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Home My WebLink About20191294 Ver 1_Shoreline Stabilization_20190925State of North Carolina DWR Department of Environment and Natural Resources Division of Water Resources._ Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification Instructions for Application FORM SSGP 10-2013 (Shoreline Stabilization 401 WQC to accompany USACE GP30, GP79, or GP80) Instructions for Shoreline Stabilization Application ®1 9 1 2 9 4 When to use this form —This application form should be used to apply for a 401 Water Quality Certification to impact: When this form should not be used — This application form cannot be used for wetland or stream impacts. This information does not apply to landowners within the twerAt-6-al.,)ENR/_nWR counties that are affected by Division of Coastal Management (CAMA) rules. 'PP 2 5 2919 For more information — If you have been advised that you require a 401 Water Qu§aty -s� �i+CidJrC�'ar Certification, and would like more information about: i rrrtiii.!!ig Section ➢ The application process: http://portal.ncdenr.org/web/wq/swp/ws/401/`certsandpermits How to download an application form: http://portal.ncdenr.org/web/wq/swp/ws/401/certsandperm its/apply/forms Application fees: http://portal.ncdenr.org/web/wq/swp/ws/401/certsandpermits/apply/fees If you are unable to download this information or application, please call (919) 807-6300 to request an application with instructions. Please note — Not all impacts require written authorization from DWR. This may include the construction of docks or boathouses if there is no dredging or filling involved (other than the pilings). For more information, please visit the following website: http://portal ncdenr org/web/wq/swp/ws/401/certsandpermits/fags#always have to apply How to apply — When submitting an application to DWR, please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions will help facilitate a quicker review time and reduce the amount of requested additional information. INSTRUCTIONS FOR APPLICATION SSGP307980 08-13 & SUPPORTING DOCUMENTATION Page 1 of 3 U.S. Army Corps of Description Engineers (USACE) Permit Federal Energy Regulatory Commission (FERC) regulated lake GP30 shore or bottom Tennessee Valley Authority (TVA) regulated lake shore or bottom GP30 Local government regulated lake shore or bottom GP30 USACE Reservoir owned/regulated lake shore or bottom GP79 Private lake shore or bottom GP80 When this form should not be used — This application form cannot be used for wetland or stream impacts. This information does not apply to landowners within the twerAt-6-al.,)ENR/_nWR counties that are affected by Division of Coastal Management (CAMA) rules. 'PP 2 5 2919 For more information — If you have been advised that you require a 401 Water Qu§aty -s� �i+CidJrC�'ar Certification, and would like more information about: i rrrtiii.!!ig Section ➢ The application process: http://portal.ncdenr.org/web/wq/swp/ws/401/`certsandpermits How to download an application form: http://portal.ncdenr.org/web/wq/swp/ws/401/certsandperm its/apply/forms Application fees: http://portal.ncdenr.org/web/wq/swp/ws/401/certsandpermits/apply/fees If you are unable to download this information or application, please call (919) 807-6300 to request an application with instructions. Please note — Not all impacts require written authorization from DWR. This may include the construction of docks or boathouses if there is no dredging or filling involved (other than the pilings). For more information, please visit the following website: http://portal ncdenr org/web/wq/swp/ws/401/certsandpermits/fags#always have to apply How to apply — When submitting an application to DWR, please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions will help facilitate a quicker review time and reduce the amount of requested additional information. INSTRUCTIONS FOR APPLICATION SSGP307980 08-13 & SUPPORTING DOCUMENTATION Page 1 of 3 Provide three (3) copies of the application and supporting information (maps, drawings, etc.), as well as the appropriate application fee (see below), to the Division of Water Resources, 401 & Buffer Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. I. :Applicant Information {' ❑ Owner Information: Please provide complete and accurate contact information ❑ Agent Information: Per 15A NCAC 02H .0502 , an agent may be given signatory authority for the owner/applicant if a signed and dated copy of an Agent Authorization letter is included with the application. (A sample form may be found at http://www.saw. usace.a rmy.miI/Portals/59/docs/regulatory/regdocs/Perm