HomeMy WebLinkAbout20181511 Ver 1_Shoreline Stabilization_20181105State of North Carolina
Department of Envir e�r 1 Resources
P ivkio =r Resources
u
Water Resources 15A NCAC 02H .0500 — Water Quality Certifica lon, or bilization
ENVIRONMENTAL QUALITY FORM: SSCP 02-2017
Shoreline Stabilization Application Form
2018151)
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 service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR – 401 & Buffer Permitting Branch DWR – 401 & Buffer PerrollLng Branch
1617 Mail Service Center 512 N. Salisbury Street n L5 � a
Raleigh, NC 27699-1617 Raleigh, NC 27604 1AV D
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
NOV 0 5 2018
Name: -rQ -tss _J L ►'ERM17
Mailing Address: 152
Telephone Number: `7rA 5Z, - 9Q, 7 Fax Number: —
E-mail Address: M.\N121n W q 11i % V a kl dn. co "-I
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:
http://www.saw.usace.army.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
Name: i'. FA r
Company Affiliation: i I n
Mailing Address: lPPlr+))R- Rad
Telephone Number: —2i -A- (rZ,q-(o(79(o Fax Number: %� SZg 3g0U
E-mail Address: 5Z -E3- 7400 d10 JOY10 . 1 Q n rri 5 : eyAtor CO>n
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) I
County: r_de I I Nearesft Town: w pO i-rna n
Lake river/ ocean adjacent to property: A O
Property size (acres): - 9 I Q('r P_!�)
Subdivision name or site address (include phase/lot number): rPSCpni' LonA Jh
�mk�er CorpLof I(,? V5A l�u-H'ernu EoC
Directions to site - please include road names and numbers, landmarks, etc.: Vr_ o, LUS2•i
lifism tai TSA • " ci�;►�� • • S�/i?�e17:�ilt:�L%1�Tr • i UP/L!filrl��/�1�L�Wel 112 ut, RIENVIR
5. Describe the existing land use or condition of the site at the time of this application
7
(residential, undeveloped, etc.): i e— idPrdia I
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): tf 0
o r0I e 'n b 5 v
7. Will work be conducted from land? ❑ From water?
S. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square 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 fill, excavatio
Temporary impacts (temporary clearing,
p rap, retaining walls, etc.) in square feet:
ion 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):
11. Signature
2L, 4". M - ZZ 1!
Owner/Agent's Si a re' (15A NCAC 02H .0502(f)l 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
La ke
(At Full Pond/ Normal Water Level)
DOC�F-
ef
Full Pond/ Normal Water Level �XIg7�
Shoreline
Plan View
Lake
(At full Pond/ Normal Water Leel(
Existing Dock
/30hK7h
FORM: SSGP 02-2017 � E AMPLE
Plan View
Page 3 of 4
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r
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11.1:1.1if
necessary
FORM: SSGP 02-2017 � E AMPLE
Plan View
Page 3 of 4
J
Lake a�
(At Full Pond/ Normal Water Level)
W
C
v
0
z LA
0
C
Side View
LL -
10 ft. bank
height
Side View
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
'if necessary
FORM: SSGP 02-2017 Page 4 of 4
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Boundary and Physical Survey
159 Butternut Road
CRESCENT LAND & TIMBER CORP.
LAKE NORMAN
SECTION 17 - LOT 16
Davidson Township, Iredell County, NC
PIN# 4829-81-4968 — DB 1414-946 — PB 13-71
Property of. Steve & Patsy Tsitouris
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Boundary and Physical Survey
159 Butternut Road
CRESCENT LAND & TIMBER CORP.
LAKE NORMAN
SECTION 17 - LOT 16
Davidson Township, Iredell County, NC
PIN# 4829-81-4968 — DB 1414-946 — PB 13-71
Property of. Steve & Patsy Tsitouris
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CCONNECTGIS
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2.13 Feet
96.56 Feet
196.15 Feet
391.64 Sq. Feet
or 0.01 Acres
or 0.00 Sq. Miles
Excel 2000/2003
1:100 Feet
Owner Deed Deed Doc Deed Tax NBH Sales Sales Sale Is Assessed Actual Nw
Report PRC Deed PIN Lot Plat Subdivision Phase Description Township Year of
Name Book Page Type Date Acres Code Year Price Improved Value guild Bec
TSITOURIS CRESCENT CRESCENT
�
1 Report PRC Deed 4629814966.000 STEVE 1414 946 WD 20030221 0.91 16 71 13- LAND+TIMBER S17 CORP 517 LAND+TIMBER 15 15003 2003 265000 1 427860 1977 3
p+PATSY CORP p813-71
02009-2018 Dude Solutions. All Rights Reserved. I Software Notices
Iredell County
Property Data
Parcel Number: 4629814966.000
Inquiry Date: 10/22/2018
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not certify
the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping data
herein, or for their use or interpretation by the User.
Property Map
Owner/ Property Info
Tax Account Number: 70392750
Old Parcel Number: 1503CO2000A016
Owner Name: TSITOURIS STEVE P+PATSY
Mailing Address: 159 BUTTERNUT RD TROUTMAN NC 28166
Property Location: BUTTERNUT RD
Lot Number: 16
Legal Description: CRESCENT LAND+TIMBER CORP S17 PB13-71
Municipal Information
Township Code: 15
City Code: 00
Neighborhood Code: 15003
Value Information - Current Year Property Record Card (PRC).
Building Value: 102890
Other Building Features: 9970
Land Value: 315000
Tax Assessed Value: 427860
Deferred: 0
Land Information - Rggister of Deeds Online Search
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
20030221 WD 1414 946 13-71 0.91 AC R20
Tax Information
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4 Tax Code 5
Null C ADVLTAX Null FR05ADVLTAX Null Null
Current Zoning Contact Info.
Iredell County
704.878.3118
Harmony
704.878.3118
Love Valley
704.878.3118
City of Statesville
704.878.3575
Town of Troutman
704.528.7600
Town of Mooresville
704.662.7040
Village of Davidson
704.892.7591