20141331 Ver 2_Shoreline Stabilization_20180807

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It � State of North Carolina
G•� 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
Shoreline Stabilization Application Form
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:
Mailing Address:
1VA
40r, 0 7 2018
Telephone Number: i�5Z5 Fax Number:
E-mail Address: �4,!E IW4' r1k
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.armV.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM. df) must be attached if the Agent has signed this application form.
Name: (""i1i%l '?e lV<LEY
Company Affiliation:
Mailing Address:
Telephone Number: yff IZZ Z1122s: Fax Number:
E-mail Address: C P.h5/ey Z 3 AP el'o/ 4dw1
Person to receive the Certification Approval:—
II. Project Information [15A NCAC 02H .0502(a) & (b)J
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 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: J4(ka)v Nearest Town: 661f_eEl
Subdivision name or site address (include phase/lot number): 4427- 9cU�9
b0e- akE LEs6�46 y9v.s � c��s � 2&Z�3
Directions to site - please include road names and numbers, landmarks, etc.: 452r
t/ 107 vnfa s�> a A"-4
� G.dk� F�.1r?,EsT d�� Go �1 n!./e s �r�z cf ��`t(�> cyi�v t%irdo✓' �; �e 02�
�j5�2di�/i� AoJ- o7`
Latitude (in decimal degrees z3�6 p Longitude (decimal degrees)"' ��. V�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): ZZ(
6. Property size (acres): / k/
7. Lake/ river/ ocean adjacent to property: Z_ z4nF
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): SH��EG/,f"fi�LZ"��YT1air/ u
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 normal pool lake level/ Normal Water Level in square feet or acres:
en 2 S
11. Total amount of disturbance (including all clearing, back fill, 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:
,4625
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):
�%- S ZX6f 5 21K Ae_ /6fE,v b,;'a0_,9 e 'Cw6r
Owner/Agent's Sign u f [15A kCAC 02H .0502(f)] Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. Z �Q, PLAN NO. PARCEL ID: 75"tF6 - K6 -, .Sj?�
STREET ADDRESS: 41 () J"(
PF"llijill
Please print:
Property Owner:ij�/'C.Li�
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
I ��
� r/ i
Telephone: y
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:

40UC''\
Full Pond/
Normal Water Level
Sholine'''
re
Lake
(At Full Pond/ Normal Water Level)
S'
CoN57Iw%LpV
LOT Zcl6M
VX 1ZS 1 XV UUP
(yTV1r4z mak)
�f'X 1Z5'
-14
(A477111,41- U*)
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

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LEGEND
IPS - IRON PIN SET
IPF - IRON PIN FOUND
NIP - NEW IRON PIPE
EIP - EXISTING IRON PIPE
CMS - CONCRETE MONUMENT SET
CMF - CONCRETE MONUMENT FOUND
PP - POWER POLE
SP - SERVICE POLE
PT - POINT
R/W - RIGHT-OF-WAY
OHP - OVERHEAD POWER LINE
MNS - MAG NAIL SET
POL - POINT ON LINE
GEN - GENERATOR
NOTICE: THIS PROPERTY IS LOCATED WITHIN A PUBLIC WATER SUPPLY
WATERSHED - DEVELOPMENT RESTRICTIONS MAY APPLY.
I CERTIFY THAT THE PLAT SHOWN HEREON COMPLIES WITH THE WATERSHED
PROTECTION ORDINANCE AND IS APPROVED FOR RECORDING IN THE REGISTER
OF DEEDS OFFICE
DATE WATERSHED SUBDIVISION ADMINISTRATOR
CARO
2'.•F05Srp•.�y�.
2.a SEAL 11 -_
L-5210
�19 yam•. -
V/D•g N"A:1 �
err/Illltl\\\
GRID NORTH
NAD 83
(SEE NOTE #9) S 85'35'16"
65.20
�i
Y� 5/8" IPS
7�LI TC
ir
203
MAG BEAR LAKE LLC
2180-47
PC 14, SL 289 `�
204
IORIO
1559-482 QF
PC 14, SL 289
y\� N 84.47'42 E
5/8" /77-
T087 & _ -mPLOT-205SHADRACH INVESTMENTS L1911-338 DS:PC 14, SL 289 .18.08
1 HEREBY CERTIFY THAT THIS PLAT IS OF THE FOLLOWING TWE:
G.S. 47-30 (f)(llxd). THIS SURVEY IS OF ANOTHER CATEGORY,
SUCH AS THE RECOMBINATION OF EMS71NG PARCELS, A COURT-ORDERED
,v
209 0
51$ �
SURVEY, OR EXEMPTION OR EXCEPTION TO THE DEFINITION OF SUBDIVISION. MAG BEAR LAKE LLC. !
