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Home My WebLink About20170593 Ver 1_Shoreline Stabilization_20170515State of North Carolina Department of Environment and Natural Resources Division of Water Resources Water Resources 15A NCAC 02H .0500 — Water Qualityfertification, Shoreline Stabilization ENVIRONMENTAL QUALITY - i FORD: SSGP 02-2017 Shoreline Stabilization Application Form 2 0 1 7 0 5 9 3 Three copies of the application (including attachments) and the application fee should be sent to: If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.) Karen Higgins Karen Higgins DWR-401 & Buffer Permitting Branch DWR-401 & Buffer Permitting Branch 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699-1617 Raleigh, NC 27604 Fno3R_ (� iR [) M I A. Applicant Information [15A NCAC 02H .0502(a)] MAY 1 6 2017 1. Owner Information Name: a`L d. !/r D 'wq ER R r ti ER Mailing Address: /9_7/11'- 3 Y fZ11c, �S Telephone Number: Fax Number: E-mail Address: 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signed this application form. (A form can be downloaded here: httD://www.saw.usace.armv.mil/Portals/59/docs/reeulatory/reedocs/Permits/SAMPLE AGENT AUTHORIZ ATION FORM.Pdf) Name: Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: B. 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, buildings, retaining walls, docks, impervious surfaces, 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. a 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:J!Yl r`Ci , Neareffst Town: // > %r - Lake/ river/ ocean adjacent to property: f LI / "; L� Property size (acres): 1 02 /.Z/,' Subdivision name or site address (include phase/lot number):x !/,/" ? :? (-I :W ///�� 1,( J Directions to site - Olease include road names and numbers, landmarks, etc.: -� 4/ ! J Lzd l -- n,. /�;lv/�� I n 11 <Av r, >F <..y- if?7. /,- Latitude (in decimal degrees) Longitude (decimal degrees) 5. Describe the existing land use or condition of the ite at the time of this application (residential, undeveloped, etc.): _i e� ;►w �_ 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or y it is necessary): G �',�Ty� 7. Will work be conducted from land? ( From water? ❑ 8. Total amount of impacts below the normal pool lake level / Normal Water Level Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet: Temporary impacts in square feet: 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward impacts (including back fill, e/xcav�ation, rip rap, retaining walls, etc.) in square feet: Temporary�impacts (temporary clearing, construction corridor) in square feet: 10. Please describe the vegetation above the normal pool lake level/ Normal Water level and SO feet landward to be impacted (number of trees, for instance): 11. Signat e Owner/Agent's Signature` [15A NCAC 02H .0502(f)) Date ;Agent's signature is valid only if an authorization letter from the owner is provided. w--- 1 -t • 5/11/2017 CARVER SUSAN H & OTH X Q Show search results for CARVE... TaxParcelViewer f ; `I https:Hgis.personcounty.net/TaxParcelViewer/ 1/1 1322 SITE 1,28 ® u3e ------------- 1— ta 117, 3 VICINITY MAP <11 420' CONTOUR 0 Y� 1� w� PLAT CAB HANGER L3l__ 0 FIL D IN COUNTY REGISTER OF I1EED3 ON i11E _40 DAT - . 