' �' •- BROOKWOOD PROPERTIES, INC. - MANAGE
., ,�
�. REVIEW OFFICER OFO^� COUNTY, CERTIFY THAT THE MAP OR ,"Q-90,vc0UN�����,, BUCK KNO.E ISLAND
PLAT TO ICH PHIS "R: FICA7�ON IS FF7XEU A4:ET5 ALL STATUTORY REQUIREMENTS FOR RECORDING.
REVIEW OFF+CER DATE - 1 0O
S T47F OF NORTH CAROL NA: C UNTY OF