HomeMy WebLinkAbout20190037 Ver 1_Shoreline Stabilization_20190104DWR
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form $ PA I LD
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources 2 0 1 9 0 0 3 7
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617 ,q
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
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Name:
Mailing Address:
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Telephone Number: %4 SV t RS Fax Number:
E-mail Address: 1 j(t'�(� �Uy\11 r- . C1 OM
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/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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.
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)
County: we Nearest Town: MX k 1I e,
Subdivision name or site address (include phase/lot number): e �>
Directions to site - please include road names and numbers, landmarks, etc.:
1fi-r omn tc-b atri vd,tot na I -e( -T
Latitude (in decimal degrees)
��j,, t>Q 11�� Longitude (decimal degrees) r�`Ib9(�(�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property size (acres): 0.(62--) ctcyes
7. Lake/ river/ ocean adjacent to property: LaVe N;c ffT:c \
8. Describe proposed work (include discussion as to how hardening of shoreline has been
oided, or why it is necessa ): ,�j Iri C -'Yl �� �CI ��i fI� KTV , P
9. Will work be conducted from land? 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:
no cA- iVAnoca ]a�6-h)rIMWrP C��i�!Y 6p l) %`X fobs
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: (�0 oAA&treird (AlSl vIn Lvio C PY��.T ire t�J i.� �Y Int)'
12. Please describe the vegetation above the normal pool lake level/ Formal Water Level and
50 feet landward to be impacted (number of trees, for instance): CNN ais &MIr e
og vc� GPfi�,t�ln>1
0 er/Agent's Signature* [15A NCAC 02H .0502(f)l
ia; �9
Da e
*Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3
Lake
(At Full Pond/ Normal Water Level)
Full Pond/
Normal Water Level
Shoreline 3/ K tGo/ /
-Tr-a
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft) *:
I. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
I 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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Property Data
Parcel Number: 4624052431.000
Inquiry Date: 12/28/2018
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
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Owner/Property Info
Tax Account Number: 77392644
Old Parcel Number: 001 372 04
Owner Name: BOOZE ]OE DONALD
Mailing Address: 115 BEARCREEK RD MOORESVILLE NC 28117
Property Location: BEARCREEK RD
Lot Number: 378
Legal Description: CRESCENT LAND+TIMBER S6 M17-622 MECK-NECK PB34-26
Municipal Information
Township Code: 17
City Code: Null
Neighborhood Code: 17018
Value Information - Current Year Property Record Card (PRC)
Building Value: 77560
Other Building Features: 7010
Land Value: 300000
Tax Assessed Value: 384570
Deferred: o
Land Information - Register of Deeds Online Search
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
CRESCENT LAND B TIMBER CORP.
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RECREATION LOTS
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LOTS 244-249, 376-378, d 380
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A Mooresville
115 Bear Creek Rd, Mooresville, NC 28117
A Mooresville
1 Depart W McLelland Ave toward S Academy St
Bear left onto NC -150
2. Pass Circle K in 1.2 mi
Turn left onto Williamson Rd
3. Marathon/Circle K on the corner
Turn right onto Brawley School Rd
4. Pass CITGO on the left in 2.0 mi
CT 5 At roundabout, take 2nd exit
6. Bear right onto Tuskarora Trail
F1 7 Turn left onto Bearcreek Rd
Arrive at Bearcreek Rd on the left
$ The last intersection is Tuskarora Trail
If you reach Twiggs Ln, you've gone too far
B 115 Bear Creek Rd, Mooresville, NC 28117
50 min, 12.0 mi
Heavy traffic (18 min delay)
Via NC -150, Brawley School Rd • Local roads
0.9 mi
2.3 mi
0.9 mi
5.2 mi
2.0 mi
0.7 mi
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These directions are subject to the Microsoft's Service Agreement and are for informational purposes only. No guarantee is made regarding their completeness or accuracy.
Construction projects, traffic, or other events may cause actual conditions to differ from these results. Map and traffic data '5D 2018 HERE-.