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Home My WebLink About20181465 Ver 1_Shoreline Stabilization_20181026Shoreline Stabilization Application Form 2 0 8 1 4 6,5 Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 &Buffer Permitting Unit PAILD 1617 Mail Service Center Raleigh, NC 27699-1617 I nl, l • Applicant Information [15A NCAC 02H .0502(a)l 1. Owner 1 Name: Mailing Address: _j, Jr('ZvV'LQ live-• S� 0 55e- AZ ,/j 7 Telephone Number: -V5_4ax Number: E-mail Address: I C 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/59/docs/regulatory/regdocs/Permits/SAMPL E AGENT AUTHORIZATION FORM.pdf) must be attached if the Agent has signed this applicion form. / j Name: I'�c..,.�� (� l //� 14JS6-yk Company Affiliation: C/iL�,�>Sv✓i S Y I� l) I r �; �.e akj r_'Y_92'5ffqLf11' �c"-� Mailing Address: 1 I Telephone Number:CpO Fax Number�� ass E-mail Address Person to receive the Certification Approval: i 41t 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: 659"a _5 Nearest Town: A% -II •z -v.�_ Subdivision name or site address (inclpde phase/lot number) 1'G i iK� /03-3 Directions to site - please include road names and numbers, landmarks, etc.: it r'_ _ "A//- n /i Latitude (in decimal degrees)) / 7z R'G, Longitude (decimal degrees) —Sl 0 ?C20,2 • Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): 6c601-r—all a • Property size (acres): . C Z q Qc cc c • Lake/ river/ ocean adjacent to property: b), 2 • Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): %as ,;c1V—h e_foA: sh _5Aor-e,hxe _ a.1 0 0 r -e (� t e-� o rmx. C �ou/i,_ u G O ktiGdls Ri Rai Pro✓-`Kf ant/ Moft , 9 • Will work be conducted from land? From water? • 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: ,S'-fA I &h' x S 'tca 1( x 75 ' Al nc / 7Ssf.fl. 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:,2'fv X 2,L Z.,!5 , o vX . /_ 3.S -l7 .s01, -1 , 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 ytC4,--r- to /li �: �f�-rrr_-c5 s�0CC- up sWo ��/; n ,-I.M,1� f 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. Home Insert Design .:nhwMions SXck Shwt Reum Vitas UselfMrc Paste Sy e. ,,,] Delete ."= g g= ... - �?e •1 { } rCi•^3-t' Sf'm 1-313V31p` Lake i. (At Full Pond/Normal water Level) Full Pond/ Normal Water Level no�WOwmen - Shoreline 5, T, �t - SM14of4 'WIMIheVW 410 )(7SI PL f 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 / 1"Oroia / Lca(I"c beV4 S67.0 • Location of construction access corridors 4 SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: �j LOT NO. / G PLAN NO. PARCEL ID: O' 1 V Q 51 q STREET ADDRESS: 1 0 5-A P c --"I t ^t S ULA 3)e— , g C Lm a "t, , IJC- 2 $012_ Please print: Property Owner F- H 1 T14 A 0A Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize 1( , " C I all4i 13 of C��& i' -L Contractor / Agent) (Name of Iting 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): (q A Ptd*Jp, A4 . SYo--%S�-c } r►7 11�°I � Telephone:rJ 6-32 —51-52, We hereby certify the above information submitted in this application is true and accurate to the gest of our knowledge. Autiioriz Signature Date: t 7 � �6;;;; � �� - ALthorized Signature Date: Z'—e �Y W Contractor/agent: CATAWBA RIPARIAN BUFFER NOTIFICATION FORM 6 51 PC"J I N S"16,A rst- . IR__ aO IJT. /J C Print County: (,-A ST'O rJ 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 0213.0243 (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 I, 12-0 VA JA A , 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 ofNorth Carolina i Environmental Quality I Water Resources 512 N. Salisbury Street 1611 Mail Service Center f Raleigh. NC 27699-1611 919.707.9000 10/17/2018 Multi -Stop Route Planning and Optimization Tools - MapQuest YOUR TRIP: "--�Total Route: 8 min - 4.6 miles Est. Fuel cost: $0.00 - IRS Reimbursement: $2.53 O 906 S Point Rd, Belmont, NC 28012-9536 . . mxC� Print a full health report of your car with HUM vehicle diagnostics (800) 906-2501 O1. Start out going northeast on Nixon Rd toward Southpoint Rd/NC-273. V Then 0.21 miles N 2. Turn right onto Southpoint Rd/NC-273. Then 3.37 miles N 3. Turn right onto Armstrong Rd/NC-273. Then 0:91 miles N 4. Turn right onto Applewood Point Ln. Then 0.08 miles *1 5. Turn left onto Peninsula Dr. Then 0.08 miles O6. Welcome to BELMONT, NC 28012. v O;, 1053 Peninsula Dr, Belmont, NC 28012-8678 This leg: 8 min - 4.64 miles https://www.mapquest.com/routeplannerinarrative 1/2 Multi -Stop Route Planning and Optimization Tools - MapQuest �• ti G_ ' ,4_ 273 t f 2T9 I O 9 F„y �Q 'K di H t H � `•3� Vir;krnsnT, Biqa f2 �r i� Q, r; 7Ad < -- Book a hotel tonight and Car trouble mid -trip? save with some great deals! 