HomeMy WebLinkAbout20190542 Ver 1_Shoreline Stabilization_20190426State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 30-2013
a 9% '& . —
Shoreline Stabilization Application Form W
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: » i
Mailing Address:
20994542
VC
1�a11�1
MUM- 116,111 a M III
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Telephone Number: 381 - 70q - 74-79 Fax Number:
E-mail Address: r cV)n jr nec 3 CSIGM %L Cam
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.armv.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:
VI ►wr.1111110MA
Telephone Number: "10Lt - LAGO - 5 (I ( Fax Number: "i 0q - U60 5clU9
E-mail Address: C h���c "V1 llC' A i �I�k� Querna-
Person to receive the Certification Approval:
11. 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: L -1P1 col n Nearest Town: �eYIU Gly.
Subdivision name or site address (include phase/lot number): 158 C).%oa+Vn i t0 Rd
OCY0re-S4'111e . NC a811'1 L-� # 3a_:� Cre :5cen+ Laryi anciT, m er C=R
Directions to site - please include road names and numbers, landmarks, etc.:
See rAAAYA, Qri
Latitude (in decimal degrees) 35. 5'b[ U I O Longitude (decimal degrees) — ab , q q (q 5 q
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): I.,e -b ide.dta.l
6. Property size (acres): In q acre.S
7. Lake/ river/ ocean adjacent to property: 1�nv-yyyl,r)
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 9ha�.DP _ S Ln ►—.o , 1 nS �a,l L ono
add �re S h P.r o F �A o Ides r i 0 raa.r)
9. Will work be conducted from land? ❑ 11 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:
L9 / iJe �bcA_�, i Baaq� S� nF im�,C+)
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: I I I OJC.
12. 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): CHrciSS %Deer
no Aree5 re.maue.d . n� �i�sk�r�a nce -��� �e►e
Owner/Agent's Signature* [15A NCAC 02H .0502(f)]
e,4 // 6 // P
Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3
Full Pond/
Normal Water Level
�
ShoreliTe
La ke
(At Full Pond/ Normal Water Level)
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Ronald and Stacey Chovanec
158 Goathill Rd.
Mooresville, NC 28117
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Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. 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
411712019 M=mAlle, NC to 156 GoahII Rd, Mmwille, INC 28117- Google Maps
Go gle Maps Mooresville, NC to 158 Drive 9.9 miles, 22 min
Goathill Rd, Mooresville, NC 28117
Mooresville
North Carolina
Take W Iredell Ave to N Academy St
1 min (0.3 mi)
t 1. Head southwest on N Main St
0.1 mi
r' 2. Turn right onto W Iredell Ave
0.1 mi
*1 3. Turn left at the 2nd cross street onto N Academy St
2 min (0.6 mi)
Take NC-1100/Brawley School Rd to McKendree Rd in
Davidson
13 min (6.5 mi)
f 4. Turn right onto W Wilson Ave
1.2 mi
t 5. Continue onto NC-1100/Brawley School Rd
5.2 mi
Continue on McKendree Rd. Drive to Goathill Rd
5 min (2.5 mi)
r' 6. Turn right onto McKendree Rd
1.6 mi
f' 7. Turn right onto Lakeview Shores Loop
0.7 mi
4117/2019 M=mWlle, NC to 158 Goahll Rd, M=m4lle, NC 28117- Google Maps
r' 8. Turn right onto 1456/Goathill Rd
0 Continue to follow Goathill Rd
0 Destination will be on the right
0.2 mi
158 Goathill Rd
Mooresville, NC 28117
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly You must obey all signs or
notices regarding your route.
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gie Maps 158 Goathill Rd
158 Goathill Rd - Google Maps
Imagery @2019 Google, Map data @2019 Google 50 ft
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4/17/2019
t.. -7c gle Maps 158 Goathill Rd
158 Goathill Rd - Google Maps
Go gle
i. Goafhill Road
Map data @2019 Google 50 ft
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4117/2019
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