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Home My WebLink About20170840 Ver 1_Shoreline Stabilization_20170706State of North Carolina Department of Environment and Natural Resources Division of Water Resources Water Resources 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization ENVIRONMENTAL QUALITY FORM: SSGP 02-2017 Shoreline Stabilization Application Form 2 0 1 7 0 8 4 0 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 [2/;Zq0W2 D (�5 A. Applicant Information [15ANCACO2H.0502(a)] JUL 2017' 1. Owner Information Name: Mar�ha -8. 51 le -r EQ_ A ERR R ES '121 & BUFF Mailing Address: etylbrl dc, P_ MITTING 07-r e en 6 inn r e') C 7A/D Telephone Number: 33(q-Z?Z-937/ ber: 336o-,33 - 6511 E-mail Address: I I e- v-, Vyl aand ew Gk Ifflo )m 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: http://www.saw.usace.army.mil/Portals/S9/docs/regulatory/regdocs/Permits/`SAMPLE AGENT AUTHORIZ ATION FORIVI.p�f) Name: Dr)YInt] Company Affiliation: Lo n ra.�7�_e!t- C, a- 4AM -INC 1 ,.5v_� e7 C Mailing Address: /1,5& k-i"rM Rd. Telephone 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. FORM: SSGP 02-2017 Page 1 of 3 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: LacnL7 Nearest Town: D Lake/ river/ ocean adjacent to property: do Y- Iva Y-� f4 ve K Property size (acres): , & � Su§Aivision name or site address (include phase/lot number): P'e-lp- V/?"Ant- Directions to site - p ease include road na es an numb s, landgar s, etcA R�Z, o n h+ C e. X k f ti,' A Lai LjLi-F-t- 1,71 rI e K4 r loe e L-a#q� Latitude (in decimal degrees) degrees)- , r _I Longitude (decimal 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.):Te 5 1 J e-.,-) -fi a W& I (o P�B Dr A25ht- 7983 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): In_!5+a_11 r"a-A. n�_ /�_ , r .,ehnrP1;ne . I I I hammey- roch & oJ FY'Y'i R Y-ai2 racA fQ r e_y-01E;1 0 v-) I.) ro+ecii C) n . 1 1 7. Will work be conducted from land? From water? El 8. Total amount of impacts below the normal pool lake level / Normal Water Level Pernianent im acts (including all excavation, backfill, rip rap, r taining walls, etc.) in square feet: TX3 t r, P ra 42 Temporary impacts in square feet: 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward Permanent cts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet: Temporary ppacts (temp rary clearin?, con.stfpction corrid9r.) in square feet: I_e 4)JPrnen-i-C;L 10. 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): Liq_ W4 F -IF;Ls - 11. Signatu — i& Owner/Agent's Signature* [15�_A NCAC 02H .0502(f)l Date Agent's signature is valid only if an authorization letterfrom the owner is provided. FORM: SSGP 02-2017 Page 2 of 4 12. Please approximately sketch the following information on this plan and provide dimensionsfor each item: a. All proposed vegetation clearing b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation d. Location of any proposed structures such as buildings, retaining walls, docks, etc. e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation Full Pond/ Normal Water s7or'erin'e ' Plan View La ke (At Full Pond/ Normal Water Level) Dmy,-j Lake (At Full Pond/ Normal Water L�I) Existing Dock .,* 30 ft x 7 ft FORM: SSGP 02-2017 E AMP E Plan View %X 1137 % Below Aintpj e, -Pt I porc Page 3 of 4 '%rorerine— I ft. x 150 ft. a4tional cleari rf necessary FORM: SSGP 02-2017 E AMP E Plan View %X 1137 % Below Aintpj e, -Pt I porc Page 3 of 4 -�6" L �ke (At Full Pond�/ Nor al Water Level) T -- 0 Side View U- jejeJ 01? ILO- - A6 ejed-ri �3 3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing *if necessary Existing bank 10 ft. bank Side Vi 'A I V P L FORM: SSGP 02-2017 Page 4 of 4 x p,,�, * .. :, --Aim d4 12 4370 Pine Harbor Dr NIL A A Google earth c 2017 Google - =1 A PHYSICAL SURVEY FOR MARTHA B. SELER & RICHARD CRAIG SILER BEING LOT #4 OF -PINE HARBOR - SEPTEMBER 1.7. 2012, DS: 753 PG: 646 DB: PG: _4,(j4v"* SCALE: 1" 50' PB: F PG: 151 44 CATAWBA SPRINGS TOWNSHIP LINCOLN CCUNTY, NC .