212-694
PC 14, SL 289 r
"I Y, P.LS. L-5210
I, DAVID B. IVEY, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER
MY SUPERVISION. DEED DESCRIPTION RECORDED IN BOOK 1595 PAGE 206 THAT THE BOUNDARIES NOT
SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM INFORMATION FOUND IN BOOK _ , PAGE _ , THAT
THE RATIO OF PRECISION OR POSITIONAL ACCURACY AS CALCULATED IS: 1: 10,000 : THAT THIS PLAT WAS PREPAI?E'D
IN ACCORDANCE WITH GS 47-30 AS AMENDED. WITNESS MY ORIGINAL SIGNATURE, LICENSE NUMBER., AND SEAL
z
200
DAVIS s E
1558-391
PC 14, SL 289
a
J
290A
s�
Fl
/i' A
S
a.
N'
LA�129g �' 90
CIS" PT. R/W/
r
r
J
n
i
/r
PT. R/W 4
'
5/8" IPF
I
ll
IAIE ;
1 1
J n _ O ••��
PT. ON 2570 CONTOUR I "LAKE FOREST DR."
CORNER NOT SET (TYPICAL)
TO SHOOK COVE RD.
�s L
dee
t.
"BEAR LAKE"
DUKE ENERGY CAROLINAS LLC
701-634
(lz5)
BOUN
-%A
LOT 290A
290A ARIANI, MARK J., TRUSTEE &
ARIANI, JANELLE, TRUSTEE
R/W A COMBINATION OF LOTS 290 & 289
IN BEAR LAKE RESERVE SUBDIVISION
DEEDS: 1595-206 (LOT 290) &
2208-1 (LOT 289)
1.81 ACRES +/- TOTAL
LPPT.
a� G
R/7.21W3v
S/8" IPF
-P
86.36' i !
! 6.
5 82.20'11" `N i
2ru�T"2,"O i I
i
1
1 c-o!m
� 1
I �1
1 1
! 45' RIGHT OF WAY
REF: PLAT CAB. 14. SLIDE 836
THIS 8th DAY OF MARCH AD 20 18
DRY LINES
rar. I
Q NOTES: 1) ACREAGE CALCULATED BY COORDINATE COMPUTATIONS
288
P SS NAL LAND SURVEYOR CENSE NUMBER L-5210
6`��
STUBBLEBINE
Lt
2189-289
STATE OF N TH CAR HA EXISTING
PC 14, SL 836
Cou
TY 0 �J
L3
I,
REVIEW OFFICER COUNTY,
CERTIFY THAT THE MAP OR
PLA
TO WHICHM13 S CERTFlCATO 5 AFF ED MEETS ALL STATUT Y EOUIRE EN FOR RECORDING.
REVIEW OFFICER
--27.59'-
L6
STATE OF NORTH CAROLINA: COUNTY OF ( IaC-R--ck)y1 _
64.06'
THE FOREGOING CERTIFICATES OF DAVID B. IVEY, PROFESSIONAL LAND SURVEYOR, AND
_
REVIEW CERTIFIEDTO BELIDERR THIS ITHIS UMa WASPRESENTED FOR YFtEGISSTRN�ON AND IN
C R I �Q
E WFPLAT WET �F�
, O'CLOCK 2051 °—AD.
