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Home My WebLink About20181106 Ver 1_Shoreline Stabilization_20180807State of North Carolina Department of Environment and Natural Resources DWRDivision of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization Division of Water Resources FORM: SSCP 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 2 0 1 8 1 1 0 6 (jj 1617 Mail Service Center Raleigh, NC 2799-1617 AM; 0 7 201$ I. Applicant formation [15A NCAC 02H .0502(a)] D - g 01 A61 BUFFER PERMIIIING 1. Owner Information Name: A6`1��- 17��f��/i�,f LLL 4� Mailing Address: Telephone Number: E-mail Address: 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/591docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: �//")//) �if/.SL_a67/t Mailing • 1�s� A0 7 v Telephone Number: Xe:K W —LOL Fax Number: /U4 E-mail Address: K-0"15 XeV2 3 Ai)_'�'l o/ L&kn Person to receive the Certification Approval: (A II. Project Information [15A NCAC 02H .0502(a) & (bl] 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: Jacksm Nearest Town: T1 Gl��SE_G{E Subdivision name or site address (include phase/lot number): Directions to site - please include road names and numbers, landmarks, etc.: 7 �r /,mss 7� r� C�nc� d� Shu rZtd!L 16d 1-07- .Zr Latitude (in decimal degrees) 5�7SS Longitude (decimal degrees) ' L2 0 7� 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): 6. Property size (acres): 1 3, 4 � C� 7. Lake/ river/ ocean adjacent to property: LAe,6 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): S_AOcz__44�� 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: �5- 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: / SS 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): 3 7,- it �7/ 4-3 i 0IT i_/_C - , A C�r� _L&IIL4 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 10-2013 Page 2 of 3 SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: 7 S�r6 ` '% " j jOZ STREET ADDRESS: / F C c) L,6 ,,44 7740 4sFCr-CE Xf- z 7 K3 Please print: / Property Owner: 1 666e 44A-ZE `76AA16,41. GLc &�.�/ � /U Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize ofd/ZeY errs ��rGir�ir (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): � 6eA Z tJ9 X-C 2S 7,13 Telephone: �%%J " -3 Cs -.3— 6cap We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. JV ', 4''1 Authorized Signature Date: / flltra C'� Authorized Signature Date: Full Pond/ Normal Water Level Shoreline Lake (At Full Pond/ Normal Water Level) Jock rA CON51-re-Ut T -DN ,4cc C55 C (2X4T46< -4 "LL r i 6' X COS' S54 WU C/t,-4)1j/,-7,4 L &C-) 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 Ar '17 ININIF, \ Id wAv tl-- 'rl; "Silt #vq)w4% Atli �' �jt •moi" � , '�a - � � � i �! t ,,N IL t r t %� \ County to ir'u, "f, t,tF •, The sollowing cernl l! olt7 �Pn _ASC,.OPIRRr) o Notary Public of �ekcky./ COu ly is certified to be cpyrecl. Presented for regis/rolion an cordr, • q K'/ nisi office in i" a C e" the doy ol. l y , 79 Yid of o'clock W M Fes.. a ~�O�i CON, � COUNw.