20241403 Ver 1_Shoreline Stabilization_20241016

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Qualify
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
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.
Owner Information:
..............................................................
Name:* GREGORY BLAZER
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
311 Lockhard Circle
Address Line 2
City
Troutman
Postal / Zip Code
28166-7639
Is there an agent working on the project?*
Yes
No
State / Province / Region
NC
Country
US
Agent/Consultant Information
Name: * LAKE PERMIT LLC
Company Affiliation: * LAKE NORMAN DREDGE AND MARINE CONST
Email: * [e-mail]
Phone Number: * [phone]
(xxx)xxx-xxxx

Mailing Address: *
Street Address
PO BOX 5335
Address Line 2
City State / Province / Region
MOORESVILLE NC
Postal / Zip Code Country
28117 US
A signed and dated copy of the Agent Authorization letter:*
BALZER AGENT.pdf
BALZER AUTH.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
BLAZER
905.81KB
1.52MB
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
Upload Map:
Latitude:*
35.662571
Longitude: *-80.909637
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 *
Please use the diagram at the link below:
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.)
4. Location of the property (where work is to be conducted)
Nearest Town: * TROUTMAN
County:* Iredell
Lake/ river/ ocean adjacent to NORMAN/ CATAWBA
property:
Subdivisions name or site address: *
ALLISON ACRES NUMBER 1 / LOT NUMBER 25
Include phase/lot number
Directions to site: *
FROM MARSHALL STEAM STATION EAST HWY 150, 4.2 MILES, LEFT PERTH RD 6.0 MILERS, LEFT STATE PARK RD
1.2 MILES, LEFT LOCKHARD CIR .60 MILES, PROPERTY ON RIGHT 300 FT .
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: *
RESIDENTIAL
Residential, undeveloped, etc.
6. Property Size .51
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
DREDGE 70' X 10' X 3' DEPTH
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.)
700
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.)
NONE
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)
NO TREES REMOVED
Sketch: BALZER SKETCH.pdf 1.33MB
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):
• $323.00 for impacts to lake (below normal water level) of less than 1 acre
o $767.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
• 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");
d I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * GREGORY BALZER
Signature:
Q'/1E!'0/1y 3ALXV
Submittal Date: 10/14/2024

Initial Review
Is this accepted into the review process? * Yes No
Project Number:* 20241403 Version:* 1
Select Reviewer: * Jesse Mcdonnell:Jesse.Mcdonnell
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
$323.00 $767.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 5-" PLAN NO. / PARCEL ID: 4 73 c7 ` 31 - (./3 73
STRtrY AprAns: I l L ry k ft *,Cr Lf e-
-7()-(7)-t,441J itti c/Co4
Please print:
Property Owner: rD,e I G W V
Property Owner: c�7eon o,ey )3A-Lz-
The undersigned, registered property owners of the above noted property, do hereby authorize
/llt ;i iAit!
(Contractor / Agent)
Of
taILY /.41T sec/
(Name of consulting firm)
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):
Telephone: ? d - 6 7 6-- a-2-3 7
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized / /S Authoriz ignature
Date: /o/3 lad f�/ Date: l0/3/) y

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:
Owner:
Contractor/agent: LA & hl1),€- 441 L +�
Print /Ai& P 1'1'? a-4
Signature
unty:{
7_ /3,, [mac. ,t .)
L2L-�
Print Signature
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
02i- .0506 are:: 13A 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. Eeception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping anc, siopinng 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)]
eacries, imperious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
lee the Divisio i. Tn&E'e 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 roust be outside the puffer. [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 ee at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow a_ non -erosive ,velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Antriowledg e 'aerat MN-ill/cation
Ai 2[_Yl , hereby state that I have been informed of the Catawba
."ii izriar? `::�,:;':= ::�;,�,;, ..;, � lvork conducted in the buffer, not specifically stated in the application and approved
by the Division of tiva:er Resources (DWR), is a violation and subject to enforcement. Due diligence will be
w. •rr: say:: o:er. m:'.v e T :.st: uctior 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
ateria is.
ature
Date: 1 U%3%

