20180244 Ver 1_Shoreline Stabilization_20180219

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State of North Carolina
Department of Environment and Natural Resources
DWRDivision of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form PAID
Three copies of the application (including attachments) and the application fee should be sent
to:
1.
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)l
Owner Information
Name: Z. /') &%9
Mailing Address: ,�! U Z0le
7e_ "tee // /✓L 028dd,(a1.
FEB 19 2018
Telephone Number:Wdg•'1240- 5�30q/ Fax Number:
E-mail Address: ,L,DQI`c°�P1�ltJe �v- 770AIY1Qi� Gam
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 army mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) mu/s 1 be attached if the Agent has signed this application form.
Name: e A4 Tl�c d LO -5
Company Affiliation: C /
Mailing Address: &3 groa 1-.'
Telephone Number: P511.#4,0-5711 Fax Number:
E-mail Address: C 5
Person to receive the Certification Approval: 20.&iV_ min Yn
II. Project Information 115A 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 he roperty (where work is to be conducted)
County: Nearest Town: lett 'll a
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and numbers, landmarks, etc.:
Is - —I — A d I /i --- . „ i /
eW Co Ve
Latitude (in decimal degrees) 35. 58530Q 8 Longitude (decimal degrees) '2 &13 /
S. Describe the existing land use or condition of the ite at the time of this application
(residential, undeveloped, etc.)@SA 4, en
6. Property size (acres): 1, Log
r
7. Lake/ river/ ocean adjacent to property: hAA-e— A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): ayi s4 A a kJD� GLl 4 ��E/Y�Q V`p Qnd
e -n I .II C-, I_-., ►- r
r
9. Will work be conducted from land? [Y From water? [✓]�-
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool )ake)evel/Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake I
square feet or acres:
Normal Water Level and 50 feet land -ward in
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
5Q feet landward to be impacted (number of trees, for instance), //d -ftee 5
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 10-2013 Page 2 of 3
W-1

Full Pond/
Normal Water Levet
Shoreline
i
1
Lake
(At Full Pond/ Normal Water Level)
"'Rttlaoirf— t—X; 6- rnq
WbOA l.04 -1l J
Re-� it
39a0�L-ongLI;eLO Cakre.
Please approximately sketch the following into`rLtion on th'-�is pla Prov de 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
I 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

�,104
CBC Stoma and R_ �o�g u�d�
LC off; a horma-f i0ii_��
-Cor stabillizoation, and
dredge per IT -5
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM .,
Project Name/address: 39.2 a. U 1 p cy o County:
J
Owner:
Print
Contractor/agent:
1
�i✓�JI Or1� � �iL.,L' � �' I � Il4 L%.� �'C
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 apelication. [15A NCAC
02H .0506 and 15A 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. 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 NCAC 02B.0243 (6)]
Beaches, impervious patios, impervious walkways, etc. 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 NCAC 026.0243 (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 buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
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 Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction 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
materials.
Signature (owner): �4'� v (:�;D• 'dA -4. l 't� Date: .2 ` Ion —( g
State of North Carclina Lnv ironmentai Qualit% Water Resources
512 N. Satisbur� Stn.,[ Uz11 \iail Sen ice Center 1 Raieioh. NC 27G11c'-Ibll

North Carollna J. Mike Honeycutt Land Surveying
L-1360 P.O. Box 1103 Newton, N.C. 28658 Phone: [phone]
Vicinity Map 1, 4 Mlles Honeycutt, certify that this plat was drown under my
eupsmIRA" from on fietual eurvey mode under my sup—Wan and
6r
this t the ratio of precision as calculated Is 1/10,000 +/— and that
q� Plot was prepared in accordance with The Stondords of Practice
For Land Surveying An North Carolina Wings my or �Ina,l,J�E'°lure
registration number and seal this Wim_ day of -G �r 2009.
SITE
I
Lot 60
lPt. lot 59
ar
d o
1
rowO
' e
N
1 taker
1/4'
nxwr \
h
\ raper
d
h
L13
N 01'2900' W
10.07'
L14
N 38'
W
15.08
L15
N 589 00
W
33.34
Lie
N 59'2500
W
3221
L17
N 88'5
Lot 58
29.
LIS I
N 7729
0.31 Aeras
10.41
Lie
y
^- r ...w
ogeNe- aver
\
�(\
L20
S 84
W
L21
S 7
WR
s
L22
jr
W
James E Sherrill Trust
?\
Deed: 2319-558
a.
Course
Bearing
Distance
Distance
L13
N 01'2900' W
10.07'
L14
N 38'
W
15.08
L15
N 589 00
W
33.34
Lie
N 59'2500
W
3221
L17
N 88'5
W
29.
LIS I
N 7729
W
10.41
Lie
N 00'41ftr
W
L12
L20
S 84
W
L21
S 7
WR
g29.98
L22
S 577.3
W
pt. Lot 39
1. 19A.
err~be. eNM/
� Ate
Lake Norman
South Carolina
L-5027
DESS/�
4 SEX
L-1300
Course
Bearing
Distance
L3
S 889445
E 18.1
L4
S 5R67F
E 28.95
L5
S 43'0453
E 1ROY—
Le
S IBIWOOI
E 29.
L7
N78'2900
E S
L8
S 49 4 00
E 54.59
L9
S 25.49
W 29.91
L10
S 40 00
W 5.02
1-11
N 74'2000
W S.
L12
N 184
W 5.14
irve
R"u*---I
Tangent
Length
Delta
I Degree I
Chord
I Chord Bear.
:1
50.
13.31
28.02
29.48 S9
114'35'30
25.73
N 40'00 33 E
C2
M
118.7
117.21
134'18 31
114.35 30
9218
N 42 22 M
C3
127.
1211
24.15
10 Sl 0
445818'
2411
N 30'35 21 A
C4
50.
48.48
74.90
8S'49 29
114'38 30
88.09
S 829013 E
Lake Norman
Survey for John & Linda GreenwelI i I a
Graphic Scale N Feet
LoccOon., 3920 Longview Cove — Lot 58 and pt. Lot 59 of Plot Book 36, Pops 19 • Existing bon
O New Iron
Mountoln Creek Tnap., Catawba Co., N.C. X Calculated point
l� This property is not located in a flood hazard Oreo FEMA Community Panel Na 3710 4617 OOit
ttr• This property Is located In o flood hazard area. Enactive Data 3-18-08
Scala 1" - 60' Deed 1927-771 PIN No. 4617 04 73 3963 Job Na 0910010
Date 10-15-09 / W e& 12-" Plot: 36-19 Tax Coda Feer L -1-G
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2/13/2018 3920 Longview Cove - Google Maps
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2/13/2018
Goc,gle Maps 3920 Longview Cove
3920 Longview Cove - Google Maps
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