HomeMy WebLinkAbout20181727 Ver 1_Shoreline Stabilization_20181219State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
A ® ®w
Shoreline Stabilization Application Form W
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information (�
Name:
..re re �•� s ••.�l'it.
20181727
Telephone Number: 33(0 - 813 - 329D Fax Number:
E-mail Address: se.ngee SOYne_r v', Ile -(;b + riacd . rr, r n jnQ
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/reeulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.adf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: '7014—C,&A -'511 I Fax Number: '76� - WC) - 59 60
E-mail Address: C h 1-),63 tnds+ve im. rx�
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.
I Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include a scale
of some sort- a yardstick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: �"� �,,. � Nearest Town: 1 ccccL�
Subdivision name or site address (include phase/lot number): $7L( 1�
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimai degrees) _ .rj, 5SQ 33 ^l Longitude (decimai degrees)_
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): rC5tc,Jgs-r ct
6. Property size (acres): . 5 4 C1
7. Lake/ river/ ocean adjacent to property:_(oto r,mc n
&. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): S`n-=i lope--}- A��_� _
a^ - II_ ki i . A - _
9. Will work be conducted from land? .0 From water? �.
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres:
12. Please describe the -vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number of trees, for instance):
Cry C
Owner/Agent's Signatures 115A NCAC 0 .0502 f Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3
Full Pond/
Normal Water Level
Shoreline
Lake
(At Full Pond/ Normal Water Level)
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5 ' be✓iow -DocK
t to -Frees re nr oOVCc9
` 0jo0V 2. %to C� i fir{ �cbo►,n� -�-0
Sco+� E Renee_ 6om erv) lle.
t4 rloor Cc,
-'erre,ll ► NC a$loBZ
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ftx 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
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3
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0 catawba county Geospatial Real Estate Search
MAKING. LIVING. tErr[o, nformation Services
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Parcel: 461604649441, 8774 HARBOR CIR TERRELL, 28682
Owners: SOMERVILLE SCOTT, SOMERVILLE RENEE
Owner Address: 8774 HARBOR CIR
Values - Building(s): $518,600, Land: $367,000, Total: $885,600
1 in=50ft
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
12/04/2018
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Go,,- gle Maps 8774 Harbor Cir
8774 Harbor Cir - Google Maps
Imagery 02018 Google, Map data 02018 Google 50 ft
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8774 Harbor Cir - Google Maps
Map data @2018 Google 100 fti I
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