HomeMy WebLinkAbout20190063 Ver 1_Shoreline Stabilization_20190109State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resoul-C 5 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
CNV!R0NMENTAL GUA.'_ FORM: SSGP 02-2017
Shoreline Stabilization Application Form
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 Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)] �" �' UI 1 PAID
1. Owner Information ,\
1
Name: S S .v_w. att�e it
Mailing Address: le 1 to
Telephone Number: 19XV. 334-6§►0 Fax Number:
E-mail Address: cow,.
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.arm .mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORI
ZATION FORM.pdf)
Name: :5P_U �4p_aVexl_
Company Affiliati . .ML Se hQit
Mailing Address: �
Telephone Number: '7_ Fax Number: q,Zg
E-mail Address: ` � �,�a)_ g p�„�
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
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: joy' uN6M Nearest Town:
Lake/ river/ ocean adjacent to property: NC k*t P44
Property size (acres): . 5
Subdivision name or site address (include phase/lot number): 43 \ 3
v6m%
Directions to site - please include road names and numbers, landmarks, etc.: -Rc, s�+�•
Lafitude (in decimal degrees) X5.96 Longitude (decimal degrees) gl. ZbbQO
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): �e � a 0 - v.�ae�f
6. Describe proposed work (include discussion as to how hardening of shoreline has
been avoided, or why it is necessary): �5
4)M -M -Q 11%
7. Will work be conducted from land?
From water? I]
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 square
feet: ACO . J( -A klvll +,
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, excavation, rip rap, retaining walls, etc.) in square
feet:
Temporary it
/(o DU C
construction 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):
�rr (,
�L ry l
` O b OIG. Smolt 4Ye'eS CSS apt
UU
11. Signature
FORM: SSGP 02-2017 Page 2 of 3
►� 1u� L f z 3 t
Owner/Agent's Signature.[15A NCAC 02H .0502(f)] ate
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:
a. 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
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
Lake
SOS TC
Full Pond/ Normal Water Lever
!!!!!!E /
Shoreline 0 J
Lake;
(At Full Pond/ Normal Water Level) M
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,� �e`tUCWfj2V
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Side View-
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(At haP MH-rnal`RIffL++d) ExtngOodf
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FORM: SSGP 02-2017 Plan View Page 3 of 3
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: \'_C� A' \
Owner:
Print
Contractor/agent:
Pri
County:
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 0213.0243 (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
l 4 S• GAII�p hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work ducted 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 Byrffer Rules, the approv d plan(s) and specification(s), and other supporting
materials. / a
Signature (owner): JI
Date: % !z
Page 1 of 1
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1173 Shiloh Church Rd, Hickory, NC 28601-7855 to 20 Snug Harbor Dr Directions - M... Page 1 of 2
YOUR TRIP TO: MCDQJOW
20 Snug Harbor Dr
S MIN 1 3.3 MI
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1. Start out going southwest on Shiloh Church Rd toward Rosenbalm Ln.
Then 0.05 miles 0.05 total miles
2. Tum sharp left onto Rink Dam Rd.
41
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If you are on Hubbard Rd and reach Cedar Forest Loop you've gone about 0.1 miles
too far.
Then 1.75 miles 1.80 total miles
3. Turn slight right onto River Hills Cl.
River Hills Ct is 0.1 miles past Robin Ln.
Then 0.86 miles 2.66 total miles
a 4. Turn right onto Harbor Dr.
1 - Harbor Dr is 0.2 miles past Maher Dr.
If you reach Lakeshore Ln you've gone a little too far.
Then 0.40 miles 3.07 total miles
5. Take the 1st right onto River Haven Dr.
River Haven Dr is 0.1 miles past Windjammer Cf.
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t6. Stay straight to go onto Snug Harbor Dr
3.22 total miles
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n 7. mi
Snug Harbor Dr, Taylorsville, NC 28681-3991, 20 SNUG HARBOR DR is on
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