IlllfIII N 11111111111111111111�llil
Doc ID: 010059860002 Type: CRP
Recorded: 06/08/2008 at 01:48:23 PM
Fee Amt; $675.00 Page 1 of 2
Excise Tax: $658.00
Iredell County. NC
Brenda 0. Bell Realster of Deeds
BK 1754 PG2302-2303
Excise Tax $658.00
Tax Lot No. Parcel Identifier No 4730-31-0273
Verified by County on the day of ,
by
Mail after recording to: Grantee
This instrument prepared by: Lutzel, Gandy Broadway, PLLC
Brief Description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 8th. ... day of June 2006, by and between
GRANTOR
Jeffrey D. Faircloth, unmarried
and
Nancy L. Henry, f/k/a Nancy L. Faircloth,
And husband Charles Henry
GRANTEE
Gregory J. Balzer and wife
Mary Louise Balzer
Mailing Address:
Property Address; 311 Lockhard Circle
Troutman, NC 28166
Enter in appropriate block for each party; name, address, and, if appropriate, character of entity,
e.q_ corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns
and shall include singular, plural, masculine, feminine or neuter as required by context.
W1TNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does, grant, bargain, sell and convey unto the Grantee in fee simple, all
that certain lot or parcel of land situated in the City of ,Coddle Creek. Township, Iredell County, North Carolina
and more particularly described as follows:
Being all of Lot No. Twenty -Five (25), ALLISON ACRES, NO.1 as shown on plat
recorded in Plat Book 7, Page 54, Iredell County Public Registry

J
The property hereinabove described was acquired by Grantor by instrument recorded in Book , Page
A map showing the above described property is recorded in Plat Book Page
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title
against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property herein -
above described is subject to the following exceptions:
All easements, restrictions and rights of way of record.
Ad valorem taxes for the year 2006 and subsequent years not yet due and payable.
All matters revealed by and accurate survey of the property.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed
in its corporate name by its duly authorized officer(s) by authority of its Board of Directors, the day and year first above written.
(Corporate Name)
By:
President
Attest:
Secretary
(SEAL)
z Jeffrey D. Faircloth
0
z
co
m
t.o
Charl,s
EAL)
Lee Faircloth
(SEAL)
(SEAL)
NORTH CAROLINA,COUNTY.
I, a Notary Public of the County and State aforesaid, certify ' t Jeffrey D. Faircloth Grantor, person-
ally appeared before me this day and acknowled• _: !xecution of the foregoing in ument. Wit-
ness my hand and official stamp or seal this...
My Commission Expires: .0 9/Q(L O41 Notary Public
(SEAL)
SOUTH CAROLINA, . e'bt?l ir COUNTY.
I, a Notary Public of the County and State aforesaid, certify that Nancy L. Henry, f/kla/ Nancy Lee
Faircloth and Charles Henry Grantor, personally appeared before the this day and .. .. day of June,
2006. My Commission Expires
November 30, 2015
My Commission Expires:
.0!..Notary Public
The foregoing Certificate(s) of
is/are certified to be correct. This instrument a
shown on the first page hereof.
this certificate are duly registered at the date and time and in the Book and Page
Regist- of Deeds for County
By Deputy/Assistant—Register of Deeds

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Patel #�
PeresMot size
oisposet sna required (sq k und/oto selvage)
j 1
twos regarding sediment
li
n aware that the site ntuet adhere to all state regulations slid
erosion contra and water quality. And give permission for
Name otlndividual and Company
to dispose ottheir dredge material at the above seated location
Owner:
Date: 1A1.
Along with form, please provide:
Aerial otpareelitot (Gown). GIS ►
Photo ofpropoaed spoil site
Identified proposed spoil site
Signature

