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Home My WebLink About20181423 Ver 1_Shoreline Stabilization_20181017Nf '� State of North Carolina Department of Environment and Natural Resources Division of Water Resources Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization LNVIRONMLNTAL QUALITY FORM: SSGP 02-2017 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the application fee should be sent to: If sending via US Postal Service If sending via delivery servic PS, FedEx, etc.) Karen Higgins Karen Higgins ... _ DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699-1617 Raleigh, NC 27604 20181423 A. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information _ Name: Eli Am Mailing Address:! Telephone Number: C91C)�4.��9�SZ\� Fax Number: `Ai L •AM -I'A25 E-mail Address: ��-�� evyr\— 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signed this application form. (A form can be downloaded here: htta://www.saw.usace.armv.miI/Portals/59/docs/reRulatory/reEdocs/Permetc/sAMP _AGENT AUTI ATION FORM.pdf) Name: Company Affiliation: Mailing Address: Telephone Number: E-mail Address: Fax Number: OCT I IVE B. 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, buildings, retaining walls, docks, impervious surfaces, 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. FORM: SSGP 02-2017 Page 1 of 3 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: Nearest Town:�T C �r je.i7 Lake/ river/ ocean adjacent to property: LAKeg_ T, Property size (acres): 0.6 g 1 Ac_ Subdivision name or site address (include phase/lot number): Ls 1 G SVZ d�� Directions to site - please include road names and numbers, landmarks, etc.: Latitude (in decimal degrees) > % Longitude (decimal degrees)(8O1 04-008 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): 1 c6rye mk� t�m;+1�►�lcsw��y�j tip 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): &&2` S o0 yv5 ,�� , , � �► ru -rte ► s T � � 7. Will work be conducted from land? From water? ❑ 8. Total amount of impacts below the normal pool lake level / Normal Water Level Permanent impacts (including all excavation, backfill, rip rap, aining wal[b, etc.) ins uare feet: Temporary impacts in square feet: 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward Permanent impacts (including back f9l, excavation, rip rap, retaining walls, etc.) in square feet: w Zai •S Temporary impacts temporary clearing, construction corridor) in square feet: 10. 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): 9 7Re_eS 11. Signature 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 02-2017 Page 2 of 4 12. Please approximately sketch the following information on this plan and provide dimensions for each item: a. All proposed vegetation clearing b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation d. Location of any proposed structures such as buildings, retaining walls, docks, etc. e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation Full Pond/ Normal Water Shoreline a �\n Plan View FORM: SSGP 02-2017 La ke (At Full Pond/ Normal Water Level) Doev- IL �20 �� "7L ;�*- X-�' e�-O- e;;,2 n_ �9 $� � Full Pond/ Normal Water Lev — -I orellne 2 ft.x 150 fL additional cleariry ' N necessary Plan View -OJ:9�15 Lake IAt Full Pond/ Normal Water Levey Riprap Existing Dock 1/30ftx7h 3ftx 150ft Selo. fu0 Pyx!/ NWL —,ft—. 7ft Above full pond/ NWL Page 3 of 4 I tT �1 La ke (At Full Pond/ Normal Water Level' a) c a) O C— V) — N t` Side View 3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing if necessary Existing bank 10 ft. bank Zj height �C¢' COQ Q Side Vi Q _ Q. FORM: SSGP 02-2017 Page 4 of 4 LINE TYPES CENTERLINE CONCRETE BOUNDARY AS SURVEYED EDGE OF PAVEMENT \ — --- EDGE OF BANK- CREEK, STREAM OR LAKE IRRGATION CONTROL VALVE — LOT OR TRACT UNE (NOT SURVEYED) IRON PIN SET (Y 6 REBAR) MINIMUM BUIIDI C UNE — — — MINIMUM BUILDING LINE OVERHEAD UDUTY LINES - ORIGINAL LOT UNE POWER POLE —OUL— OVERHEAD UTILITY UNE b ---- RIGHT OF WAY LAAW TILLERY TIE UNE 0 o WOOD FENCE y01 812 Z LEGEND YS F� i 1 C ONC CENTERLINE CONCRETE E/P EDGE OF PAVEMENT \ Icv IRRGATION CONTROL VALVE IPS 0 M. SL IRON PIN SET (Y 6 REBAR) MINIMUM BUIIDI C UNE OUL OVERHEAD UDUTY LINES PP • POWER POLE R/W RIGHT OF WAY NOTES 1) NO PUSUSHED N.C.G.S. HORIZONTAL CONTROL NO UANUTY IS ASSUMED IN FOUND WITHIN 2D00 S. 2) NDERSIONE FOR ANY LMS RESULTING FROM THEE UE%ERCISE OF Atv GOVERIifENTAL AGENCY AFFECTe1G THE USE OF THE PREMISES AND IS SUBJECT TO ANY FACTS (PRIOR FASEIiFNTS AND CDMrEYANCE5 OF RECORD OR AOREDAA11T5 TItAT MAY BE DISCLMEO BY AN ABSTRACT iUti ANO ACCURATE TREE SEARCH, 3) SETBACKS SMOWN AS PER P.O. 32. SHEET I OF EO Z CABINET A&% NOTAS -.