HomeMy WebLinkAbout20181709 Ver 1_Shoreline Stabilization_20181213State of North Carolina
Res Department of Environment and Natural R"s r e
Division of
Water Resources 15A NCAC 02H .0500 — Water Quality certification, Shore SLandiZatiQa_-
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form 2 0 1 8 1 7 0 9
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 Permitting Branch
1617 Mail Service
Raleigh, NC 2769
A. Applicant Ir
1. Owner I
Name:
Mailing Address:
-.cK4l�lI NSC• o2$1�t7�
Telephone Number:
E-mail Address:
2. Agent/ Contact Person Information
Fax Number:
,,%C- Al—
ow-
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 mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORI
ZATION FORM.Pdf)
Name:�2K
Company Affiliation:
Mailing Address:
Telephone Number: fS)_,B bag -fib Fax Number:
E-mail Address: c+-6xQDkr*' �� cbly�fi . iVk4 t -DA --
B. Project Information (15A NCAC 02H .0502(a) & (b)]
X. 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.
4 Provide a detailed site pian 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
10
A. 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: i-tlC�C3�R+.�1
Lake/ river/ ocean adjacent to property: ke
Property size (acres): 0• bO GX_W_S
Subdivision name or site address (include phase/lot number): l of "-16 q16 A41"' Nyhk-Nt-1
✓ Directions to site - please include road names and numbers, landmarks, etc.: I N.2� a 707 H.:
� x% &4 Swl4 ua st,a�w+.a� .
Latitude (in decimal degrees) 35•`1`1 ka- Longitude (decimal degrees)—L91 .341032-
✓ 5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): RQ,S�%a2mk'xaA
,/6. Describe proposed work (include discussion as to how hardening of shoreline has
been avoided, or why it is necessary): 'Rai "-
e . _ % • , - t 0 - (^ I(-,- - - - - )� _ c� ' _ ter. r. n_ . 1—
1' 7. Will work be conducted from land? From water? O
✓ 8. 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 squ re
feet: S F o
Temporary impacts in square feet: 'Cy
sa�ss(2 �3�1��, l�lurw•e(�.t��l.
9. Total amount of impacts above the normal pool lake level / Normal Water Level and
50 feet land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc-) in square
feet: S ,4 c L to cl e) ! D SP
Temporary impacts (temporary clearing, construction corridor) in square feet: I g St
U U to - 'Tv«s AVS • U;a /o"-+,- a
/10. Please describe the vegetation above the normal pool lake level/ Normal Water level
and p5.0 feet landward to be impacted (number off_ trees, for instance): �� 5��,--� a. ,
`tsn nX
age_ C��O.O �R. INS `tv►� �JG -�R� ���1 `Da `Q.? py Qs /7 jJ f �� O 4y e e S i`,
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G h d y r e r S rcg.w 4�,
11. Signature
FORM: SSGP 02-2017
Ve S e _k4l'Gn i g Ls Yro It 4ve eq
Page 2 of 3
Il -21- Zol
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.
`/12. Please approximately sketch the following information on this plan and provide
dimensions for each item:
La. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Levet
elevation
"C. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level
elevation
vd. Location of any proposed structures such as buildings, retaining wails, docks, etc.
`e. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
Full Pond/ Normal "i" mer
Shoreline
Full Pond/ Normal Water
"'Irrerine
FORM: SSGP 02-2017
Lake
Lake
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: �° ,��g "CM _R�-`�n� County: e�
Owner:
Contract
Print 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
I, aQ-r2 :\ \' , 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): a�6wy Date: 11- L
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0catawba county Geospatial Real Estate Search
MAKING. LIVING. KETTEK. Information Services
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Parcel: 370414336490, 975 24TH AVE DR NW HICKORY, 28601
Owners: -,Mcy,
Owner Address: 121 25TH AVE NW
Values - Building(s): $0, Land: $191,700, Total: $191,700
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
11/16/2018
0 PK catawba county Geospatial Real Estate Search
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MAKING. LIVING. /FfTFG. Information Services
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Parcel: 370414336490, 975 24TH AVE DR NW HICKORY, 28601
Owners: ^"""""^* pcnr�not iurT
Owner Address: 121 25TH AVE NW
Values - Building(s): $0, Land: $191,700, Total: $191,700
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
11/16/2018
catawba county Geospatial Real Estate Search
MAKING. HYING. B,,,,R, Information Services
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Parcel: 370414336490, 975 24TH AVE DR NW HICKORY, 28601
Owners: GAMMON REBECCA PRUITT,
Owner Address: 121 25TH AVE NW
Values - Building(s): $0, Land: $191,700, Total: $191,700
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
11/16/2018
321
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YOUR TRIP TO:
975 24th Avenue Dr NW
11 MIN I 5.4 M1 IF=k
Est. fuel cost: $0.54
Trip time based on traf6r: conditions as cf 11:18 AM tm November Print a Wit health report of your car with HUM
16, 2018. Current Traffic: Light vehicle diagnostics (800) 906-2501
S
1. Start out going northeast on Shiloh Church Rd toward Lynwood Ln.
Then 0.16 miles
0.16 total miles
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2. Tum right onto NC Highway 1271NC-127. Continue to follow NC -127.
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Then 4.22 miles
4.38 total miles
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3. Turn right onto 25th Ave.
2
Avenue D
25th Ave is just past 26th Ave.
NW
321
Hickory Smoke House is on the comer.
If you reach 24th Ave you've pone about 0.1 miles too far.
Then 0.98 miles
5.36 total miles
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4. Turn left onto 24th Avenue Dr.
24th Avenue Dr is 0.2 miles past 9th St.
1-40
If you reach the end of 25th Ave you've cone a little too far.
8rsoo kford
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Mountain View
Then 0.06 miles
5.42 total miles
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S. 975 24th Avenue Dr NW, Catawba, NC, 26601-1243, 975 24TH AVENUE DR
NW is on the right.
If you reach the end of 24th Avenue Dr you've cone about 0.1 miles foo far.
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Cajah's Mountain
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Book a hotel tonight and Car trouble mid -trip?
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