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Home My WebLink About20180700 Ver 1_Shoreline Stabilization_20180522201 847 O0 State of North Carolina Department of Environment and Natural Resources DWR Division of Water Resources Division of Water Resources 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization FORM: SSGP 10-2013 PAI'. Shoreline Stabsization Application Form Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources r� 401 & Buffer Permitting Unit 1617 Mail Service Center D Raleigh, NC 27699-1617 MAY 2 2 2018 DEQ- ATER RESOUR ES Applicant Information [15A NCAC 02H .0502(x)] 401 & BUFFER PER ITTIN 1. Owner Information' / Name: W i, /&,4 M )9/'o u, J "14 -Al Mailing Address: I Lf Zo Co r -n VVC' I Ii S ('. e b o .lei C- 2-F 7 (o 1 Telephone Number: 0767 .f3.f961// Fax Number: E-mail Address: 6111 y S'wr' (o ,°J � i L, c'am 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.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE_ A GENT AUTHORIZATION_FORM.pdf) must be attached if the Agent has signed this application form. Name: Sl�}IrYI� f3s Age V (2 - Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Person to receive the Certification Approval: A)I 111/4-m ly m&A II. 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. FORM: SSGP 10-2013 Page 1 of 3 2. Provide a detailed sfte plan showing property boundaries and proposed locations of vegetation clearing, structures (buildings, retaining walls, docks, impervious surfaces, 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) LL County: &kr ke- Nearest Town: r�U4 Subdivision name or site address (include phase/lot number): 2q 20 Carhw,,t11iS 7ra,'% , Nebo , 1V6 z 9 A I Directions to site - please include road names and numbers, landmarks, etc.: XIr I2-(1 1-10 Cckr-soll -raeN oA.,, 7v cftas-vn) �a,\re V1 i ky-2. i2 f k e i o A -ry Y P l 1 irk Tizk l l- � ST %1141" - le F -T 0 f✓ IT C o f -n Walls r2Ar L ANO G o -a C -/J fl Or- "Ap . Latitude (in decimal degrees) Longitude (decimal degrees) 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): ne 5 i Oe -'V TI,4-L- 6. Property size (acres): / , S- 1 /16 7. Lake/ river/ ocean adjacent to property: LA 4�-'a✓ 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): 5 ��i rvE STt3�lL>Zt'i'774n/ 723 Qe— F-OP— SQiL E205iDIS(. IiiP Me WALL ee 1/560 KVP/- 7 S 9. Will work be conducted from land? From water? WM-C-Z 10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level/ Normal Water Level in square feet or acres: -15-6-5— Sof . lc�-. o F eZ i P 11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level/ Normal Wa er Level and 50 feet land -ward in square feet or acres: _ / O Clur�r� 12. 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): A oi'd-ak or /evif tries. 4rO/' 2 Axes /S be iwmoved , e are a &4J; s e" e « ssaf �e we ll`ke FORM: SSGP 10-2013 / Page 2 of 2 a wo vre nu.kv-4( I o o 4 4 V,:, e, ��/ /A* �rllylly Owner/Agent's Signature* [1 5A NCAC 02H .0502(f)] Date Agents signature is valid only if an authorization letter from the owner is provided. Full Pond/ NormaLMer Level Shoreline C 16,"rd V'Afw II/ / pore" Lake (At Full Pond/Normal Water level) po�K k; P �&JIAMIL ► P. pap ),4 b, t v f j �il�411 Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft) 1. All proposed vegetation clearing 2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation 3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation 4. Location of any proposed structures such as buildings, retaining walls, docks, etc. FORM: SSGP 10-2013 Page 3 of 3 5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 6. Location of construction access corridors FORM: SSGP 10-2013 Page 4 of 4 �^ ,x1 ti �f1`• � �� ,f� K .ice 1 r �^ fp t —`�+ �►�e�y r ' I ' If 41 d _ .y; / t —.+„ f l �.L' 1 � � ,�'"t`• d I ,,r�� •. �R � �� ya�.�ii � �� t �� / ��', � �{�� it � � � � � .v' .t� ,� a,�-�SSS �i / .��+✓� 4. / Ai /Q Home - Welcome to Tos X<- surra X (,,'I IQQ file///E/1780'%201mportant%20Documents/3.%201780%20Record A ®CNN = BmW*g News, Lt X LV 2420 Co' .Wk Trail - G X 3.1780 Recorded Plats, r x ed%20PIats.pdf Q {Y --- - — { 130 ,s AIL.\} �., 1.64 AC.+- ` RTF ----•j , \ I Ir ---1156---- i // u» L1 \ § cm 84 131 I ; x�► WL11 Aa.- 7, 2.58 AC .+- a -on •��// 7 m 1 3 \ � � ° � N "m� 1 1 1 1 t sl CO. 511E INFO 3 GENERAL. NOTES 0. ft • s.o \ y —+ 1 \ 1.50 .}. - 1.50 AC.+- A.92 TOTAL ACREAGE N LAKE AT CE ONES— ANG a P1NSE 1 \ \ �, \�+ /r`'a A - EACRES FUTURE REA IIRIIR[ DEVELOPMENT - 0.71 ACRES �y \ \ 132 AREA dRClUSNE OF PRIYA,E ROW \ l - IecNT-of-VXY - 48.23 Acca \\1.S1 AC. 11 � TDTAL MUMMER W LOTS - 12 11 N p" SMALLEST LOT - 133 WON 1.50 ACRES THE BASE ROOD ELEVATION Of 1200 VER NEW DRAFT iE1N ftA00 AMPS PROPERTY 111E FOLLOWS 1200' CONTOUR PURE POWER BOUIIDMRY ` \ AI EACH LOT SUBJECT TO A 10' FRONT D A ,T~ 10• SIDCLJ E UTILITY. ORMNAGE EASEMENT. STORY WATER WILL FOLLOW NATUIML i ORMNAGE PATTERNS AS THEY EXIST —'• " WATERSHED CLA950CAAT04- WS -AP CA TAWBA - Wi N *v+ 4 man MSN ALL ROADS N THIS SUBDMSDN SHALL BE PRNATE w1s� ti i MID U NTMNED BY THE 1700 WDA OUTIUTIESBE CAT NTIONNTTHE R� C� ALL LATS ARE ALLOWED A LLAXftV OF 1 DWELLING UNIT. 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