1 MapQuest Roadside (1-877-577-5766) Assistance is here: (t-888-461-3625) https://www.mapquest.com/routeplanner/narrative 2/2 •"= - -`":fit' - y + r J :�V" �� .A•� a... i � war " ' .T r `— � s►=� � •• � �. � i ."t : y',%," �� t � ' -ate ,�r►� e��o .° �p'� �. ' `�9 Ae ` 50 0 50 100 150 LAKE LEVEL 27 AUG 15 GRAPffiC SCALE i INCH = 50 FEET COURSE BEARING DISTANCE / ARE ci L4 YL5 S ,.p .F at61054'22"E L1 N 11.93 E° vNg� �� 9.7s �oQE P � s3a� L2 N 59059'35"E 22.70' r.L3 S4• L3 N 67022'34"E 20.60' L4 N 74045'46"E 29.16' L5 N 74054'03"E 16.20' ALL CORNERS ARE #4 REBAR UNLESS ED I.P F = Found I.P.S. =WISE Set Pt.= Unmonumented Corner at Inaccessable Location a ley kP� 0.679 Acre �Fp A c6 P.I.D. 218299 10 PENINSULA DR. L' yj. ��e B. —35 — LOT 14 �i�y �/ . \ ti <0� �'c� O C10 RAD.: 175.79 TAN.: 16.54' -- LEN.: 32.98' DELTA: 10'45'01" CRD.: S 73°00' 16"W 32.94' g6 38° 1'p� B.O.C. FOREST BAY S/D sin LAKEPOINT Si N W TRANS'FORNER 1.p.F• 5 genu r278a'48„ 33° 19'42"E �.p • C10 � �Jj,A. DR' 21.26' �4� pE14114S at c R/w 0 BOG � '�'bgr8 LOCATION MAP N.T.S. No NCGS Monument Found within 2,000' PLAT OF SURVEY FOR Rohit & Reema Dhawan TOWN OF-BELMONT - GASTON COUNTY NORTH CAROLINA 27 AUGUST 2015 "NO NEW LOTS OR PROPERTY LINES ESTABLISHED." JOE H. BAIRD, P.L.S. SURVEYOR alt PLANNER 3219 BAIRD ROAD CLOVER, SC 29710 803/831-2661 S EAL L-2966 •y 0o ' v� H �a- P I, Joe 8. Baird. PLS. Mate that this Plat was drown under my supervision from an actual field survey made under rry supervision (description from Plat dr Deed referenced on this drawing); that the boundaries not surveyed are clearly indicated and nbrencsd; that the ratio of preoision, as oak ubied. is 1 : 10.000; and that this Plat was not prepared in accordance wRh G.S. 47-30 as ammended. Witnew my original dgrrture, seal. and registration number this 23rd day of June. A.D. 2015. No. L -29M 150807 2 50 0 50 100 150 W LAKE LEVEL 27 AUG 15 GRAPHIC SCALE !INCH = 50 FEET f COURSE BEARING DISTANCE /' R JREFC e`4oARYL5 �S'�IPF. at976 L1 N 61054'22"E 11.93' �oYE � P 63°� L2 N 59059'35"E 22.70' G �-��J L3 N 67022'34"E 20.60' L4 N 74045'46"E 29.16' 5 L5 N 74054'03"E 16.20 ALL CORNERS REPPR\PN 6UFFER s ` UNLESS OTHERWISE4NOTEED C. ""50 J`', I.P.F = Found ; I.P.S. = Set PL= Unmonumented Corner at Inaccessable Location o Cy s� 0.679 Acre 0 A P.I.D. 218299 ti � 10 PENINSULA DR. s`OjZ� .H. —35 — LOT 14 �Q, �� O� C10 RAD.: 175.79' TAN.: 16.54' LEN.: 32.98' DELTA: 10045'01" CRD.: S 73°00' 16"W 32.94' 66 3a, I.P.! FOREST BAY S/D SITE LAKEPOINT S LOCATION MAP N.T.S. No NCGS Monument Found within 2,000' TRIINSFOFUIFR 1 P •F 6885 % a°n .4 I 7t'� N 33°19'42"E ,.P. C10� S OLIN 21.26' �q,� . V puevc R/W O 0�G � d a �war8 PLAT OF SURVEY FOR Rohit & Reema Dhawan TOWN OF BELMONT - GASTON COUNTY NORTH CAROLINA 27 AUGUST 2015 "NO NEW LOTS OR PROPERTY LINES ESTABLISHED." JOE H. BAIRD, P.L.S. SURVEYOR d: PLANNER 3219 BAIRD ROAD CLOVER, SC 29710 803/831-2661 SEAL 9 q - L -2966 : y o•suf 1. Jos H. Baird. PLS, state that this Plat was drawn under my supervision from an actual field survey made under my supervision (description from Plat dr Deed referenced on this drowW, that Ow boundaries not surveyed as clearly indroated and referenced; that the ratio of precision, as calculated. is 1 : 10.000; and that We Plat was nut prepared in accordance with G.S. 47-30 as ammernded witness my oriyinol signiturs, seal, and registration number this 23rd day of June, A.D. 2015. No. L-2988 150B07