REGIS OF DEEDS
L9
PT. ON 2570 CONTOUR
CORNER NOT SET (TYPICAL)
�y� O
"BEAR LAKE"
DUKE ENERGY CAROLINAS LLC
701-634
-lCladSL, It)
VICINITY MAP
(NOT TO SCALE)
TIE LINES
LINE I BEARING DISTANCE
Ti S 72'12'55' W 27.81'
T2 I S 73'52.05" W 1 34.34'
RIGHT OF WAY
LINE BEARINGDISTANCE
R -N 71705'00" E 53.97'
RW2 S 14'0954' W 35.13'
CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE
-Cl 277.50 57.79' 57.68' N 30'74'51" E 11'55'52
C2 290.99' 1 48.11' 48.05 N 18'15'50" E 9'28'19
C3 331.50' 49.69' 49.64' N 19'03'47" E 8'35'16'
C4 322.50' 26.55' 26.54 N 25'Oi2l" E 442'58
s/B
DRY LINES
rar. I
Q NOTES: 1) ACREAGE CALCULATED BY COORDINATE COMPUTATIONS
LINE
BEARINA
G
DISTANCE
Lt
S 00'08.23" W
26.99'
L2
S 10'50'02 E
33.05'
L3
S 21'48'12" E
36.04'
L4
S 4433.41" E
29.68'
L5
S 51'47'38' E
--27.59'-
L6
S 08'46'31" E
64.06'
L7
S 01'59'45" W
88.87'
LB
S 21ro817 w
28.08'
L9
S 51'32'32" W
29.16'
L10
S 35'37'29" W
25.92'
L11
S 16.46'15" W
22.11'
L12
S 33'21'54' W
38.46'
TIE LINES
LINE I BEARING DISTANCE
Ti S 72'12'55' W 27.81'
T2 I S 73'52.05" W 1 34.34'
RIGHT OF WAY
LINE BEARINGDISTANCE
R -N 71705'00" E 53.97'
RW2 S 14'0954' W 35.13'
CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING DELTA ANGLE
-Cl 277.50 57.79' 57.68' N 30'74'51" E 11'55'52
C2 290.99' 1 48.11' 48.05 N 18'15'50" E 9'28'19
C3 331.50' 49.69' 49.64' N 19'03'47" E 8'35'16'
C4 322.50' 26.55' 26.54 N 25'Oi2l" E 442'58
s/B
NORTH CAROLINA
rar. I
Q NOTES: 1) ACREAGE CALCULATED BY COORDINATE COMPUTATIONS
1 V
2) THIS PROPERTY DOES NOT UE IN A FLOOD HAZARD AREA
CANADA
3) THIS PROPERTY SUBJECT TO RIGHT OF WAYS. EASEMENTS AND
111
RESTRICTIONS OF RECORD, UNRECORDED, WRITTEN AND/OR UNWRITTEN.
W A `
4) THIS SURVEY WAS PREPARED WITHOUT BENEnT OF ABSTRACT TITLE AND ALL
F o I ^ \
MATTERS OF TITLE SHOULD BE REFERRED TO AN ATTORNEY-AT-LAW.
1" = 50' FIELD BK:
5) NO N.C.G.S. HORIZONTAL CONTROL MONUMENT FOUND WITHIN 2000' OF SITE.
DWG. N0:
6)ALL DISTANCES ARE HORIZONTAL GROUND UNLESS OTHERWISE NOTED.
I
5/8" IPF
7) ALL ROADS W1THW BEAR LAKE RESERVE SUBDIVISION ARE PRIVATE AND
.\
HAVE COMMON ACCESS EASEMENT UNLESS OTHERWISE NOTED.
8) THE INTENT OF THIS SURVEY IS TO COMBINE LOTS 290 AND 289 TO CREATE
}��
(>IS.�-g0
LOT 290A IN BEAR LAKE RESERVE SUBDIVISION.
O:(
9) GRID NORTH AND GRID COORDINATES FROM MAP RECORDED IN P.C. 14, SL 836.
f �F
70) THE COMBINED GRID FACTOR IS: 0.99973 (FROM P.C. 14, SL 836)
ao ---' loa3
R
0 50 100 150-� `�Ea
DAVENPORT, IVEY & ASSOC., INC.
PROFESSIONAL LAND SURVEYORS
P.O. BOX 234 CULLOWHEE, N.C. 28723
LICENSE NO. C-0814 PHONE: [phone]
SURVEY FOR: MARK J. & JANELLE MARIANI, TRUSTEE
A COMBINATION OF LOTS 290 & 289 IN
BEAR LAKE RESERVE SUBDIVISION
STATE:
NORTH CAROLINA
COUNTY;
JACKSON
TOWNSHIP:
CANADA
DATE:
MARCH 8, 2018
COR. FILE:
J1728 -290A
DRAWN BY:
DBI & JRD
SCALE:
1" = 50' FIELD BK:
J226-66
DWG. N0:
J-1728-29(
a