�"°�' SRG- BRG- BRG- BRG- MPGLC BRG- PT NPGLC - DRG- BRG- BRG- BAG - 30 NPGLC BRG- BR -., G DeBRG- :PG- AG- QV' - 8RG- Register of Deeds U39 070 ",� �d \ BRG- BRG- 14.I/ BRG- PC1QV' b\I BRG- - RICKY OELKQ 0 Jtrg4, / / 30' f _ 1 ( BRG- 541/82 m , GRID NORTH: 0 X30' / - �S 6 JC 10 B '� I BRG- BEARING TABLES A Cono North roli $ - this map was prepared M accordance with / - - (Co. 'Como-) / S.BS AC. m I BRG- BRG- .1•4C.lG.10P% County ^+ m� RO- BRG- E 1 - '61 / (CO. COMP.) j BRG- mPSEF - -.EIP 460. D4' (T) - . ( 440.60': S 87 38'05' E ,1,C IO :" .. .. r JC 10F BRG- /, •E'XEDfi �. Ca�Do NoloPub/it of ry 1.52 AC "j0 /BRG- .C� . 30- - ,� -- NANTAHALA POWER 6 LIGHT COMPANY.-•' BRG- d'ar+rce,J County, do hereby eertAy / !AOI the property and /y .: herebycer li yYTk / 1 as shown on this p/OJ - -- -- - - 58167 (T.) ore 060,0 !he- yea, RIVER TOWNSHIP .JACKSON COUNTY, N.C. - - Bs 43'27 E flood plain as di/mea/ed by les County; North Carolina Flood Plain Ordinance, DATE APRIL 27, -.1988 _SCALE 1'--- 100'. ( 559-26 ) Iha,R"j 1�. ffg , Registered Land \ LENTERLINE ./ j - OF - f y o o g� .6 I NPGLC BRG- Surveyor, personally appeared before me 30' 0 1 - �, a l REF 4m ns 393.29(7 a Rf - BRG- lAs day and acknow/edged the dues+ecutlm the following r• >> / ^m, � :. ,,I pin \ - ' � CC- COMPUTED COURSES G DISTANCES E-783868.8 QIP m 33:03') N x3978717 W REVISED-. AUG 1988 JC -JOG BRG- BAG- of cernncale. - - y A /,.. \ mem m / .ma' x( ( 20 39') - BRG- Wilnesr my Aand otMo�sea/ !Ata day of m -. - --� , . JC 10 C BRG- _L1'�_ EIP 1.51 AC. f.`+ BRG- My Commission expires 309 -0 ;n (CO. COMP. ) - n BAG BRG- , �A� JC- 10A ro .. g` m BRG- BRG- BRG- . Notary Public i 4.59 AC. vs (489.34'1 .512.93' T. (23.59') AG- (CO. COMP.) Pas 4 B7 62'!0'. E VT m^m / -Re! :AG- BRG- `. - .. - IPS - 4i BAG- - - JC 10 D:..sP.O� BRG- BRG- Slate of North Cera/inn Jeckopn County- - $ 1.97 AC - -- "1 SAG- .- .. BRG- . ! Ray J. Tucker elify IAal /his map was or S Y (eo.eonP •) - b BRG- ' from on actual su/vev made under my - - `vi: - _ - d, - - /-- BRG- sUOervis/On,. recorded in Book 172 ._ _ _. Sp• - BRG- .. ..Page 581 - 1 Book 218 Pope 540 ... F - 115 44 + GG (T.) BRG_ BAG- - 'hot x01,0 of precision ,as calculated by - _ _ - 1 426.19' ) REFITS' .j'. S 88 388 .55• E BRG- /o/itudis and departures is /: 7500 , ( 21.47') I --thol.fho boundaries not -surveyed ore shown BRG- - as broken lines ptolled film /nformalinn - - m JC 10 E SAG- - - found in Book-, Pove - j that - ^' 1.77 AC . - this map was prepared M accordance with p8 rp - - (Co. 'Como-) GS 47-30 at amended. Witness my Apo- BRG- E BRG- E - and seat- this - 3 doy of MAY RO- BRG- E BRG- 7 - Cfi.C.'"HENNESSEE LAND COMPANY - mPSEF - -.EIP 460. D4' (T) - . ( 440.60': S 87 38'05' E ,1,C IO :" .. .. - JC 10F Repisl a Land Surveyor Rep No - - - - - ,''• 1.52 AC 806MOARY SURVEY - .C� . (CO. camp.) -- NANTAHALA POWER 6 LIGHT COMPANY.