HomeMy WebLinkAbout20170360 Ver 1_Shoreline Stabilization_20170329A
Version i2/22/20i6
Office Use On1v:
USACE Action 1D No.
(if any particular it
mn
I Applicant Information$
1. OwneT/Applicant
Name:
Mailing
2 0 1 7 0 3 6 0
Form Version Dec. 2016
DY*TR No.
to this project, please enter "Not Applicable" or "N/A'J
1-1 VJ n f
,iWl - ") -' - q -, -7c
Telephone Number: �41-1 6 A _5 , Fax Number:
E-mail Address: Mc, � be r 11 e., -P P o, ryil�j 1 /, (:-Yn
2- Agent/Consultant information (A signed and dated copy of the Agent Authorization letter must be
attached -if the Agent has signatory authority for the owner/applicant.)
N arn
a ic.,
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number: win -P., -g�n
L9
V
E -mai I Address.
11. Project Information F1 WR 2 9 2oiv
Attach a vicinity map clearly showing the location of the property with respect to loc 'I 4a
towns-, rivcrs, and roads. Also provide a detailed site plan showing property boundaries,
plans in relation to surrounding properties, Both the vicinity map and site plan must include a scale and north
arny,v. The ---;4;c of all biuld-ingo" . s es, or o fu � P_ cili+.-, + U_ ;_ c I u A -A. Tir
1111pel-VIW11, LUM.- LIM- 1" a EX0 111"S. VC 111 A �CG 11
possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil
Survey with the properry boundaries outlined. Plan drawinas, or other maps inay be included at the
applicant's discretion, so long as the, property is clearly defined. For administrative and distribution purposes,
the USACE reouires, information to be submitted on sheets no larger than I I bv 17 -Inch format-, however..
DWR may accept paperwork of any size. DWR prefers full-size construction drawings rather than a
sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final
version is illegible, the applicant will be informed that the project has been placed on hold until decipherable
maps are provided.
1. Location
County: I dl '. 01 Nearest Town:
Subdivision name (includephase/lot number': kciki
Site coordinates:
0 J -7 16 "W(neg
Decimal Decrees (6 digits minimurn): �`N �c"5
Directions to site (includeroad numbers/names, landmarks, etc.):
fro' t e 4w r ri 0,�,
,o,
(i 'In f- f an `Wf- 4-Y7h-;1!
Peae 2 nf 4
0
Version 12/22/2-016
3. Property -size (acres): Ll ) ;L
4. Name of nearest named receiving body of
J A,
5. Describe the purpose of the proposed work. L';' -J4 1�00- Ri -J,
;a
Q rJ :1
6. T ist the type of equipment to be used to construct the project: 5*)c sfee",
6jr cvyrprez;c��f--
ON
7. Type and amount of impact including all back fill, excavation, riprap, retaining walls, other fill,
etc.) below the normal pool lake level in square feet or acres, and distance from shoreline:
";Z
8. a..Typc and amount of impact (including all c1caring, back fill, excavation, riprap, retaining walls,
other fill, etc.) above the normal pool lake! evel -and �6 feet land -ward in square feet or I:J,—,-. -s:
-5-�-257-6" 5q i'i—
te,
b. Please describe the vegretation above the norinal -,00! lakc level arid 50 feetland-ward to be
impacted (mimber of trees for mstance)� Vg�,yjec-fl
'Agent's
Dati-
(Agenfs signature is valid only if an authorization letter from the applicant is provided.)
Page 3 of 4
�Yrq
Full Pond/ �k
Normal Vate�Level
� 0
Shoreline
Lake
(At Full Pond/ Normal Water Level)
1��Ccjold Av,,c,
C
CA,
-0
'2 X Go A] Lij L
q We I
kap
X 5-0
'rVIl
Please approximately sketch the following information on this plan (provide dimensionsfor each
item, such as 10ftx100ft)*:
I. 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
I FORM: SSGP 10-2013
Page 3 of 3
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04/16/13. Ses
PIAT OF BOUNDARY SURVEY FOR
MARK A. BERBERT & WIFE, REBECCA L BERBERT
(Propwiy Ownor — John L WNRams. Jr.. Tr.)
923 Sagamoro Dirtm. Cypren Crook Towrohip, FmnkNn County. North Car*Nna
Soolm 1"-40' Do#&- January 10. 2017
40 0 40 so in
mmq — 0enee. nowle - Ir kw.,*
9CALZ — 7W 4m not .We W4
Survemied & Mapped By
WILUAM T. MIW. JP— P d"ft Land Unwjor, PjL
L-1456, C-0649
(0)919-496-6159 (M)919-496-9502
102 West 4OW Sbvst Louisburg. N.C. 27549 (File No. 2720-3)
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Deed Book ITn. PQ% 164 (John K. WNcmv6 Jr.. Tr.)
w
Map Book IZ Pogo
Tux Record No. 02362D
Additional Am To H69h Weber Mork of Ldw
Deed Book IW3. POW 923 OAke Rw*cb P.OA. Irm.)
Tox Record No. 033205
Dead Book 2D06, P"s 778 - RvAlcH C-gngnlg
-0 . . . . found km m noW
.0 coladated poW
property Im frorn scoi
easm me or = line
190, Bose Flood Dwal:lon)
(from= -WI=-) mwvwjod tMe dots
NOTE AN Wmft W.. b000d on KWM (OPUS-4tS)
MUM- N.C. W stabon unovoloble wRW 2DDO' at V& bm�
WM- Thim survey le vAjoct to all oomements. allreemonle,
r*b= covenants - - prior to
NMI 100-Y4or Flood 90' ContowXOM Is based on FEWA
DFIRm "Froddin Svt.*;-��'=urnjw 372028400m. stfeed.
04/16/13. Ses
PIAT OF BOUNDARY SURVEY FOR
MARK A. BERBERT & WIFE, REBECCA L BERBERT
(Propwiy Ownor — John L WNRams. Jr.. Tr.)
923 Sagamoro Dirtm. Cypren Crook Towrohip, FmnkNn County. North Car*Nna
Soolm 1"-40' Do#&- January 10. 2017
40 0 40 so in
mmq — 0enee. nowle - Ir kw.,*
9CALZ — 7W 4m not .We W4
Survemied & Mapped By
WILUAM T. MIW. JP— P d"ft Land Unwjor, PjL
L-1456, C-0649
(0)919-496-6159 (M)919-496-9502
102 West 4OW Sbvst Louisburg. N.C. 27549 (File No. 2720-3)
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