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Home My WebLink About20181006 Ver 1_Shoreline Stabilization_2018072020181006 State of North Carolina Department of Environment and Natural Resources Division of Water Resources Division of water Resources $ft- �`• 02 V500 - Water Quality Certification, Shoreline Stabilization FORM: SSGP 10-2013 Shoreline Stabilization Application Form Four copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1650 Mail Service Center Raleigh, NC 27699-1650 I. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: Mailing 00 ence-','J i 1_ It Telephone Number: J04 - a3cl - aLI39L Fax Number: E-mail Address: AAAA^ n D an -'-^VY, 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 AGENT AUTH ORILA T ION FORM.pdf) must be attached if the Agent has signed this application form. Name: Company Affiliation: Mailing Address: 0038 70.rf7n I -VW A. Telephone Number: JDLt - (Q (0 Fax Number 10+ (jCto E-mail Address: 0ocse&wa_Iks D u_), ndn- -reo_m .,rne,; - Person to receive the Certification Approval: J ;C e Ci:w H. 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, structures (buildings, retaining walls, docks, impervious surfaces, FORM: SSGP 10-2013 Page 1 of 4 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: _721 -e.deA l Nearest Town: r) ncXr u; lki? Subdivision name or site address (include phase/lot number): Directions to site - please include road names and numbers, landmarks, etc.: +0 ?--Al -1- 35 'car I VW I&A'al W_J=I Rd. 4n&&= rd dba �lc�-1-�Ir l_____.�_ oni-o ItRlniLlki I got Rek ,+ucn le '� o►rAa &k OH R2d. Latitude (in decimaldegrees) W 5+�3 (iZ((.o Longitude (dedmaidegrees) - SO. S9�I oi0� 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): mpori roc - 6. Property size (acres): a SA ACrf-S 7. Lake/ river/ ocean adjacent to property: NOT -Ma o 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): 9. Will work be conducted from land? 00' From water? [� 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: a, YAP , I 11. Total amount of disturbance (including all clearing, backfill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in square feet or acres: I_a-LoSip 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): n0 -tM+ -�o e y--e_yM,1,ed rV Owner/Agent's Signature* Printed Name Date 115A NCAC 02H .0502MI `Agent's signature is valid only if an authorization letter from the owner is provided. FORM: SSGP 10-2013 Page 2 of 3 Full Pond/ Normal Water Level Shoreline N®I rr-e Of be Lake (At Full Pond/ Normal Water Level) off ' belou-) I' a-bave- 3q A '^"n( 1 ;� 1mlz iF .r _ I M-**' .: 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. 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 3 of 3 _r 93�� CBC 1 one and Recctcfed e�°'tp p5caa, Greer, , LLC' authorimiatior.0 Obi min the ectf nation for stabilization and ceredge per mile se 9 I agree°. - ciroc Gv /-.zR / 7/16/2018 CONNECTGIS WE5 mosnNo Iredell.ConriectGIS 1:181 Feet 114 537 Shoreline Loop -.------- - C15 105 133 13 117 542 �P. 108 110 • % 548 1112 012 0 114 116 341 347 331 • 0 122 353 11: '.A 332 342 348 z. 320 3514 — rO6 3 02 https:Hiredell.connectgis.corrVMap.aspx 1/1 7/16/2018 Google Maps 571 Stuffs Rd 571 Stuffs Rd - Google Maps Go gle Map data @2018 Google 200 ft� https:llw.vw.goog!e.corrVniaps/place/571+Stuffs+Rd,+Moores)Alle,+NC+281171@35.5435318,-80.8962873,17z/data=!4m5!3m4!ls0)6856ab615f46dbl5:0)(3ac6423dga9c3c4f!8m2!3435.5436665!4d-80.8942204?hl=en 1/2 #..tAh r .M 7/16/2018 MyTopo Map Print _ /17 799 l , 90 r Qs Work C, reek j4 N 0 0.5 Mi 0 3000 Ft Map provided by MyTopo.com http://map-pass.mytopo.corrVniaps/pri nt_rr ytopo.asp?pri nt--20&scal e=2.58daWr=DRG&layer= H ILLSHAD E&I at=35.543555511345524&1 on=-80.89452669999997&ori ent=1 &res=144 Peggy Dimperio Stutts Marina 571 Stutts Rd. Mooresville, NC 28117 f 7/16/2018 Go gIe Maps Stutts Rd Stutts Rd - Google Maps Imagery @2018 Google, Map data @2018 Google 20 ft https://www.google.cmr✓maps/place/Stutts+Rd,+Mooresville,+NC+28117/@35.5439338,-80.893825,91 rrddata=! 3m1! 1e3!4m5! 3m4! 1s0x8856ab58a2352cb5:0xc27396d3f879dOb2! 8m2! 3d35.5564152! 4d-80.8973831?h... 1/2 CATAWBA RIPARfJ1N BUFFER NOT1FtCAnoN FORA! �project . Name/address -j&)m. SryL� (Y_160res"•;