20150763 Ver 2_Shoreline Stabilization_20160304

CONCEPT.
CONTRACTING
& DESIGN LLC:
100 -Sunlight Cove,•Louisburg NC 27549-
°., (919) 819) 6698
-DATE:,,"2/29/16 .
��.. T0: SNC DWR: M
ATTN: ,;;Karen Higgins _ D
RE: ,Amend Permit - DWR #15-0763 )� _
Q-WA7
Y, RE pU
1193 Sagamore Drive Lousibrug NC 27549 Mi 1 G =
Dear Karen` Higgins,
Pursuant to the revision of P,,ermit #DWR•15-0763; the impact within the, Iake,is being reduced by this
revision. Additionally;°the impact,islin.increased withinthe-Tar Pamlico Riparian Buffer: Our:``
understanding is an additional fee_ should be,re'quiri d for -this airendm6t. Please do not hesitate to'. `
contact me with any questions.
;Best Regards,':j.,. - .' ��,; - . ,• ,,
Shaun Liggett
President
± y Concept'Contracting and-Design'LLC

a-- State of North Carolina
Department of Environment and Natural Resources
DWR 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 should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center D M @ M
Raleigh, NC 27699-1617 V O
MAR 0 d 2016
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information DEQ-WATEK Ktsuura
.,,,,4011 8_,Bl!FFF,R P RMIT
Name: 13t>4CIE SI,0AN►M
Mailing Address: vt�-%°-'o 1�
(.oyl s 8j1zc, Nc 245�°�
Telephone Number: '111. 229' - 4339 Fax Number:
E-mail Address: J-TLoo•#-J%AA C AOL-. co^^
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.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: SN AU r J Ll t.,k--,e—T`t—
Company Affiliation: GmrJ CC- ' C'G^jTV—^e--r-lnth
Mailing Address: b o Su (— I Ai HT Cl/.
� Z> 0 1 s'B'J 12- c-, u c-, 2—+5 49
Telephone Number: I 2 l q - 490 Fax Number: 252 - 47 E(o'd 8
E-mail Address: a Es Jam► (e <, '-41L- • CC.
Person to receive the Certification Approval: S J4A0/4 LLI6E-7e—�rjr—
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: he^4Iw1„1 Nearest Town: 'R0. -3"J
Subdivision name or site address (include phase/lot number): I,AI Fei-t Alm
LZ -r t�- 2v g v
Directions to site - please include road names and numbers, landmarks, etc.:
S'Le'q 16e- go 9—1 L-':+” r" Or, vrz. Cf -r �a�c,- 7;b LA 4-r--
r-l(,N't- dA 'SI-EP<W0E- pre t2-JGWr vn1 SA-Er)-aruU(Z-F— brz-. i
i _Crr o Al Le- FT -
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.): 5'�0e4-V-"P,L Lam- + Cl, o -
6. Property size (acres): • .4.
7. Lake/ river/ ocean adjacent to property:
L A,wf- (7 e-4 A-tV-L-
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): gocr-- tZAr F -A P 0 a+042f Llt-�
9. Will work be conducted from land? � From water? ❑ �A sUr�
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ No al Water Level in square feet or acres:
- / / & .!'F (58,
x, 2' . . - -
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 ins
square feet or acres: _ �'L. x _ (E Skt 02 k
-t �� pov�-rio�� ont p�� SlnFis Or sc.ip = 3`�'/ oSf WA'(y
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): 6 i-Ale6f- E c C r fiE
4- Utt pkf,-
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/
Normal Water Level
i i i i i
Shoreline
Lake
(At Full Pond/ Normal Water Level)
"IX/
L— IL, In
124C I2 &
sub
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

SURVEY FOR
FREDDE JOYCE SLOANIM
a
LOT 2088, LAKE ROYALE SUBDIVISION
PROFESSIONAL LAND SURVEYOR L-`
1193 SAGAMORE DRIVE
PIN# 2830-87-4294
P.B. PRF 1, PAGE SL -104A
D.B. 1926, PAGE 315
CYPRESS CREEK TOWNSHIP
FRANKLIN COUNTY, NORTH CAROLINA
NOVEMBER 21, 2014
50 25 0 50 100
a
SCALE 1"=50'
LAKE ROYALE
`2
3
ME TC ThE
N�MSECTICN OF
SACAMORE DRIVE
k NAYAN DRIVE
2089
IM R13YALE
NiCINITY MAP
LEGEND:
EIP - EXISTING AON PIPE
EIS - EXISTING RON BAR
EPK - EXISTING PK NAIL
NIP - NEW IRON PIPE SET
R/W - RIGHT OF WAY
CAN - CABLE TV BOX
EB - ELECTRIC BOX
TEL - TE,EPHONE PEDESTAL
PR - POWER POLE
OHL - OVERHEAD LINE
LP - LIGHT POLE
WV - WATER METER
WV - WA -ER VALVE
CO - SEWER CLEAN-OUT
t \ 1
P\,
toss �� PP
17,487 §A:j�--ft:
APPRO)GUATE 101) YEAR
ENA F=3 -INE PER FIRM
PANE. 3728 2830 OOK
DATED APRIL 10, 2013
2087
1
i SEAL
p L-3835
4kt ySQ .°,Su�vtiy�`Cy4
ttt� G.
LINE TABLE
UN� LENGTH BEARING
248 S
11
CAWTHCRNE, MASS
& PANCIERA, P.C.
?rofessioncl Lend Surveyors
0-1525
333 S. White Street
POs: Office Box ',253
Wake Forest, N.C. 27588
ot [phone]
1DECLARE THAT THIS SLRVEY COMPL'ES VATS T,,HE NORTH
AOLINA STANDARDS OF PRACTICE FOR SURVEYING,
(SECTION 1800) FOR CLASS A SURVEYS AND THAT THE
CALCULATED RATIO OF PREC(S.ON BEFORE AD,A.ISTMENTS
IS 1'10,000? FURTHERMORE, PROPERTY CORNERS SHOWN
ESTPR,SHVC OF PROPEOL R-YMENTATION CORNERS INOR THE RE
THE ABSENCE
DF RID UMENTS AND OTHER SUBDIVISION PROPERTY
C N'RS TIS SURVEY IS NOT TO BE RECORDED WITH-
T Tt AU RIZArON OF THE SURVEYOR.
PROFESSIONAL LAND SURVEYOR L-`