S. Degcribe tine existing land use or condition of the site at the time of thls application (residential,
undeveitpadotc.): _
L Dacrihe proposed work (Include discussion as to how hordenIng of shoreline has been avoids 16.4 ©r
why it is necessary):
./
•
Mit wer?. ho conducted from hand? 0 From watertyX.
L etzt.icit: of impacts below the normal peel !lake levsi Normal Water Level
:,..apacts (Including all excavation, backfill, rip rep, retaining walls, etc.) In square hat:
Tcigooradv impacts In square fent:
g\. Vai4t, t.11;r:JuIGM impacts above the nevmel peei lake leVQ1 Normal lifter Level and SO feet land-
LL't"A
keikaklat !NORM (Including back fijl.excavation, rip rap, retaining wails, etc.) in square feet:
'.:Apacts (temporary clearing, ranstruCtiOn corridor) In square feet:
60i6sse a..,zc[ribe the vegetation shove the nonmai pool lake level/ Normal Water Level and SO feet
•!!!)d,,riard ho impacted (number of trees, for instance);
11. :,-4ilLtut*
eignin2 below, ea the project proponent, eeptlfy to the following:
proponant hereby certifies that all Information contained herein Is true, accurate;
:Arid complete to the best of my knowledge and belief
,xsolect proponent hereby requests that the certifying authority review and take 0 oon
MI; 01 certification request within e-ePplIcable reasonable period of time
Bate
• .20a11119i R.341.1onginsiuthorization letter from the owner igfirovided.
a f';:An iximotoiy simtch tho Mowing information on this plan and /amide dimensions*
it. *:,..-apusad vegetation cleering
(CA Op trap oefili te he placed above the Full Pond/ NI l Water Levei elevation
of rip rap or fill to he placed below the full Pond/ Normal Water Level elevation
, E1NV proposed structures such es buildings, [Veining well, docks, atm
.1 4. ::.411:tirt Of any excavation or dredging below the Nil Pond/ Normal Water Leval eievati
ciadjaattplozaw.,,,,r1,01.• Qat, Ida atitlig palms
s NeatzSr.L.LI., IanlLk&17-"Acithlicklawk:radm itnisiair..NuedrAnnunite.a76.4444.13
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IlllfIII N 11111111111111111111�llil
Doc ID: 010059860002 Type: CRP
Recorded: 06/08/2008 at 01:48:23 PM
Fee Amt; $675.00 Page 1 of 2
Excise Tax: $658.00
Iredell County. NC
Brenda 0. Bell Realster of Deeds
BK 1754 PG2302-2303
Excise Tax $658.00
Tax Lot No. Parcel Identifier No 4730-31-0273
Verified by County on the day of ,
by
Mail after recording to: Grantee
This instrument prepared by: Lutzel, Gandy Broadway, PLLC
Brief Description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 8th. ... day of June 2006, by and between
GRANTOR
Jeffrey D. Faircloth, unmarried
and
Nancy L. Henry, f/k/a Nancy L. Faircloth,
And husband Charles Henry
GRANTEE
Gregory J. Balzer and wife
Mary Louise Balzer
Mailing Address:
Property Address; 311 Lockhard Circle
Troutman, NC 28166
Enter in appropriate block for each party; name, address, and, if appropriate, character of entity,
e.q_ corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns
and shall include singular, plural, masculine, feminine or neuter as required by context.
W1TNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does, grant, bargain, sell and convey unto the Grantee in fee simple, all
that certain lot or parcel of land situated in the City of ,Coddle Creek. Township, Iredell County, North Carolina
and more particularly described as follows:
Being all of Lot No. Twenty -Five (25), ALLISON ACRES, NO.1 as shown on plat
recorded in Plat Book 7, Page 54, Iredell County Public Registry

J
The property hereinabove described was acquired by Grantor by instrument recorded in Book , Page
A map showing the above described property is recorded in Plat Book Page
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same
in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title
against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property herein -
above described is subject to the following exceptions:
All easements, restrictions and rights of way of record.
Ad valorem taxes for the year 2006 and subsequent years not yet due and payable.
All matters revealed by and accurate survey of the property.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed
in its corporate name by its duly authorized officer(s) by authority of its Board of Directors, the day and year first above written.
(Corporate Name)
By:
President
Attest:
Secretary
(SEAL)
z Jeffrey D. Faircloth
0
z
co
m
t.o
Charl,s
EAL)
Lee Faircloth
(SEAL)
(SEAL)
NORTH CAROLINA,COUNTY.
I, a Notary Public of the County and State aforesaid, certify ' t Jeffrey D. Faircloth Grantor, person-
ally appeared before me this day and acknowled• _: !xecution of the foregoing in ument. Wit-
ness my hand and official stamp or seal this...
My Commission Expires: .0 9/Q(L O41 Notary Public
(SEAL)
SOUTH CAROLINA, . e'bt?l ir COUNTY.
I, a Notary Public of the County and State aforesaid, certify that Nancy L. Henry, f/kla/ Nancy Lee
Faircloth and Charles Henry Grantor, personally appeared before the this day and .. .. day of June,
2006. My Commission Expires
November 30, 2015
My Commission Expires:
.0!..Notary Public
The foregoing Certificate(s) of
is/are certified to be correct. This instrument a
shown on the first page hereof.
this certificate are duly registered at the date and time and in the Book and Page
Regist- of Deeds for County
By Deputy/Assistant—Register of Deeds

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