-•' BRG- e / !AOI the property and /y .: herebycer li BRG- E as shown on this p/OJ - -- -- - - 58167 (T.) ore 060,0 !he- yea, RIVER TOWNSHIP .JACKSON COUNTY, N.C. - - Bs 43'27 E flood plain as di/mea/ed by les County; North Carolina Flood Plain Ordinance, DATE APRIL 27, -.1988 _SCALE 1'--- 100'. ( 559-26 ) - - DEED REFERENCE D8 ` 218, PG 540 , :...- - J CIO G _ L-1290 JACKSON{ COUNTY PUBLIC REGISTRY y o 3.24 AC. Registered Lend Surveyor Reg. Na. IOD' ,• i. 0.O �:., - .E)0 ,(y8 (co. camp.) VOTE ALL DISTANCES SHOWN ON MAP ARE HORIZONTAL GROUND DISTANCES EIP 66708'(T) -- M, C. GRID COU". ( 647 8G' ) "OTE: PROPERTY LINE RUNS 30' OFF THE CENTERLINE OF ROAD S 87 53'1,V E - - - N-566227.7 - CC- COMPUTED COURSES G DISTANCES E-783868.8 REVISED-. AUG 1988 JC -JOG LOT LINES ACTIN! - FIELD SURVEYED Tuc RASEEa - H.P. SONEBRAKE 222/198 m Te Legend = EIP Existing. /ton Pipe St. IPS Iron Pin Set QT Y�CI 11 SRE TCR NO SC Alf A - Concrete Monument All Roods ore Public or Private Maintained as shown on Mop xl Recoverable Horizontal Control within 2000 Feel 4111HkM CIs4Prin1 .. b 1 DRS- 30'- RG- 30'------ ry d BRG- . m r BRG- E BRG- E NPGLC BRG- f BR6- E / // - BRG- E //;r ' 48 „W BRG- E BRG- B 7 SAG- f S BRG- f RE F19. 22 BRG- STXgZL�ZZ�� 2 N 06-17'13' E 27.77 3N 3101'02• W 25.79 4 N 75_26'26 W 70-09 5 N 63 ' 0259' W 31.87 0 6 N 4 47'30' W 28.71 7 N 1047' ' 12 W 20.18 8 B N 018'12' E 25.50 9 N 29 37'40' E 34.53 0 N 26"49'36' E 48.06 1 N 16'50'20: E 32.58 2 N 14 06'13 E 28.6.E 3 N f0 19'48' W 36.50 4 N 09 30'53' E 30.01 5 N 32 15'39' E 24.89 6 N 35 13'14' E 101.60 7 N 24.24'44' E 32.83 8 N 13 43'41' E 26.15 9 N 03.27'09' W 27.13 0 N 1501' 15' W 96.15 1 N 0751'14' W 37.68 2 N 0353'13' E 30.13 3 N 11*10'19' E 66.62 4N 005 '35'50' E 30.15 5 N 113'31' W 25.12 6 N 2756'04' W 32.25 7 N 33.42'48' W 38.60 B N 40 04'05' W 37.79 9 N 51'45'37" W 26.78 0 S 8010'52' W 29.09 1 S 69 47'18' W 32.18 2 S 6309'28' W 30.50 3S 51 29'37' W 34.32 1 S 44'17'13' W 55.37 5 5 50'39'27' W 45.76 6 S 51 34'05' W 102.59 7 S 37 12'36' W 25.54 B S 2303'56' W 50.51 9S 200 11'19' W 34.91 0 S 2 41'17' W 9.88 1S 40*5B'37' W 25.28 2 S 77'05'22' W 21.87.- 3 N 8737'42' W 25:03 4N 42*38'16'.W .67. 5 N 42'38'16' W 21.22 B N 25'35'12' W 28.36 7 N 05:55'41'.W 43.26 9 N 09'39'53' E 22:09 9 N 15*16'18''E 25.75 D N 25'50'18'. E 30:08 1 N 32'11'20'.. E 48,93 - 2 N 05*49'51• E 17.72 3 N 5152'00' W 13.94 4 N 78'06'48' W 17.80 5 S 7122'18' N 21.83 i S 19'19'-15' W 51,63 i S 3612'56' W 41.64 3 S 1815'26' W 28.91 3 S 08*42'47' W 31.82 S 0033'41' M 34.45 1 S 10'23'09' W 45.63 s S 30'32'58' W 24.03 3 S 6003'54' W 10.69 f S 8959'53' W SB.91 5 N 62'SB'4B' W 15.49. 