HomeMy WebLinkAbout20190005 Ver 1_Shoreline Stabilization_20181221j. State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
1;
Three copies of the application (including attachments) and thea licatio s o nt to:
If sending via US Postal Service If sending via delivery service (UP7 Fe tc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604 2 O 1 90
O 0.5
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: A. �PYI ► �"�-1 � i
Mailing Address: -Tcja+ N
r 7
Telephone Number: �] - - / Fax Number:
E-mail Address: hare- o rc h N hP I n e-4-
2.
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.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
Name: 1 )CY1n0_ '
Company Affiliation:
Mailing Address:
�► r 110(a
Telephone Number:,, FaxNumber:
E-mail Address:
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: 1 rPAP_I I Nearest Town:
Lake/ river/ ocean adjacent to property: Norman
Property size (acres): • 8q(I-rP5 lj
Subdivision name or site address (include phase/lot number): CrC__JCeY �' LQAA +
T�rnber- I^ojc�) LCA A --3Z8 128 &m+ [t I l L f7lara5vl Ile. �1C��
Directions to site - please include road names and numbers, landmarks, etc.. r I- 7
Ra- onto Gmi- ),1 I LDAe,vro ari`� s n K, cJ, h+
Latitude (in decimal degrees) ?J 551f5AT Longitude (decimal degrees) PO A407(o7
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): IP_ El d e -n -h CL I
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): kne-}A 0AasS _B cam"_r RbLK nVe.r e)� v1
11 1
fir n YP i Vle e iQ b; , 7CcTt n n � Prn6l o n Con -h -M .
7. Will work be conducted from land? � From water?
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (inclu
Temporary impacts in square feet:
ion, backfill, rip rap, retaining walls, etc.) 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, rip rap, retaining walls, etc.) in square feet:
Temporary impacts (temporary clearing, construction corridor) in square feet:
.�,r,r� _ n- I I. _ . I
0-V home l ooK►v1Qt iCLhe- .
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): _ Z
11. Signature
Owner/ ent's nature{ [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
Full Pond/ Normal Water Level
Shoreline
Plan View
FORM: SSGP 02-2017
Full Pond/ Normal Water Lev
. — —Ihoreone
2 R.x 150 ft.
additional clearing
' g necessary
Plan View
Lake
(At Full Pond/ Normal Water Level)
Lake
(At Full Pond/ Normal Water Level)
Existing Dock
/30ftx7ft
� �� •� �• fir/
I.1 /IFIL
Page 3 of 4
4 bel
a -k
JT
(At Full Pond/ Normal Water Level)
uU
G
O
N
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
Existing bank
r " 70
&IOU
lit
FORM: SSGP 02-2017 Page 4 of 4
molm
0 Ano 40 -OW Al Cbadnm C -F- 6a M -Mod
2) afwwa 6AI sq h that o:o' N a d wd by a OA
s) �y my a r) -e m wr AMYYfA�A Eoamw4 anq/>
pyre d Ap. d e.wd snd tra. nd d naard w Mry aK
{) A �a�on d 9i}of Haylfy Y iiwM A a fAoad Navd Ana
���� 7001 LYIYaOA. Dam ,�//Q/g00S � AAPS
D) AY pd Pa t Naaz b Aaane am 1600' d 9:bpoe Pr4oney
61 S.O.W.PI t- 1ah6 m R-16
i tom.r:o.n o• bade/ Canty !ed rrrnwsaiat cYd1
s.ADa� is
i Awa E "Now -WOW w Are 1a- w my.a.�
!1! IOSI. 1R I ✓ tea► N' �M�Yfh ilwl Aw'►Mw -.Wh
ns. ~,.ft— � MR - k
Ank ha bwtlhr � war aA Msw .
rrwaxa AaAn/ h arab N PYe'w ..at
A.e w nae d iro.Yl� Y kl00DY, a/ SM w /M b ft. w
aPiw�b
*10 M-bO d h.dx f- ISM Ila Y /bM Oo.M
Ieonan b AI.11 fYnaa AYYbab h�'I.74 Qin R ilY� /p6
lAY avwy Y d a aiN:M Paa ar peM1 d A.W aaI a4ea nae
Mb a nw above ar <rarga an eilYY nwt
Thm 3,d doy of D{—*w,, 2018
(9. W
Thomob E. MNmnb, NOPLS 4278
/ WBW TABLE
NC/N/TY MAP a u�°FtrA ABe nAeusµAeNc
BisrAnc�
,,��N"CAO,,��y
aor To Y.uE
.•20Q.o'LSS
IX w maw
_ s��LSEAL
7189Q
/
SURF per.:
�f �
'�aemnaa••
/�
/PP
i
/
Ax maw
N
/1,x'0
i
f j
32-1
/
\
NOW OR P179HB.y
"W & lmw Fm
/
AB 1256-65D
Of ,
�.
328
PP Ea
/
0.897 ACRE
39,059 SF
'
\
i
®
IX p AlHAIP
329
'
NOD' OR FORWILY
IMMeEM& I8tlSIM maim
W 2242-18" IX N
^- 1 _
LEGEND
PNOPOIry LM (PA)
MWff W WAY
w&E
— — AD"04 Ma-WTy /LLE
Fwm am at Pur
------- 81AtDW SEMAal LAME
_-PUNER LW
-- RU w
IX EX5 M
EM m7m DONCRM ma"U r
FP FOM PoIE
am SftaeAQvnxlrr RMBW
40 0 40 80
WIFEEMn
SCALE• 1a - 40'
ASKS ARMS XMINAM MDIs AS SWIM(SkA ALL � arsatlM aW MA
wiUkma Lend &=ringL far
Llaraw Akomr C sm
aaM AL►a l Atl"l 81AMr."aw
pha AMOMMIL
+ Amdtronaee6aaftlt6M18auwamo.e
— i
LAKE ,
NORMAN
Boundary and Physical Survey
128 Goathill Road
CRESCENT LAND & TIMBER CORP.