�W DEDMON SURVEYS 135'57"E 484.32' #4 REBAR_ f- Length 68.550 #4 RE13AR NCE 0 59.97' 1 N 05*40'04" W APPROXIMATE SEPTIC TANK & FIELD PROM 760' CONTOU LINE 1/2- PIPE 62.17' via in 7 LL CD m �z =: ZNORMAN �z ANY DOCKS, PIERS OR OTIAER- "PROVEMENTS BUILT ON LAKE- -ARE NOT SHCAVN ON TFOS - �: -!UT�ELP�tT_- �:: Course Bearing Distance Ll S OT35'00' W 23.27' L2 S 44'32'56" W 112.59' ps Length Chord Chord Bear. ?3' 59.99' 59.97' 1 N 05*40'04" W CHUCK POOVEY, PLS #3762 ROBERT DEDMON, PLS #3899 3704 NC HIGHWAY #16 NORTH P.O. BOX 494 — DENVER, NC 28037 PHONE: 704/483/4908 FAX: 704/483//2170 0 Z SEAL L-3899 CERIIFY THIS PLAT WAS DRAWN FROM AN ACTUAL SURVEY AND IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE." 2 XQl,, 3899 PROFEEESSICNA[ LAND SURVE','OR LICENSE W-1. SURV. BY: JR I DRAWN: RD I JOB# JRPH4 VICINITY MAP SITF TERANA LN U,S. DEPARTAENTOF THE INTERIOR Ul GEOLMck SURVEY ilk fj OS Top w LAKE HOMAN NORTH QUADRMGU NORTH WM TAM SERIES My cplrAIE I/--l- , - % , - � �- � NIL 135. 5133ct5l? �E�MMTH.� LHTE 201, ir, 4370 Pine- Denve,y- , NC, 2-8037 =—MV Affiffi Z02 Lgff- mp�ft v 100 ISO LOT" MAISI VA.: V lL1O;*"w Lak! MAMA lt� SUR aL %QIAlkDC%AM%n.lA -DEDWAM SURVEYS YS NYM.- P-1 4.367 �-V� Emile Tax: None Due Filed for registration and recorded this the 4th day of December, 1990, at 4:35 P. M., in Book 7S3 , Page Register of Deeds Rftwdft Time. Book and Pap TaxLot No. .. ........ ...... ..... ............................................ Parcel Identifier No . .................. ....................................................... Wrifiedby .. ... ......... . . . ................... ....... County on the ................ day of ... ...... .... .... ..... .......... ..... ............ 19 by- I .. .. .. I ..... I ......... ........... L .................... ..... ......................................... ............................. Mailafter recording to . . .. .. .. ................................................................. . .... ............ — -- .......... * ............. — ..... .... .............. ........... ....................... I ............... ............................................. ....................... .......... .............. arch This instrument was prepared by.— q,.I�thors &"Fo'thr---P-.A . .... . (w-:L.th09t..se. . L ................... .. .... ..... Brief description for the Index Jot 4—Pine Harbor NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED made this day of r1ft-WA0. vfl— ..' ......... . 19-10—, by and bet. GRANTOR I GRANTEE RICHARD CRAIG SILER 4 Kenbridge Court Greensboro, North Carolina 27410 MARTHA B. SILER 4 Kenbridge Court Greensboro, North Carolina 27410 Enter in appropriate black tor each P&rgY: name. Address, and, if appropriate, Character of eauty, 04 Corporation or partUCTSIRIP6 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successor*, and assigns, . and shall include singular, plural. masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which Is hereby acknowledged. his and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that . W Township, certain lot or parcel of land situated in the City of . ...... SPr4 Lincoln County, North Carolina and more particularly described as follows: BEING all of Lot Four (4) of PINE HARBOR SUBDIVISION as shown on plat recorded in Plat Book F, Page 151, in the Lincoln County Public Registry. DEED REFERENCE: book 671t Page 852, Lincoln County Public Registry. This property subject to restrictions recorded in Book 671, Page 678 and as modified in Book 673, Page 83, Lincoln County Public Registry. This Deed is given pursuant to Section 39-13-3 of the General Statutes of North Carolina in order for the Grantor to convey his Interest In the Property as a tenant by the entirety to the Grantee for the purpose of dissolving the tenancy by the entirety and vesting the entire Property in the Grantee. N.C. Bar 43109. For- NO, 3 0 1974- Me"'" 'I'?- 8—M.-