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Home My WebLink About20180247 Ver 1_Shoreline Stabilization_20180219State of North Carolina Department of Environment and Natural Resources Division of Water Resources .•; ,., 15A NCAC 02H.0500 —Water Quality Certification, Shoreline Stabilization FOR SSCP 02-2017 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the �;oplication 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 Per 1617 Mail Service Center 512 N. Salisbury Street p Raleigh, NC 27699-1617 Raleigh, NC 27604 D FEB 1 9 2018 A. Applicant Information 115A NCAC 02H .0502(a)] 1. Owner Information Q- ATER RESOURCES 401 8 BUFFER PERMITTING Name: Sohn Gl Mailing Address: 7 q V 7r,1n;f C; NPi✓ L 9Ad O/1 , AZ(, l 27 Telephone Number: 1110-572,-732x{ Fax Number: E-mail Address: 14 O 4O yyt-10 Od I) i DC4nJvM6ef. 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: htti)://www.saw.usace.armv.mil/Portals/59/docs/reRulatory/re2docs/Permits/SAMPLE AGENT AUTHORIZ ATION FORM.pdf) Name: Company Affiliation: Mailing Address: Telephone Number: E-mail Address: Fax Number: B. Project Information [15A NCAC 02H .0502 ° _!bj] 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: A-0A+Q Nearest Town: G: Ieaj Lake/ river/ ocean adjacent to property: T- llePY Property size (acres): 0#5 au'eS t Subdivision name or site address (include phase/lot number): : 111th .144Ad Directions to site - please include road names and numbers, landmarks, etc.: M4ided Latitude (in decimal degrees -v72Z1`'*fongitude (decimal degrees) cM. 45�c@Z_5 S. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): 14ePS 4- Undo kuSh tWe, Kes f V 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): SWfel:•e Si4VJ%Z4VVA 7. Will work be conducted from land? d 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: 10 0 x 3 a% 6#wp 0oo al."t) Temporary impacts in square feet: )VIA 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward Permanent impacts (including back fill excavation, rip rap, retaining walls, etc.) in square feet: 21- ZOO 54,41 Lum _21 AW 0 - Temporary impacts (temporary clearing, construction corridor) in square feet: AIIA 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): S�gyg �rOv,d�ed 11. Signature Owner/Agent's Signature* [15A NCAC 02H .0502(f)j Date Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 02-2017 Page 2 of 4 12. Please approximately sketch the following information on this plan and provide dimensions for 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 La ke (At Full Pond/ Normal Water Level) Full Pond/ Normal Water Level Shoreline Plan View 3 `,k/ ` c Page 3 of 4 » Existing Dock 3nkx7h 3k:SDt ■r.wp�re�w� Full Pond/ Normo VI&W Wal a�"!Soreerne —� 4fta150R �PnP atom U pond/ NWL 2 fl.a 350 ft. add WfW deaht ' 9 necesary E AMPLE FORM: SSGP 02-2017 1 Plan View 3 `,k/ ` c Page 3 of 4 10 ft. bank Side Vi rfiePS 3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing 'if necessary Existing bank AMPLE FORM: SSGP 02-2017 Page 4 of 4 North Qarolina. llantgomary cotmty A I aerLa jaam . soft Rrt ter Pea r •Gtr err air dkmd sowdar ate r adr[ mmw mob sear mr 4Wd ' dFsrr'aaReefnr atFa=-0. w.tar r eaFs D.B. 543, PG. 735 / PIN:6575-07-58-0650 SEA D.B. 531, PG. 509 / PIN:6575-07-69.5332 L-4171 Wr 1 wrrV M rfibaW r ar tae r rra be— oe d Mama r amid" at V ease. SW Ide Pat r ■*sea Y atsaarr In as UM1e0 r NUNN" atom >M hand W wY at+ r Gd 04.05-17 Profession 1 Land Surveyor # L 4171 Date SURVEY STATUS "R" if applicable a SFO d Omar atrr a s ibik er d aY Gam as Gtr a1 a no* r 01 IMM 410110M... so ansa ra auai aY pFYrmOFFrO1 FF��hMw and a Neter r Y W Warm ata stelrlr paaar r Otsla • AW ae 00 ie,FYS L Ust d saw In FO r dMYG lard r pddt FO baa W Gtr eat orb a NOW d" aalap all rraa Fraaa a ar d w r at OR dura aalpa r w. eFatlaa r eatenae X a aFlaa no r a armdaq r ar r OEM Is a .drat date a lba ar OEM r at an Am