3 N 48'26'20' It 82.14 iN 5601'45' W 61.71 3 N 7011'03' W 23.38 3 N 8345'35' W 25.57 S 7545'35' W 26.80 1 S 61'36'28' W 72.47 > S 50*55*51' W 98.39 3 S 5935'42' W 21.02 1 S 8301'25' W 19.77 3 N 7145'14' W 28.62 5 N 6323'23' W 26.10 I N 50'56'47' W 33.58 ! N 3406'10' W 22.98 - E N 1919'58' W 25.85 ) N 0700'37' E 27.32 ( N 2257'19' E 39.25 I N 1714'26' E 32.23 1 N 1049'07' W 41.98 1 N 1944'10' W 40.19 N 2943'25' W 38.82. i N 3616'59' W 37.94 I N 0616'45' W 30.94 3 S 52 00,20 W 22.22 3 S 13 50 02 W 22.03 D S 42 49 43 W 24.39 Roy J. Tucker 4 Associates P. A. 12 EAST SYLVA SHOPPING CENTER SYLVA NC 78774 .§ BRG- f RE PIPS BAG- f (!9.24�s1 i' BRG- E BRG- E m RO- BRG- E BRG- 7 - BRG- 7 mPSEF - BRG- 7 BRG- 7 BRG- 7 ry �j� �rlW BRG- 7 BRG-7 BRG- 7 - 30' D r/ f/ /F, BRG- 7 t7RG- 7 r BRG- E BRG- E BRG- 6 BRG- e BRG- E / // - BRG- E //;r ' 48 „W BRG- E BRG- B 7 SAG- f S BRG- f RE F19. 22 BRG- STXgZL�ZZ�� 2 N 06-17'13' E 27.77 3N 3101'02• W 25.79 4 N 75_26'26 W 70-09 5 N 63 ' 0259' W 31.87 0 6 N 4 47'30' W 28.71 7 N 1047' ' 12 W 20.18 8 B N 018'12' E 25.50 9 N 29 37'40' E 34.53 0 N 26"49'36' E 48.06 1 N 16'50'20: E 32.58 2 N 14 06'13 E 28.6.E 3 N f0 19'48' W 36.50 4 N 09 30'53' E 30.01 5 N 32 15'39' E 24.89 6 N 35 13'14' E 101.60 7 N 24.24'44' E 32.83 8 N 13 43'41' E 26.15 9 N 03.27'09' W 27.13 0 N 1501' 15' W 96.15 1 N 0751'14' W 37.68 2 N 0353'13' E 30.13 3 N 11*10'19' E 66.62 4N 005 '35'50' E 30.15 5 N 113'31' W 25.12 6 N 2756'04' W 32.25 7 N 33.42'48' W 38.60 B N 40 04'05' W 37.79 9 N 51'45'37" W 26.78 0 S 8010'52' W 29.09 1 S 69 47'18' W 32.18 2 S 6309'28' W 30.50 3S 51 29'37' W 34.32 1 S 44'17'13' W 55.37 5 5 50'39'27' W 45.76 6 S 51 34'05' W 102.59 7 S 37 12'36' W 25.54 B S 2303'56' W 50.51 9S 200 11'19' W 34.91 0 S 2 41'17' W 9.88 1S 40*5B'37' W 25.28 2 S 77'05'22' W 21.87.- 3 N 8737'42' W 25:03 4N 42*38'16'.W .67. 5 N 42'38'16' W 21.22 B N 25'35'12' W 28.36 7 N 05:55'41'.W 43.26 9 N 09'39'53' E 22:09 9 N 15*16'18''E 25.75 D N 25'50'18'. E 30:08 1 N 32'11'20'.. E 48,93 - 2 N 05*49'51• E 17.72 3 N 5152'00' W 13.94 4 N 78'06'48' W 17.80 5 S 7122'18' N 21.83 i S 19'19'-15' W 51,63 i S 3612'56' W 41.64 3 S 1815'26' W 28.91 3 S 08*42'47' W 31.82 S 0033'41' M 34.45 1 S 10'23'09' W 45.63 s S 30'32'58' W 24.03 3 S 6003'54' W 10.69 f S 8959'53' W SB.91 5 N 62'SB'4B' W 15.49. 3 N 48'26'20' It 82.14 iN 5601'45' W 61.71 3 N 7011'03' W 23.38 3 N 8345'35' W 25.57 S 7545'35' W 26.80 1 S 61'36'28' W 72.47 > S 50*55*51' W 98.39 3 S 5935'42' W 21.02 1 S 8301'25' W 19.77 3 N 7145'14' W 28.62 5 N 6323'23' W 26.10 I N 50'56'47' W 33.58 ! N 3406'10' W 22.98 - E N 1919'58' W 25.85 ) N 0700'37' E 27.32 ( N 2257'19' E 39.25 I N 1714'26' E 32.23 1 N 1049'07' W 41.98 1 N 1944'10' W 40.19 N 2943'25' W 38.82. i N 3616'59' W 37.94 I N 0616'45' W 30.94 3 S 52 00,20 W 22.22 3 S 13 50 02 W 22.03 D S 42 49 43 W 24.39 Roy J. Tucker 4 Associates P. A. 12 EAST SYLVA SHOPPING CENTER SYLVA NC 78774 .§