The URL can be used to link to this page

Home My WebLink About20180350 Ver 1_Shoreline Stabilization_20180309State of North Carolina Department of Environment and Natural Resources Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization FORM: SSGP 10-2013 Shoreline Stabilization Application Form PAI Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 I. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: UJ UII" rr► J. Sf 6#7'YS Mailing Address: J105 CI m40,k0A/ CJPCf_p= UR/4- curOy EL JSS209 20180350 Telephone Number: 9yl 6c/r"2(o&O Fax Number: E-mail Address: WSc1�,?tjr (4)lcahoo, Corn 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: /off /%f�2 7'iAl Company Affiliation: Mailing Address: ;r3a,c3 S ,0d CkcS c 6 C v /-7, 0. ,Som so y Telephone Number: S'z� Z26 -20 V7 Fax Number: gL& 7y�- 6 Z/6 O E-mail Address: C�"_�.*o S6 u.n / , ec, --, Person to receive the C rtification Approval: I1. Project Information [15A NCAC 02H .0502(a) & (b)] RECEIVED 1. Attach a vicinity map (i.e. street map) clearly showing the location of "cMrith respect to local landmarks such as towns, rivers, and roads. pENR.LAN0 QIIAL 2. Provide a detailed site plan showing property boundaries and praI. IYIt�1ltG vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces, FORM: SSGP 10-2013 Page 1 of 3 etc.), 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. 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� -eoA l Nearest Town: Subdivision name or site address (include phase/lot number): 732 /+��,I-11194+ _Wa46s . S Directions to site - please include road names and numbers, landmarks, etc.: To 6,-Y3-/ e - % � A`7 3 2 d ") Z_"C f� L / , / ,j Latitude (in decimaldegrees) 3� /7� Z Longitude (decimaidegrees) —O-� w 77 03(5 S. Describe the existing land use or condition of the sate at the time of this application (residential, undeveloped, etc.): _ /70i''1Sr Sf/ 6. Property size (acres): 7` — ASC !F- 7. Lake/ river/ ocean adjacent to property: 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): S% t�jZ�f-�ty�1 1*1fiCcll 9. Will work be conducted from land? ❑ From water? 10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) below the npr�mal pool lake level/ Normal Water Level in square feet or acres: 11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal gool lake level/ Normal Water Level and 50 feet land -ward in square feet or acres: �6 12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 feet landward to be impacted (number of trges, for instance):`- Owner/Agent's Signature [15 NCAC 02H .0502(f)] Date Agent's signature is volid only if an authorization letter from the owner is provided. FORM: SSGP 10-2013 Page 2 of 3 �iOAtk if BOIC bl ge*-, 9411k l_ r I � 015�7� 3/7/2018 M iTouchMap.com NO row. ria CM ktW OW Home P Latitude and Longitude of a Point Latitude and Longitude of a Pant Maps I Country - State I Places I Cities I Let - Long To find the latitude and longitude of a point Click on the map, Drag the marker, or enter the... Address: 732 nantahala shores rd. Topton NI GO Mobile Version px Local Weather Radar Latitude and Longitude of a Point Clear / Reset Remove Last Blue Marker Center Red Marker Show Point from Latitude and Longitude Use this if you know the latitude and longitude coordinates of a point Get the Latitude and Longitude of a Point and want to see where on the map the point is. When you click on the map, move the marker or enter an address the Use: + for N Lat or E Long - for S Lat or W Long. latitude and longitude coordinates of the point are inserted in the boxes Example: +40.689060 -74.044636 below. Note: Your entry should not have any embedded spaces. Latitude: 35.179261 Decimal Deg. Latitude: Longitude: -83.674238 Decimal Deg. Longitude: Show Point Degrees Minutes Seconds Example: +34 40 50.12 for 34N 40'50.12" Latitude: 35 10 45.339 Degrees Minutes Seconds Longitude: -83 40 27.2568 Latitude: Longitude: Show Point ------------ --------------------- ® ffouchMap.com 2007-2017 RECEIVED MAR 0 9 2018 DENR-LAND QUALITY STORMWATER PERMITTING http://itouchmap.com/lationg.htmi 1/1 AGO 'f W rotFaAV 44 ON �d°�� A l dol �� AL PSIMAI /- SGT i a 1 Yom•'_ •�� ' t' I M r� c�)da✓ � vo� �� R12 S�uQ¢,� -��fi.1�iJ�'�'� � R - 1 44d� � \ , E � J"�•�s�4 �?' •�� ,� +�4fr:�` q } ••�' y,j e e P Tl'ly f LLL +s-,. 3 Q I Q 3 � ��