20181435 Ver 1_Shoreline Stabilization_20181018

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee shoul1b
Division of Water Resources
401 & Buffer Permitting Unit U 4 _
1617 Mail Service Center
Raleigh, NC 27699-1617
Or, T l 8 2018
I. Applicant Information [15A NCAC 02H .0502(a)] DEQ -WATER R :S u
1. Owner Information
L�401 & BUF ER p�
Name: Laurence & Patricia Carstensen
Mailing Address: 608 Draper Road
Blacksbure, VA 24060
Telephone Number: [phone] Fax Number: N/A
E-mail Address: [e-mail]
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.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Person to receive the Certification Approval:
II. 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 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.) —oak If " TIT 'r' r -s
4. Location of the property (where work is to be conducted)
County: Catawba Nearest Town: Terrell
Subdivision name or site address (include phase/lot number):
Directions to site tPQ4 i4clAe URI Ames and numbers, landmarks, etc.:
exit 36 from 177 - west on NC 150 to Terrell - Left at Kiser Island Road (across from
the Marshall Steam plant - about 2.8 miles across the causeway — first house on right after
the causeway and Harbor Circle.
Latitude (in decimal degrees) 35.555067 Longitude (decimal degrees) -80.962095
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): residential
6. Property size (acres): 0.79
7. Lake/ river/ ocean adjacent to property: Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Full pond levels in the past year along with boat traffic
have greativ eroded the shoreline (2-3 feet in the past year). We are about to lose a tree
and are close to the land connection of our pier. We propose to fill the existing shoreline
with rip -rap to stabilize and protect our shoreline. Due to the recent erosion causing the
lake to extend on to our property the rip -rap will be on our property by the survey.
9. Will work be conducted from land? A 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:
none
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: rock will be placed in approximately a 4 foot strip along the shore*
255.9' of shore line (by survey) =1,023 ft2 No clearing no other fill no excavation or
walls needed.
FORM: SSGP 10-2013 Page 2 of 4

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)
none
l' 10/12/2018
v
Owner/Agent's Signature' [15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided.
Full Pond/
Normal Water Level
SI
La ke
(At Full Pond/ Normal Water Level)
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
FORM: SSGP 10-2013 Page 3 of 4
I

3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation --gym
4. Location of any proposed structures such as buildings, retaining walls, docks, etc. —(Lone
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation -tiwe
6. Location of construction access corridors - aecr-,O Prom y. o-. �I (s« %-'�)
FORM: SSGP 10-2013 Page 4 of 4

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\NOTES:
\
PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
\VIA
NOT OBSERVED
• OWNER TO VERIFY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
�(1
CONSTRUCT".
• DIUENS06 OF ALL IMPROVEMENTS SHOWN ON
TAWS PIAT SHOULD NOT BE SCALED OR RELIED
UPON FOR DESIGN OR HOUT
A LD VERIFICATION OF ALL DNENSIONWS..
\ `
• DIGITAL COPIES OF THIS FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DESIGN WORK
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• NO PORRON OF RE RESIDENTIAL STRUCTURE IS MCA10 IN THE FLOOD PION.
PHYSICAL SURVEY
FOR
LAURANCE CARSTENSEN, JR
& PATRICIA CARSTENSEN
PIN 4615-0462-5980
LOT O 4985 KISER ISLAND ROAD
MITE: 3-6-11 Bk 1811 M. M
6k
M.
WAM 1• - 40• Pk 13 PG: 17
MT CREEK TOWNSHIP
CATAWBA COUNTY. NC
RONNIE DEDMON. PLS 11222
CHUCK POOVEY. PLS #3762
ROBERT DEDMON. PLS /3899
PHILLIP HARRIS, PLS /4164
3704 NC HIGHWAY 16 NORTH
P.O. BOX 494 - DENVER. HC 28037
PHONE: [phone]
FAX: [phone]
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