its/SAMPLE AGENT AUTHORIZATION FORM.pdf) II. Project Information ❑ Vicinity/ Site Map: Some type. of site map so that someone unfamiliar with the area can locate your project. A county map or USGS topographic map indicating,the project location is usually sufficient. ❑ Site Plan: A site plan showing the location of the shoreline, location of the impacts to the shoreline and/or lake bottom and the location and any vegetated areas that will be impacted. In most cases the site plans do not have to be professionally prepared. However, if you intend to conduct hydraulic dredging, professionally pr'e'pared drawings will likely be required for the spoil structures. See example below. ❑ Photograph of shoreline to be impacted/ disturbed ❑ Description of property (including location information and lat/long coordinates) and existing features on and near the site ❑ Description of project and impacts/ disturbance proposed III. Signature ❑i Per 15A IVCAC 02H .0502, the application shall be considered a "valid application" only if it bears the signature of a responsible officer of the company, municipal official, partner or owner. This signature certifies that the applicant has title to the property, has been authorized by the owner to apply for certification or is a public entity and has the power of eminent domain. IV. Application Fee ❑ The application must be accompanied by the appropriate application fee (checks made out to the NC Division of Water Resources). The application fee is as follows (pursuant to G.S. 143-215.3D): ➢ $240.00 for impacts to lake (below normal water level) of less than 1 acre ➢ $570.00 for impacts to lake (below normpl water level) of greater or equal to 1 acre INSTRUCTIONS FOR APPLICATION SSGP307980 08-13 & SUPPORTING DOCUMENTATION Page 2 of 3 .a State of North Carolina Department of Environment and Natural Resources K_ Division of Water Resources Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization LNVIRONMENTAL QUALITY 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)] 1. Owner Name: Mailing IV,ea) Landon, AC 4 ?702 7 Telephone Number: q/7- SC19- 7y69 Fax Number: E-mail Address: Ica e 9nx d - com 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/reeulatory/reedocs/Permits/SAMPLE AGENT AUTHORIZ ATION FORM.pdf) 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: JM -� m -f -V- Nearest Town: ,/,y ) LoLI&O Lake/ river/ ocean a jacent to property: eCljIl k -r_ Property size (acres): Subdivision name or site address (include phase/lot number): Directions to site - please include road. names and numbers, landmarks, etc.:. Bloih Rd �o Ianhamc ?nw60V. riahl- iiik a righ+on-� earl + Ur r�qh 0W ,�UTA11ard ri * ailn icw 0" ii Latitude (in decimal degree's) (ongitUde (decimal degrees) 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Mi 5'i s ClAr Atli -hm� r�SiriP�CP . 6.. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): hQ V'e- AL 'V ht c- I v'.norowmca %act n04 b hereIcn& e . —1Vv w WhC4 WAs 6,n Gn. 7. WiPworhe conducted from land?X From water? ❑ 8. Total amount of impacts below the normal pool lake level/ Normal Water Level Perrpanent 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 Permane t 'mpacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet: AALW +V0 aetwa�ia,1 AV 4i l�-ct�0 �+?S�l1(y/' Temporary impacts (temporary clearing, construction corridor) in square feet: 10. Please describe the vegetation above the normal pool lake level/ No'rmal Water Level and 50 fejt landward to be impacted (number of trees, for instance): A i 1 4dA**m /Lit,S 'Dein d t avGd , 4GVL it, One 4w, -a GZ � ►zipuc�cJ g ►-o w�:�S ��_ 6�n k 11. Signat 0 ner/Agen ' ignature` [15A NCAC 02Fi .0502(f11 Dat Agent's si ature 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) i Z'r141 n, w 0 t �' r 'p �q I da FORM: SSGP 02-2017 Page 3 of 4 Lake (At Full Pwdl N—al Water L-4) Existing Dock ......... ... ... 1 _... ae Full Pond/ Normal Water Level A�iti—1 clearing E A'M P L E Plan i Z'r141 n, w 0 t �' r 'p �q I da FORM: SSGP 02-2017 Page 3 of 4 Z Ip PDd ' ,,t PO4 1 (off > W J Lake (At Full Pond/ Normal Water Level) N L O -Q i- Side View _ >° LL - 10 ft. bank Side Vi 3 ft, below full pond water level 4 ft. above full pond water level 2 ft. additional clearing rf necessary Existing bank FORM: SSGP 02-2017 Page 4 of 4 311 Badin View Drive, New London, NC 28127 - MLS# 885326 1 Estately .(httl2s://www.estately.—cg-m--/). This property sold for $575,000 about 1 year ago. 1. View all 30 photos It 1162 8/21/19, 4:43 PM C' Map data (02019 Map _ Street !T t https://www.estately.com/listings/info/311-badin-view-drive--3#gallery Page 1 of 9