HomeMy WebLinkAbout20190072 Ver 1_Shoreline Stabilization_20190114wy
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
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WaterResources 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee shouW b
If sending via US Postal Service If sending via delivery service (UP e;-, t b
Karen Higgins Karen Higgins
DWR - 401 & Buffer Permitting Branch DWR - 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street 2 0 1 90 0 7 2
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: =,)_rE
Mailing Address:
Telephone Number: 33(nA IA -Z%93 Fax Number:
E-mail Address: hf)we_f5�?('� 17� G MQ*1
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.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Compar
Mailing
Telephone Number: 70 - - Fax Number: 704- S299 -
JDA
E-mail Address: 1.(0 9-(O0 (o dnnno . IoncoScrdon
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 boyndaries 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
YYL
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: ,Ye[�e l' Nearest Town: Y_QU.�YYIG,Y1
Lake/ river/ ocean adjacent to property: Norman
Property size (acres): ) ac re -
Subdivision
e -
Subdivision name or site address (include phase/lot number):
L4 14 . ZOR A I 1pri&, I P. C', er 1 e . --Fv- n)+Y)
Directions to site - please include road names and numbers, landmarks, etc.:
T rn I r -Pf D/7D j, T oufma h . ern R, aht'n,
Forvi I*-f+or)-+b Ko�cPizson � rvn KC.,Tu✓n <15htoniaeellevtda IeCeck
Latitude (in decimal degrees) SS.(p30A(y2 Longitude (decimal degrees) -
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): T)ais1%8eniiQ k
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): SYlor i 1
v
S�biliZe Slnbrelin
7. Will work be conducted from land? From water? Q/
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavati
1R2,1!�xCi`W qIO
Temporary it ityb pam in sgbare
ckfill, rip rap, retaining walls, etc.) ip 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, eVavation, rip rap, retaining walls, etc.) in square feet:
Temporary impacts (temporary blearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ Norm I Water Level and 50
feet landward to be impacted (number of trees, for instance):
11. Signature
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.
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
Shoreline
Plan View
Lake
(At Full Pond/ Normal Water Level)
Lake
(At Full Pond/ No,ma: Water Level)
Existing Dock
/30 ftx7ft
FORM: SSGP 02-2017 E AMP E
Plan View
Page 3 of 4
Lake
(At Full Pond/ Normal Water vel)
m
c
w
L
0
C -
to
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
FORM: SSGP 02-2017 Page 4 of 4
Project F
Owner:
Contract
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
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
h -\N e,C hereby state that I have been informed of the Catawba
RiparianBuff r 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): 3. Jk Date: J_ /_
THIS IS TO CERTIFY THAT ON THE. D—DAY OR 1• wltvaysD THt SRM
SHOWN ON THIS PLAT. AND THAT THE TITLE LINES AND THE WALLS OF THE ■t, RAINGiS IF ANY ARE
SHOWN HEREON.tlfif{Niiiiii .
P/
SIGNED
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 Flap
Owner/Property Info
Tax Account Number: 5919070
Old Parcel Number: 1503CO5000A014
Owner Name: BOWER STEPHEN L+BELINDA S
Mailing Address: 868 BROOKBERRY FARM CR WINSTON SALEM NC 27106
Property Location: ALLENDALE CIR
Lot Number: 14
Legal Description: ALLENDALE POINT PB7-21
Township Code: 15
City Code: oo
Neighborhood Code: 15003
Value Information - Current Year Properly Record Card (PRC)
Building Value: 92510
Other Building Features: 11770
Land Value: 375000
Tax Assessed Value: 479280
Deferred: 0
Date Recorded
20011115
Exemption
Null
Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
WD 1298 2215 7-21 1 LT R20
Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4 Tax Code 5
C ADVLTAX Null FROSADVLTAX Null Null
Iredell County 704.878.3118
Harmony 704.878.3118
Love Valley 704.878.3118
City of Statesville 704.878.3575
Town of Troutman 704.528.7600
Town of Mooresville 704.662.7040
Village of Davidson 704.892.7591
=12M Iredell County`
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