Map* raa r d n w bWan r Film par► • apoik•aidwad dater saFr aralla d ar bdifto 1a . r r advao [lr Sam" Y ar aetar r ..a ad as W"W In undle Y ache a dalmod er d Y aF ed d Frtpid Perera asalr r is as Mir -.erre Y W on%% W asa.a Rrl.w QUWW Yr: Nlaata•raFw eoaata I CERTIVICATION Or BU13DMSIOX NX19MMON INS UStdr M PERUSED 001 OGT Ila SOUR M I .aR.Ree•. a s ewEe a s .A a EEs .ala I F ansa. OUST r 121018 F I I ban" am," ad W W M sane.a a akar] am Faaatlt[r I d IONRIYUSf NeI[OrR Ra W me anoor — C d dart dlod an ab r .re OP tare lOr d�Yr ter,,,,, r I[aet aeaa Gard err aaas S _ an • GP _ rmma Ja I r aaaa err v eerterP Itlsrrar r ansa I I ( IL attata w� .r.. I Nrrlrq en* PaFay atadr 1W E[USENr 011R T----------- �t--------------------------y- H Ub-Bet �'!• on-uaeF3.7r / _ _AB.earlon Line LAKE N'9 0jb�w� _ 1.26' IPP TILLERY Duke Enter Pmgms, Inc. Lente Area #4 Reber Ser On -Ur a 108.45' tee•=uee4aon eUntl cud e around Pmpw Tank — -- -- S!6'0l'90• W oW AU—Ilonune vyF /i ,CF�6 4t' 1.48• ice✓ �N� LEGEND Th.-4nndant ryatbol, AI b. round In tee ire i a. USF . Irmt Rod Pound IRS • Iran Rod Bei IPF • Imp Pipe Found MNF My Nail Pouts NNS Map NO S., ® NaCL • NW set Centenine ® NPCL - N.JI Found C.nlertlsa SCMF • Gonv.t. Mo.— Found CYs •Genome Nanumant B.l C CC - Computed Comer NIX an N/F Now or Fon—ly OHP • O.mh,ad Fonar Line LOCATION MAP (N.T.S.) r3 Mbar Ba NC Ona NM 657839. 67 1,6714759A00' 1.45 -IPP.,/ / �— — — — — — — — — — — — — — — — — — — — — — — -- Acreage Acreage Accumulation; — 0.278 ACRES - 12118.1 SQ. FT. Portion of; D.B. 543, PG. 735 / PIN:6575-07-58-0650 + 0.234 ACRES - 10203.3 SQ. FT. - D.B. 531, PG. 509 / PIN:6575-07.69-5332 — — — — — — — — — — — — — — — — — — — — — — 0.512 ACRES - 22321.5 SQ. FT. TOTAL L— — — — — — — — — — — — — — — — — — — — — — — -- j Jordan Rfmbaiaeds, Ina as 41411, Fa 114141 Pot OWN -07-09-5330 0.278 ACRES .5 12118.1 SQ. FT. 6575-07.58.0650 6:: �• — '- — o.g.�l•Fo�a s -RECOMBINATION- — D.8.543x1as-0161 0.512 ACRES - 22321.5 SQ. FT. TOTAL (-PIN:as7s-sl•16'Oa'0.234 ACRES 0• aining.11 S' 4010203.3 SQ. E?.�l•• Refalnln7 W.11 Column r.r•• /•Ir66.97• °j.. -"7 Q Neem 04 F OR'.81#� S f to Reber am AR 41114, PQ 4417 PIE S&N-00-40-116041 W / 00 Swift hdood Plontatba / Tlat Cabinet' 3-10A 40 Rye 'a0 —� � � N Reber Pound •1 { ---T- --I-S------�. 1 t Notes: (z If applicable) x L no s ou •Neer alaY New a ads er X a r erraoi w sertFd W aasaaarr Warwand SOMM or•W Wan a Sr pr an ink • Rea Pard Inti alloaF0 M X a ansa -nFeta or at.ar.Ita Scale: 1 inch - 40 ft. 0' 40• 00• 120' 0 �" TRUE • ORTH GPS ,'\ I•\ 04 Rebar Found !T 'o-\ N.W. Comer L. a 61 " 1 886'46'45.7 432.59' Glot o swift Ow1swift blood plantation Flat Cabinet; 11-10A \ \ lot 0 la Ow \ 1R bland land Plantation \ Plat Cabbeat; 1-10A \ 0.512 ACRES - 22321.5 SQ. FT. ` W 11t \ �' swift bnd laplants"= _ \ Pit GbleGl; 5-1011 ea4P F7 tate Dixie Land Surveying, PLLC I \ Lincense No. P-0335 4278 Country Club Road. Wadeabom, N.C. 28170 phone: (704)-694-5810 \ email: dWelabw4ndatmem.net Recombination of Property Surveyed For: aw John Haywood Ieocated on Forest labs Court Pee Dee Twep., Montgomery County. N.C. BwA Island Plantation / Plat Cabinet; Z -10A For Reference Bee; D.H. 844 PG. 796 / PM6575-07-88-0850 D.S 691, PGL 504 / PW 8676-07-89-6992 Date: 04/05/17 - Drawn By: MRI - File # : 13817 V .� '4 -T S r ` a' 4 iia► ' - ''S•.{ \. i i� .. �... t s.. � [. r i. _-?. � •. "sem . .41 —04 r24 w. Z:t' AL3• \ � = � �+ - - w ` •T r t � ,d rte, � � . � ..-► / � N� ... � : �:, k -. , �• jv�v S r '_ `f� -.� '• R�1 _ t.<' .-,fes' ,-=. ^ f -� . _. �.w r�� ti �.",�% �' IT fx vo MW �� ~_ + `w. - `l;c�1'+ �` IZ: �•, .� �5.. y � yT� - �� A?•r i; 7�4 1 �� i . y,. r 1� � 1. T ;" � � � J•' � 'y��•.�'lP��AN�`� AN )�^S 1.q ` (•w j*y $ F ;' �` �(Val•'T1�t r.. ,+e - , , - �'- js�� 'r�::i&3Fr�i� t �� Ai' i f �•'r,+14►t\ _, 4�f. +..,` : i 1`e sol';'i4rt �!"G - s�+."�!a \laitit. .