203BM 0 L•i_171M'CLOCK rA. REGISTER DEEDS �------------- �X CAROLINA POWER A LIGHT COMPANY IIYCO LAKE LEGEND NF• NAIL FOUND NS 0 NAIL SET IF W IRON FOUND IS 0 IRON SET MP 0 MATHEMATICAL POINT UNLESS SIGNED. SEALED AND DATED. THIS IS A PRELIMINARY PLAT, NOT FOR RECORDATION, SALES OR CONVEYANCES. HAMLETT-JENNINGS & ASSOCIATES, PA PROFESSIONAL LAND SURVEYORS 212 S LAMAR STREET - PO BOX 1288 ROXBORO NORM CAROUNA 27573 (336) 599-8742 1 1.00 ACRE MILDREo H. CARVER DB 85 P 105 ACCESS EASEMENT LINEBEARING L- 1 N14.40'22•W DIST 54.77' L- 2 NOS'18'69•W 40.93' L- 3 .4 '53-45-W 15.08' L- 4 N21.33'95•W 38.30' L- 9 L- 6 H07.01'00.0 NJO.23'47•W 48.08' 44.88' L- 7 L- 8 N59.45'I5•W N70.25'50•R 58.11' 53.1 CAROLINA POKER e LIGHT COMPANY HYCO LANE IF S78j 0 31•E na IF 2 1.00 ACRE IF 420' CONTOUR CAROLINA POWER A LIGHT COMPANY WCO LAKE =m 09 3 1 ' 1.00 w ACRE ng�! , p W 'v MILDRED H. CARVER DD a5 P 105 III PLAT OF SURVEY MILDRED H. CARVER CUNNINGHAM TWP., PERSON COUNTY, N.C. NOVEMBER 2006, HAMLETT-JENNINGS & ASSOCIATES 212 S. LAMAR STREET, ROXBORO, N.C. JOHN J. JENNINGS L-3052 BSN owl IANM • 50 It. THIS IS A FAMILY SUBDIVISION AND ROAD IMPROVEMENTS ARE NOT REQUIRED UNLESS FURTHER SUBDIVIDED. ACCESS IS OVER A PRIVATE ROAD RIGHT -OF -RAY. A ROAD MAINTENANCE AGREEMENT IS NOT REQUIRED AND MAY NOT BE AVAILABLE. STATE OF NORTH CAROLINA COWLY OF PERSON ,� l�- 1. -YOrVIA__1_' yvo!Ay REV/EW OFFICER CAROLINA POWER OF PERSON COUNTY, CfRTIfY THAT THE MAP a LIGHT COMPANY OR PLAY TO WHICH THIS CERTIFICATE IS HYCO LAKE AFFIXED MEETS ALL STATUTORY REQUIREMENTS FOR RECODING. igEL__ ICER AZ•31=01. REVIEW OFFICER DATE I HERESY CERTIFY THAT THE SUBDIVISION PLAT AS 420' DEPICTED HEREONHAS BEEN COWED FINAL APPROVAL CONTOUR PURSUANT TO',11THE PERSON CO, SUBDIVISION REGULATIONS. _.A4MAA.__ANE--------- 11,11=61f DATE PLANNING AND ZONING ADMINISTRATOR NORTH CAROLINA PERSON COUNTY J I ' ' �F•J��'39 I RUDOLPN BLAKE I,.SI�FIWY. JR. I OlAC I D.B. 208, P. 719 I. ------ CERTIFY THAT THIS SURVEY CREATES A SUBDIVISION OF LAID WITHIN REB9QB__ COUNTY. WITNESS WY IMAM AND SEAL THIS \_29_ DAY BOY.___, 20.09_. BOUDARY REFERENCE: PLAT 'MILDRED CARVER DY PAUL L. BAILEY DATED MARCH 1890 COMROLI e.s5 11a.12 IF�1 4 .J CORNER \ IS sea'49`08•W 1 11 �1 I s= IF aI LIGHT POWER COMPAN L- W �--------- HYCO LAKE IF �p 1 MILDRED H. CARVER w$ \ \ DB 85 P 105 m :V N, at. I i Tn IF 420' CONTOUR CAROLINA POWER A LIGHT COMPANY WCO LAKE =m 09 3 1 ' 1.00 w ACRE ng�! , p W 'v MILDRED H. CARVER DD a5 P 105 III PLAT OF SURVEY MILDRED H. CARVER CUNNINGHAM TWP., PERSON COUNTY, N.C. NOVEMBER 2006, HAMLETT-JENNINGS & ASSOCIATES 212 S. LAMAR STREET, ROXBORO, N.C. JOHN J. JENNINGS L-3052 BSN owl IANM • 50 It. THIS IS A FAMILY SUBDIVISION AND ROAD IMPROVEMENTS ARE NOT REQUIRED UNLESS FURTHER SUBDIVIDED. ACCESS IS OVER A PRIVATE ROAD RIGHT -OF -RAY. A ROAD MAINTENANCE AGREEMENT IS NOT REQUIRED AND MAY NOT BE AVAILABLE. STATE OF NORTH CAROLINA COWLY OF PERSON ,� l�- 1. -YOrVIA__1_' yvo!Ay REV/EW OFFICER CAROLINA POWER OF PERSON COUNTY, CfRTIfY THAT THE MAP a LIGHT COMPANY OR PLAY TO WHICH THIS CERTIFICATE IS HYCO LAKE AFFIXED MEETS ALL STATUTORY REQUIREMENTS FOR RECODING. igEL__ ICER AZ•31=01. REVIEW OFFICER DATE I HERESY CERTIFY THAT THE SUBDIVISION PLAT AS 420' DEPICTED HEREONHAS BEEN COWED FINAL APPROVAL CONTOUR PURSUANT TO',11THE PERSON CO, SUBDIVISION REGULATIONS. _.A4MAA.__ANE--------- 11,11=61f DATE PLANNING AND ZONING ADMINISTRATOR NORTH CAROLINA PERSON COUNTY J I ' ' �F•J��'39 I RUDOLPN BLAKE I,.SI�FIWY. JR. I OlAC I D.B. 208, P. 719 I. ------ CERTIFY THAT THIS SURVEY CREATES A SUBDIVISION OF LAID WITHIN REB9QB__ COUNTY. WITNESS WY IMAM AND SEAL THIS \_29_ DAY BOY.___, 20.09_. BOUDARY REFERENCE: PLAT 'MILDRED CARVER DY PAUL L. BAILEY DATED MARCH 1890 15 /3b' SURVEYOR ___ REGISTRATION T THIS PLAT S. 47-30 AS SIGNATURE. THIS _29_ DA COMROLI .J CORNER \ \ �--------- 1 MILDRED H. CARVER \ \ DB 85 P 105 I 11 I ROY S. CARVER. JR. HEIRS I JAMIE C. CLAYTON J D.B. 212. P. 056 I Q....• T I EXISTING 1-30.52gg 50' ACCESS EAS $I1R'1 •• PLAT 'MILDRED CARVER' EMENT - \2y'' BY PAUL L. BAILEY DATED MARCH 1990 I --�_ TO SR 1510 y SR lits "•. 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