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Home My WebLink About20150356 Ver 3_Shoreline Stabilization_201809249 Zvi sv3 � v: 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 pA® 1617 Mail Service Center � A �� Raleigh, NC 27699-1617 \ • Applicant Information [15A NCAC 02H .0502(x)] 1. Owner Information Name: ,S-�LVV_Vt Mailing Address: W 4 S. SG�c«oh nth �1 . Telephone Number: 7o¢-GSo-Ip/7(n Fax Number: E-mail Address: ,,,qmpk, -kts • Co vv%� 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: http://www.saUv.usace.army.mil/Portals/59/docs/regulatory/readocs/Permits/SAMPL E AGENT AUTHORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: :! a"r C c,,✓s r1 Company Affiliation: 6wvwr Mailing Address: Pi *_ —1 �!-f- C(Dvv-c, s -C. 17rt71 1 Telephone Number: 9V9, kat- 9�31to Fax Number: E-mail Address: �CC.(y.ws3S42 -c. 4ttlT•1)c . ,u -4 -- Person to receive the Certification Approval: • Project Information [15A NCAC 02H .0502(a) & (b)] • 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. • Provide a detailed site 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. • Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard stick, shovel handle, etc.) • Location of the property (where work is to be conducted) County: (_-co�SJ-oma Nearest Town: 7;e1P'kO' + Subdivision name or site address (include phase/lot number): 4W At,Ler,., - swLk CI to --e_ Directions to site - please include road names and numbers, landmarks, etc.: -T-t"__ nil' o'A-= n4 i,i lk Sekoa ( EA 4-0 S"4-, '.1- Latitude � Latitude (in decimal Longitude (decimal degrees) -:F 1, 453S9'7-7 • Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): U., _, e ,e__ • Property size (acres): • Lake/ river/ ocean adjacent to property: L lc, (Al. I "k- 2 ` - 2 • Describe proposed work (include discussion as to how hardening of shoreline has been avoided, t'( or why it is necessary): i ,nat ��r: c_ h45 / l?Du/ t-'amiz— A-ao_slc IW L_ a (a�� i W , t� l �.�cc GiJcLAt f 'Il et I- S . -AS W% ( ( t rcya.,.,_4 L"C efo-5 ;—.. - . ✓II// Will work be conducted from land? i�S From water? /t(O 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: 202 .e 44 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: &M ilol-! 12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 feet landward to be impacted (numberZary<� trees, for instance): A, Wt/ c%c S . L171111 1 f. 1d 5-3v -lf- Owner/Agent's Signature' [15A NCAC 02H .0502(f)l Date "Agent's signature is valid only if on authorization letter from the owner is provided. 3 ... ,� �, . rJ � ---_--=-Ji_-�::iar,•.��t•.-R4,resc'tr�:;e-ac•.nt Home Insert Design Animations Slide Sho. Peaer:. 'AWN lawdic ue Layoid �. f7 Resat Passe ... l7ew - - slide- ,JDelet2 _ ........ .. . �. -, Pw3gsap!' `i Lake (At Fu 11 Pond/ Normal Water Level) x I Full Pond/ �Mwi Slides of 'Otliceiheele' Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft)*: • All proposed vegetation clearing • Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation • Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation • Location of any proposed structures such as buildings, retaining walls, docks, etc. • Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 4 3i : ✓�s 7k0 1l' Slides of 'Otliceiheele' Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft)*: • All proposed vegetation clearing • Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation • Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation • Location of any proposed structures such as buildings, retaining walls, docks, etc. • Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 4 3i • Location of construction access corridors SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. 