20221720 Ver 1_Shoreline Stabilization_20221206

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email*
[e-mail]
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 12/6/2022
submitted on:*
Owner Information:
Name: * Titan Custom Builders
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
331 Alcove Road
Address Line 2
Suite 103
City
Mooresville
Postal / Zip Code
28117-7660
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: *
Company Affiliation: *
Email:*
Janice Estep
CBC Stone & Recycling, LLC
[e-mail]
State / Province / Region
NC
Country
US

Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
638 Oakridge Farm Hwy
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28115 United States
A signed and dated copy of the Agent Authorization letter:*
Agent Form.pdf 606.86KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Titan Custom Builders Shoreline
If your project has a formal name please use this. If your project does not have a formal name, please identify your project
by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses
any other names that have been used to identify the project in the past.
1. Provide 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. *
Upload File
Look up address
Property Address Lookup: *
Latitude:*
35.541820
Street Address
125 Myers Port Way
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117-9622 US
Longitude: *-80.881293
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging below
Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram under
section 12.normal pool lake level/normal water level*
Site Plan.pdf
Buffer Form.pdf
Please use the diagram at the link below:
898.53KB
1.08MB
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard
stick, shovel handle, etc.)
Shoreline Pics.pdf 21.57MB
4. Location of the property (where work is to be conducted)

Nearest Town: * Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Lot 4 Helms Port on Lake Norman
Include phase/lot number
Head south on Evergreen St toward E Center Ave
14 sec (197 ft)
Turn right onto E Center Ave
2 min (0.5 mi)
Turn left onto S Church St
1 min (0.4 mi)
Follow E Wilson Ave and US-21 S to Alcove Rd
9 min (3.7 mi)
Turn right onto E Wilson Ave
1.5 mi
Turn left onto US-21 S
2.2 mi
Use the left lane to continue on Williamson Rd
387 ft
Follow Alcove Rd, Templeton Rd and Camino Real Rd to your destination
4 min (2.1 mi)
Turn left onto Alcove Rd
0.5 mi
Turn right onto Templeton Rd
0.9 mi
Turn left onto Camino Real Rd
0.6 mi
Turn right
0.1 mi
125 Myers Prt Wy
Mooresville, NC 28117
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
Undeveloped Lot
Residential, undeveloped, etc.
6. Property Size
1.264 acres
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Push down existing rip rap on 140' section of shoreline. Reshape and re -
slope bank, install matting and install VA Fieldstone boulder rip rap to
refurbish shoreline. Remove existing 60' x 12' wide damaged concrete
boat ramp and replace with new concrete boat ramp.
8. How will the work be done? *
From Land
From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
5' below (760 sf)
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet land-
ward: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
1' above (152 sf)
square feet
11. 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)
Grass buffer, no trees removed, minimal disturbance to buffer.
Sketch:
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Janice Estep
Signature:
Submittal Date: 12/6/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20221720 Version: * 1
Select Reviewer: * Andrew Pitner:eads\ahpitner
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?* $240.00
$570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO. PARCEL ID:
STREET ADDRESS:
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Please print: 1
Property Owner: 1 + l'S \ c):21a jj , A
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Jo.x-)'‘c € Ls-ve...P , of C-6( 6-one E 9eqc/;rJq)uL(Contractor / Agent) (Name of consulting firm(J .J
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
,1 ,'\t^b,yC.re\6. �'f_\1Z Its S\ e \`e t mc_D�Q t \-7
Teiephone:164-9 t67cS-
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
v1
Authf 'z Sign. re
Date: 1 a l 5l a
Authorized Signature
Date:

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SUBDIVISION OF
HELMS PORT ON LAKE NORMAN
CAMIMO REAL HOLDINGS, LLC
131 PLANTAION RIDGE DRIVE
SUfFE 200
MOORESVILLE, NC 281 17
TAX PARCEL #4645073114,
DAVIDSON TOWNSHIP
IREDELL COUNTY, NC
0

Iredell County, North Carolina
November 21, 2022
Tax Map Information
•PIN 4645073482.000
• Address
• Account #
• Tax Owner
• Mailing
Address
• GIS Owner
• Deed Info
• Tax Acres
• Lot #
• Description
• Zoning
• Old Parcel #
• Bldg Value
• OBXF Value
• Land Value
• Total Value
• Defer Value
• Tax Districts
125 MYERS PORT WAY
Acct 80059469
TITAN CUSTOM BUILDERS INC
331 ALCOVE RD STE 103
MOORESVILLE, NC 28117
TITAN CUSTOM BUILDERS INC
2747 / 2342 - WD - 20201026
1.264 AC
4
HELMS PORT ON LAKE NORMAN
PB71-140
R20
1702G00000A009A
$145,080
$7,370
$517,500
$669,950
$0
-ALLCNTY FIRE- -
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Iredell County, North Carolina makes no claims and no
warranties, expressed or implied, concerning the validity or
accuracy of the GIS data presented on this map.
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.

Iredell County, North Carolina
November 21, 2022
121
3
107
239
115
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Tax Map Information
• PIN 4645073482.000
• Address 125 MYERS PORT WAY
• Account # Acct 80059469
• Tax Owner TITAN CUSTOM BUILDERS INC
• Mailing 331 ALCOVE RD STE 103
Address
• MOORESVILLE, NC 28117
• GIS Owner TITAN CUSTOM BUILDERS INC
• Deed Info 2747 / 2342 - WD - 20201026
• Tax Acres 1.264 AC
• Lot # 4
• Description HELMS PORT ON LAKE NORMAN
PB71-140
• Zoning R20
• Old Parcel # 1702G00000A009A
• Bldg Value $145,080
• OBXF Value $7,370
• Land Value $517,500
• Total Value $669,950
• Defer Value $0
• Tax Districts -ALLCNTY FIRE- -
IREDELL
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Iredell County, North Carolina makes no claims and no
warranties, expressed or implied, concerning the validity or
accuracy of the GIS data presented on this map.
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.

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Pull Pond/ bcgi\
�Um[
Normal Water Level
Shoreline
Lake
(At Full Pond/Normal Water Level)
be ioui
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�Iar 1I�.rs01r►�`e'r110r 111114/141,EMI EMI MR INN 111.11
1' ctbohe X IHO'7 � trees fe.VIIo ed
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irlal c1 stv di -Dance,
Please approximately sketch the following information on this plan, length of shor iine.
(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

CATAWBA RIPARIAN BUFFER NOTIF C;.,,,TION F pR
Project Name/address: is rnu?f
Owner: \ \ t 1 � t l_P{
Print
Contractor/agent: C 5-6 ale
Print
;�
Cou
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 0213 .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 ilkICAC 02B .0243 (6)]
Beaches, impervious patios, impervious walkways, etcc_ 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 HCAC 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 bufffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [ 1 5A NCAC 02B .0243(5), (6)]
Acknowledgement of Potion
1, 11 hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resou es (D R), is a violation and subject to enforcement. Due diligence will be
Quality Certification and Bu taken such that the constru • ill b '`,built within substantial compliance and intent of the 401 Water
e , approved plan(s) and specification(s), and other supporting
'LIU
Signature (owner):
Date:

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