LAKE NORMAN
SECTION 8 - LOT 328
Davidson Township, Iredell County, NC
PIN# 4627-22-9233 — DB 1054-780 ^- PB 15-67
Property of. Leshia & Jessie Smith
N
VICINITY MAP
NOT m 6
Na7M
I) Ana M -k d by Cart C-Wto&n Y.Mod
2) PWWty "Pot to my Ncb that y a a.do-i by o hA
mrd —fit IRI. —h.
J) Pnwty may M "JWt to my R..MetYmt Eaa.nl In mb/a
Right d 11hp d —d *,hi ai.r r t of —d a IMy .d t
4) A psf,M d 9OlYvt fYq.ory Y AocotM h o S�rJd Food Nemd Arra
Si. � AinAirW�e167CeK [t1YOU. Dob J! SRA iE YAPS
J) AY 6baddb Yov.nmt /and .ahh ZOOID' 01 9161Yot FVPPa'tF
7) S Ibod ham zaAq " a -2a
7) 5.m Aw.n Prr i.d a Caney loN O.wkpn,rnt Cada
acaaa z
CURVE TABLE
NW 1 A 1 ARC RADIUS I BEARKIG dSTANCE
CI 11'310 132.17 521.18' N3B'1428 131.78
/1 REBAR
'h— E tint a t tAd W IW .a. A.w .ne. r rwawn
amt it>6ti"�"A• md. ar wlo.wrm Ce.d araOnev n.sas n
aw otl� r.Y,..a. aw As rronD A
tid fA. Yw.Wu1. ,wi � on Awm v ba.r a» aa.a carr
hNmatlan hoN h dr6 aW pbb > nobQ
Not fh. rdb d Y I : 14am✓. o"d tAd IM1Y Md a+.Y fM
r.pAw.nb d iM
fa.ven -Aho cY d Raafb b ION 9.wFip h NaM Cavo.
oaadne b Maar AdwhYYe1M Cab TW. r, tea• 54 SVdAn Iea0.
7bb y Y of m ...WV PvaA - ,v a Amd old d -v m#
a o n.v .b..t or ahmW m .vrtig . t.
fib .Yd day of D—nbw, 1011&/
9 �/ ,( . YV 111 Lg4rx4.
Thomas E. K8/1-4 NCPLS 4719
IIIIIIIIIIIIIi
IX /1 REW SEAL
L-4718,z•-
9ti� 0.40
/ tZKI \
/
/
ry �
329
NOW OR FOAAERLY
KV#&-TH & KRISW MINSTOYY(
OR 2242-IBJD
LEGEND
PROPERTY LRE (PA)
- - - - RIGHT OF WAY("
7E WE
- - - - ADJOINVIG PROPERTY UAE
FRaW D® OR PUT
. --.-.-.- BLALDING WMA OC UNE
POKER LORE
- - - - FULL PL►O
IX Etl57NC
EDY Dn7NG CONGRUF tADN/1E7AT
PP POKER POLE
BLDG STLYA46E/U7a1TY B/N.DRFG
40 0 40 80
328
' 0.897 ACRE d"
39,059 SF+
9
/
/
/
10
/ LAKE
/ NORMAN D �
SCALE. 1" s 40'
ineee Kar arlm Am Iarmmaa u aaAw tal Au orae tYr M-101 —701
llilliems LoadLaad Survey
,U— NYmbc C-31
274 9Vmoa-i DIdr4 But a..W k NC 29'01
Pho .,M) 979-3060 - maaLavmin6rmFtlthfbdb-tha.t
:ems
Boundary and Physical Survey
128 Goathill Road
CRESCENT LAND & TIMBER CORP.
LAKE NORMAN
SECTION 8 - LOT 328
Davidson Township, Iredell County, NC
PIN# 4627-22-9233 — DB 1054-780 — PB 15-67
ProDP_rty of.- Leshia $ Jessie Smith
N
327
NOW O7 FOVIIEM.Y
J" & IERR/E FAW
DR 1156-650
r
a
/
/
/
10
/ LAKE
/ NORMAN D �
SCALE. 1" s 40'
ineee Kar arlm Am Iarmmaa u aaAw tal Au orae tYr M-101 —701
llilliems LoadLaad Survey
,U— NYmbc C-31
274 9Vmoa-i DIdr4 But a..W k NC 29'01
Pho .,M) 979-3060 - maaLavmin6rmFtlthfbdb-tha.t
:ems
Boundary and Physical Survey
128 Goathill Road
CRESCENT LAND & TIMBER CORP.
LAKE NORMAN
SECTION 8 - LOT 328
Davidson Township, Iredell County, NC
PIN# 4627-22-9233 — DB 1054-780 — PB 15-67
ProDP_rty of.- Leshia $ Jessie Smith
Project Name/add
Owner:
Print
Contractor/agent:
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Prin L.0 X) Ca5i G" CU6 n
i_
re
County: /r=� l
re
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, —3— �Y� YL► 1 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.
Date:
Signature (owner):