39 PLAN NO. PARCEL ID: STREET'ADDRESS:.. ,, i Please print: �� L` /� Property Owner: Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize �'"•/ �' -,-�/ `�"L_ , ` Ldx S t✓ c cG �'�-'� (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): Telephone: We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authori igna2ture Date: z V '/g iuorized Signature Date: 30 —/S CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address:Xlz'a'n1. �so��tt�t�- ✓I, i5c/t-c. County: Owner: /y �l� �� c_ �- AY Print Contractor/agent: _ Print u re Signature The approval is for the purpose and design described in your application. Impacts not indicated in the application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC 02H .0506 and 15A NCAC 02B .0243(8)] Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed. Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.0243(6)] Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B.0243 (6)] Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved by the Division. There are limitation on size for decks. [15A NCAC 02B.0243(4) and (6)] Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B.0243 (4), (6), (8)] Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or sheet flow at non-erosive velocities to the lake. [15A NCAC 02B.0243(5), (6)] Acknowledgement of Notification hereby state that I have been informed of the Catawba Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be taken such that the construction will be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting materials. Signature (owner): Date: State of North Carolina , Environmental Quality ; Water Resources 5I2 N. Salisbury Street I Ibll Mail Service Center Raleigh. NC 27699-1611 919.7079000 � * lmbl,� i Multi -Stop Route Planning and Optimization Tools - MapQuest YOUR TRIP: Total Route: 8 min - 5.5 miles MCZ)QJQW Est. Fuel cost: $0.58 - IRS Reimbursement: $2.98 Print a full health report of your car with HUM vehicle diagnostics (800) 906-2501 A 906 S Point Rd, Belmont, NC 28012-9536 O1. Start out going northeast on Nixon Rd toward Southpoint Rd/NC-273. Then 0.21 miles N 2. Turn right onto Southpoint Rd/NC-273. Then 3.37 miles r' 3. Turn right onto Armstrong Rd/NC-273. Then 1.88 miles 4 4. Welcome to BELMONT, NC 28012. v` e 101 South Shore Dr, Belmont, NC 28012 This leg: 8 min - 5.46 miles https://www.mapquest.com/routeplanner/narrative 1/2 9/18/: Multi -Stop Route Planning and Optimization Tools - MapQuest <�2,P a f'6 4400 v Book a hotel tonight and Car trouble mid -trip? save with some great deals! MapQuest Roadside (1-877-577-5766) dLWIW Assistance is here: (1-888-461-3625) https://www.mapquest.com/routeplanner/narrative 2/2 a T R O zs o Control Point, Inc. U ,� ` 6130 Harris Technology Blvd. Q /f1 Charlotte,N.G. • � {\--,�{-/-} � Phone::(7 (704)5gg-1010-1010 Fax: (704)5gq-1120 'Q U NC: C-2725 T SG: GDA 3459 1-85 JO '�F O Q- SITE VICINITI' MAi=Mg I. T14I5 PLAT 15 FOR THE SOLE PURPOSE OF OBTAINING A PERMIT AND 15 NOT INTENDED TO CREATE A LOT OR TRANSFER TITLE. 2. BOUNDARY DATA TAKEN FROM A PRELIMINARY FINAL PLAT OF McLEAN-SOUTH SHORE-PHA5E 1, PREPARED BY CONTROL POINT, INC. 3. DEED REF: DB 46g0 PG 204q. 0 v N / 1 / / / / / LINE BEARING Wesley R. neycutt-4435 9��5 N36'33'23"W �`t�llltJ/il/�� CARO �i L2 ��`N-Axk F. q.24' � ax. SEAL �r N45'50'30"W 4.44' L4 N76'12'50"W 7� \\C' C2 L5 N46'21'26"E 2.71' L6 N74'28'08"E 8.02' �O N68'41 -16"W 10.46- \ so 1�1 \ G91 Lq 581'32'40"W 8.14' LIQ o \ LINE BEARING DISTANCE LI N36'33'23"W 65.88' L2 578'Oq'43"E q.24' L3 N45'50'30"W 4.44' L4 N76'12'50"W 5.11' L5 N46'21'26"E 2.71' L6 N74'28'08"E 8.02' L7 N68'41 -16"W 10.46- L5 N85'24'50E 12.78' Lq 581'32'40"W 8.14' LIQ N28'13'12"E 6.12' LII N88'3q'37'E 6.72' L12 N71'07'26"W 15.10' LI3 N64'OI'38'W II.g0' L14 N28'26'58"E 62.36' LI5 N45'43'03"E 50.45' CURVE RADIUS ARC CHORD BEARING Cl 725.00' 268.52' 266.99' 536'56'05"E C2 30.00' 45.42' 41.20' S8q'05'10"W C3 275.00' 55.83' 55.73' N51'32'01"E a9\ L Pier Permit Plat of ° so t00 Lot #3q, I cLean-South Shore -Phase I Southpoint Township, City of Belmont Scale: I"=100' Gaston County, North Carolina