The URL can be used to link to this page

Home My WebLink About20180246 Ver 1_Shoreline Stabilization_201802191�iry State of North Carolina Department of Environment and Natural Resources Division of Water Resources Nf � Water Resources _ 15A NCAC 02H .0500 — Water Quality Certification, Shorelin abiA ENVIRONMENTAL QUALITY FORM: P 02-2017 Shoreline Stabilization Application Form 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 A. Applicant Information [15A NCAC 02H .0502(a)] �:/ 1. Owner Information D Name: LaK� �'Ile� �eVelo n 1. FEB 19 2018 Mailing Address: 7187 7f:,l �+ C f ,�/e4/ "Aa n A& 2 127 IDEO-WATEK B FFE PERMITTI G Telephone Number: �l4—.�j2-732-1 Fax Number: E-mail Address:i,aywood < 10 01A AIL.,mber . (-,PM 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: httr)://www.saw.usace.army.miI/Portals/59/docs/regulatory/reRdocs/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. 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: M 0n -f q� Nearest Town: N1 i e, lead Lake/ river/ ocean adjacent to property: Leg KP__ 'U llecl Property size (acres): O.5 ALre-< Subdivision name or site address (include phase/lot number): /of 5� Directions to site - please include road names and numbers, landmarks, etc.: See mop P�CV1dCJ Latitude (in decimal degrees)% v�2Vf,y Longitude (decimal degrees) "cY�� 6903'/ 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): -IMeS lk V nder6l-vSh LSee �YS P''�✓�ePd 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): ShOrC' I`/le Sf aY /FULL, 7. Will work be conducted from land? ,V From water? ❑ 8. Total amount of impacts below the normal pool lake level / Normal Water Level Permanent impacts (including all excavation, backfill, rip ap, retaining walls, etc.) in square feet: Ivo x 0 q,bovr- wo4pr — yV0SF , f ' , A rip Tempora impacts in square feet: IVIA 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward Permanent impacts (including bac fill, xc vation, rip rap, retaining walls, etc.) in square feet: Temporary impacts (temporary clearing, construction corridor) in square feet: AI I A 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): -sec e.a 0 rov,kd 11. Signature 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. 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 jFull Pond/ Normal Water Level Sho � reli� ne =i� Plan View Lake (At Full Pond/ Normal Water Level) Lake (at F.11P—d/ Normal ware L-1) Existing Dock /30RR7h FORM: SSGP 02-2017 E AMPLE Plan View i m � i i� i� y %��'� Page 3 of 4 r��••••••��♦ rte•♦ Full Pond/ Normal Water L�evelllll Ir FORM: SSGP 02-2017 E AMPLE Plan View i m � i i� i� y %��'� Page 3 of 4 Lake (At Full Pond/ Normalater M C G/ E z n -a CL c Side View 10 ft. bank Side Vi r�5 3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing `if necessary Existing bank mm" FORM: SSGP 02-2017 Page 4 of 4 . f •''.ted►',{ I 1 � . t► f wl �`°; � , t > - ,� .. r i:'Y „I , t ".r ., -�: ; * ,-• a ;,� ;-A. ire •w ..S�f - >, - �K ,t Y - SST. ! ,%r !• J � -� ,ogre;+=��,- _ �,� .� • ..: � � . � � 14, µii Vc ok lye'_ '' ,��4.` � "T� •� •- �t��. ��s ..rr� tJ s 6 •• ��. , ' � r{"�`i -� . : ;.I'-�;'� F ♦ ;r, + �,,V- ice'* i '.['_ •� ..,�a *�; 1 J.i .Y .ria AA ILA 41 lit ry1 - ' .K� -[-•' � .,% /' v'+f .�•y.� CCC"' r If 1 4 r W. Ti -096.661 POINT OF BEGINNING \ s i '\ ;i �S `L 25 Act Lot 51 Ix 0.56: Ac/, -A — �/ . Sugarktaf Shwes , Stop Work Directives for an underst Duke'- Ener$y- representatives may issue , p y o -.Duke' or engagement � prQlubited acts or activities on Duke Energy property, p any, as speci identified -in. the SMG. IA;y understand persons found to be in violation ill be:s6ject-to D Energy sanctions which -can include, b*t are not necessarily limited to: 1� restoration -of -the i e -area at the erase, 2} ss of consideration of any futur eRdAY lake.use -permitting vi # s for .0 five years _ itnp r vegetation removal or untiphotes vegetation is satisfaeto �e=es . fished (even if there s a: hange in property ownership); 3) revocation of a previous is d permit and- loss _of consideration of. any figgre lake use v statement of the- revoked { permit; 4) incr se in fees; 5) - ,. m d ficatil i or r noval of nob7complying facet rti'i� es and/or !-further le al action being taken _. _ t� rr LL'' /, � 9�6� _Z 10 aorPP tflAiN�[7�1t��7ki�k�C}ft g '.j l OF MILES rPcnurc eq n $f irp.4 � dprnia_1�nnctnie.tinn of t`1 �RLJ (vlH� t CAtt 4S �, WbBrun _ Tg River t�aVett riflery Sportsrnaii it River ;Green Top Ir 27 s: t 24 �y ` c.; 'i church } ,