__. ,INES UNDER RESTRICTIONS ANO cnNiNANTs I wOODRUN PLAT X11 it 33 ,f,p BOOK 7 YG SUDS 32 659 k 660 PLAT CABIN �A'KENNEDY ` ROBERT D.B. 404 FG- 479 I certify that this map was drawn under my supervision from an actual survey made under my supervision(deed description recorded in Book I776—. page 586_. or other reference source EA6 7 PG 33 1 wu; that the Indourve ri" not syyed are indicated as drown from information in Book As page SNown or other reference source _ 1; the ratio of precision or postiond occurocy is 10.000+ ; and that this map ` meet$ the requirements of The Standards of Practice for LondSury ng in I North Carotin (21 NCAC 56. 1600). f This 13th day of AUGUST 20 18 Protessionl Land Surveyor Registration No. 3311 N.C. SEAL _q L-331 1 ra I -0 L-/" 42 SUR4 ,... PP 0. N jn H 0� , �I 4 �I iI 1I 40 0 40 80 SCALE FEET JOB NUMBER: 184144 SURVEY FOR .PP JAMES PATRICK VERT & WIFE, WILMA HILL VERT TOWNSHIP COUNTY I STATE I DATE I SCALE UWHARRIE MONTGOMERY I N.C. 1 8/13/18 1"- 40• D.. 776 PG. 886 AXI FlEL-0 BK. PIN: 8587 09 17 9417 DC B & L SURVEYS, P.A. 366 HOWARDBLACK ROAD LEXINGTON, N. C. 27292 (336) 242-1427 I j C-2796 9 813 #gFOUND UEBND R.R `� FO 200. i 8• N 8308•��'� +^� _ x -PVMP - CONC DRIVE 812 Z YS F� i 1 � ro�j� ha W/C� .. _. 4s"... ...... LOOgNN1NlE N : D 1-t j4' N I� stDN �STORAGE BUILDING C ( W A /v WOOD 1 �P _ y N \ \ i 811 PROPANE z?'i 70.6 89 AC. NK TAW g m 200.16• /$ RERAN IN IRON '. S 63.02 39 FOUND 1-1/4- IRON PIPE W/CAP FOUND 1 81 0 810 mtn m "u'•a \ STgART pOMCKEE #6 REt1AR FOUND 809 I certify that this map was drawn under my supervision from an actual survey made under my supervision(deed description recorded in Book I776—. page 586_. or other reference source EA6 7 PG 33 1 wu; that the Indourve ri" not syyed are indicated as drown from information in Book As page SNown or other reference source _ 1; the ratio of precision or postiond occurocy is 10.000+ ; and that this map ` meet$ the requirements of The Standards of Practice for LondSury ng in I North Carotin (21 NCAC 56. 1600). f This 13th day of AUGUST 20 18 Protessionl Land Surveyor Registration No. 3311 N.C. SEAL _q L-331 1 ra I -0 L-/" 42 SUR4 ,... PP 0. N jn H 0� , �I 4 �I iI 1I 40 0 40 80 SCALE FEET JOB NUMBER: 184144 SURVEY FOR .PP JAMES PATRICK VERT & WIFE, WILMA HILL VERT TOWNSHIP COUNTY I STATE I DATE I SCALE UWHARRIE MONTGOMERY I N.C. 1 8/13/18 1"- 40• D.. 776 PG. 886 AXI FlEL-0 BK. PIN: 8587 09 17 9417 DC B & L SURVEYS, P.A. 366 HOWARDBLACK ROAD LEXINGTON, N. C. 27292 (336) 242-1427 I j C-2796 9 0 on -A A „e toot x AN A. v �* ` s l n s ~ a s a 3 • M ' MAI J , f 4 t , l A a f y� f t o, + x _4 d w w . s m A �� ~IL WO• , �� ; orn. • % Y kc. '" s , a *�;w,s. F .. • �' � ^,4'g,.� f� � , � ♦rte �� `��' �� a - -�.; 8 { k t °y iI��I`4v,.t'/'� ~� ♦ ! 1� s t ", a � � �1� A. mss. � � �t `�� i #_�• � � 3'� � �, y� arte � ,�y � ? �; �' `�r. � � °5� 14 a. +� 4 Google Maps JavaScript API 0 Example: Map Simple Page 1 of 2 Imagery - 2018, DigrtalGlobe https://www.webgis.net/Common/ShowInGoogleMaps.asp?site=nc/montgomery&lid=0&... 03/05/2018 Montgomery County NC WebGIS Detallhide arcels Parcel No: 6587 09 17 417 Parcel Address: 366 PIN BARK CR Owner: VERT JAMES VERT WILMA PO BOX 1288 LORIS SC 29569 Tax District: LAKE TILLERY FIRE Township: WOODRUN Vol Fire: FIRE DS LAKE TILLERY Neighborhood: WOODRUN (VIEW) Legal 1: WOODRUN Legal 2: LOT 812 (&811) Le a13 eed Refe nce: Bk. 77 ,$" `' Transfer Dat .2016092 Land Area: 0.6 cres INR -7 ale Amount: 20'5'900 Sale Instr: WD Land Value: 39675 Major Imp Value: 21112 Misc Imp Value: 500 Total Value: 251300 Appr Code: 01 11\Appr Desc: RESIDENTIAL ass Code: 1 Class Desc: RESIDENTIAL Yea\rBuilt: 1989 3354 Grade\C+010 Finishedea: 208A, Num Baths`. 3 ;1 Num Bedroo s: 4 Attributes at p 'nt: N: 577478, E: 1681916 Fire Districts Name: Tillery Townships Name: UWHARRIE Proposed Voting Commissi nees Districts nistrir - 1 N: 577673, E: 168140 Res Lat: 35°19' 57.2", Lng:V-4! 05.7' 4 WR -774 f )Om Page 1 of 1 6451 9--A https://www.webgis.net/ne/montgomery/ 03/05/2018