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Home My WebLink About20190222 Ver 1_Shoreline Stabilization_20190215f State of North Carolina Department of Environment and Natural Resources r1a Division of Water Resources r'VuI ui ;iez,vur c e,5 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization ENVIRONMENTAL QUALITY FORM: SSGP 02-2017 Shoreline Stabilization Application Form 2 9 0 0 20 Three copies of the application (including attachments) and the application tee should be sent to: If sending via US Postal Service If sending via delivery service (UPS edEx, etc.) Karen Higgins Karen Higgins DWR - 401 & Buffer Permitting Branch DWR - 401 & Buffer Permitting&'P44IAO 1617 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699-1617 Raleigh, NC 27604 A. Applicant Information [15A NCAC 02H .0502(a)] 1. Owner Information Name: r, D.- Y— P6 4/-5k Mailing Address: " /for W, Hon PH O j06 6� I =;N RE50URCl Telephone Number: Fax Number: E-mail Address: 24a P11 LC ✓ 2. /1) r„ m�1/9d- V1(f t 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: htto://www.saw.usace.armv.mil/Portals/59/docs/reRulatory/reRdocs/Permits/SAMPLE AGENT AUTHORIZ ATION FORM.Ddf) Name: Company Affiliation: Mailing Address: Telephone Number: E-mail Address: Fax Number: 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) / County: 3 Ac Nearest Town: Cojol7e k1l L1,14g T Lake/ river/ ocean adjacent to property: �✓. �e� b I sS Property size (acres): /. Subdivision name or site address (include phase/lot number): 071 " 1 2- Directions to site - please include road names and numb rs, landmarks, etc.: (". a�-(r_ . Latitude (in decimal degrees) 35;'77 ,Ute_ Longitude (decimal degrees) I g(kl?7e 5. Describe the existing land use or condition of s/he site at the time of this application (residential, undeveloped, etc.): 1 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): a,, JAx'o. ine L..a of 4 n„f ,n ✓rj' -v k(rox ySd -A SJ,-66/ize SLyc /,I << A�Of) r, /ry 'C& rdlg ' 7. Will work be conducted from land? W From water? LJ 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: Temporary impacts in square feet: 9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land -ward anent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet: Temporary impacts (temporary clearing, 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): / y ire e S l i rr vejce - G i, 11. Signature t ' 42/ Owner/Agent's Signature* [15A NCAC 02H .0502(f)1 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 Lake (At Full Pond/ Normal Water Level) 9 Full Pond/ Normal Water Level yx zq. Shoreline 00 tAjhr Plan View FORM: SSGP 02-2017 Full Pond/ Normal Water Lev n;orerine 2ft. x 150 ft. additional clearky F Plan View Lake (At Full Pond/ No—al Water Leuefi Existing Dock /30ftx7ft 3 ft 150 ft Below full PMW NWL —MeV _ 4 f x 150 ft Above full pond/ NWL Page 3 of 4 R Y� J Q� Lake L/31Y (At Full Pond/ Normal Water Level) � C E '- O O Z ctrl 'a C Side View 0- LL - 3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing 'if necessary Existing bank 10 ft. bank Side Vi AIVIrLt FORM: SSGP 02-2017 Page 4 of 4 • i i�t._/..' J '.i . o. `"`ice.. �..._�_ saypcx� .r�t^'� II I i I, II II I jo. . r tC Connell�j Sring��..____ -- ■? t%� M� 3039 E PARADISE RBOR [g,"Connelly prings, NC, 28612 t r rf r r� rs November 28, 2017 Burke County, NC owner: PIN: 2764870921 PIN EXT: 000 REID: 59378 LENOIR, NC 28645 Property Value: $129,932 Acreage: 1.5 Property 3039 E PARADISE HARBOR DR Deed Book: 002073 Address: CONNELLY SPRINGS 28612 Deed Page: 00850 PROPERTY DESC — Deed Date: 02/27/2013 0 100 200 ..at 1:1,295 ' 1 inch = 108 feet �'�,��t 1-SV� Disclaimer The information contained on Cris page is taken from aerial mapping, tax mapping, and public records and is NOT to be construed or used as a survey or'legal description' Only a licensed professional land surveyor can legally determine precise locations, eleva&ons• length and direction of a line, and areas. �3S �Nm le, \`fat.`t �\>7 :§ t 3039: PARADI.SE � AR80R [fit`, ion Iv Springs. NC, 28612 • c.r� V r i Y November 28, 2017 Owner: -10110110 LENOIR, NC 28645 Property 3039 E PARADISE HARBOR DR Address: CONNELLY SPRINGS 28612 PROPERTY DESC Burke County, NC PIN: 2764870921 PIN EXT: 000 REID: 59378 Property Value: $129,932 Acreage: 1.5 Deed Book: 002073 Deed Page: 00850 Deed Date: 02127/2013 0 100 200 �� rr �� r� L r s• f f" Fazt m 1:1,295 , 1 inch = 108 feet Disclaimer. The information contained on Mis page is taken from serial rnapping, tax mapping, and puW,, records and is NOT tc be Construed or usod as a survey orYegal description' Only a licensed professional land surveyor can legally delarmine precise 1008N01M. e1e0960ns, length and direction of a line, and areas. s SSd ?� _ 15HED FLOOD PLAIN / 1 l� l 1 i 209.) a 0j i I I Jonathan Abraham qr o/ y Bk. 1581 Pg 691 O r i } �j O 207 100 Y �— ear FlooG Lane William P. Nunn Ul Bk. 1888, Pg. 31. e C:) Lo / 208 ) a m \ 1.50 Acres Co \ i\ By Coordinate Cor7putation 1 \ ! Ref Deed Bk. 1705, Pg. 509 iW ` SCO\ I spm \ 4 Sight / \i ` Triangle bb�2�>n A 9� f * s _1 , (found) -. A rV, / A�� i (Tie Line) / i 'N 11'04'09'E 33.80 d� *K r�L jop - J -", r � ,�., w �� ;� .. �, _ _ - �-; -, t� '� -� �7 s�: F e, .:v" �. M , r;7 ri 11 ,� �. ' ��: �� a , ,;, �F j` ,� �. `j -: W `�� V ` � � � � y ' I r jn r �, . -:.� ' a , .e � x '�'F_' �� . `'� �' �t ,\ '_ � f� � �' \ �.�y_ ; a tii � * �� f '_ L .` i �'. � 1 I` ' R d '�: � t �•- \J �pf' a�` V f� � h r� - ,. _ . ♦.{. O ' I r jn r �, . -:.� ' a , .e � x '�'F_' �� . `'� �' �t ,\ '_ �� •A�� !' ; �T f Y � '� � � � � i� ifPti �'� 1 i0. i . t �M - ��u r'► �,d �j'�. � �N Lit � i� 2. �,�q"'.F: jjjj,, �.�... ,1l: � � �.. I .I !a .. ��rt - � ;�f. 4.k a...�S �rti � ` � � sr" ..`�` i ... � � / � �}, 1 � �`` I � ' r t4 �' �ta�' .. �� O � � \ .. .'� Fa %r. � __' .h .� � - tiw � .. .. v 4 ;..- •'�.vh - � Y f�� --- .. - __. �.: �. y ..� i \ �w i ` ` i'� l�ay� �. ' .�.� . � � ~r F. s � ., �, ....,�. t z :. I An I r Ito /�\��f\�4 1