20191117 Ver 1_Shoreline Stabilization_20190821

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 —Water 040kiltyCertification, Shoreline Stabilization
Division of Water Resources,,
FORM: SSGP 10-2013
Shoreline Stabilization Application Form v 19 1
1T
One copy 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:
Mailing
Telephone Number: 5 16 - 3S_�-b35- Fax Number:
E-mail Address: I one_'RA 7 MSC 6% t'f.C-i-. (
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) must be attached if the Agent has signed this application form.
Name:
Company Affiliation: C-V.)C 'Dtone
Mailing Address: u 3 E� C)0'14r"►
Telephone Number: Fax Number: -JC)4- (plot) - ,SQ Cp9
E-mail Address: 0-6CSenWa,1(sd'�w'►odSAreo-m. ne-(-
Person to receive the Certification Approval: Ton; C2.. E5
II. 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,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10-2013 Page 1 of 3

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:M Nearest Town: (�,rne� W S
Subdivision name or site ad ress (include phase/lot number):
2v 345 !6)clave maks C-�C'arne.11is . NI C. x8631 Lo+ * Lp
Directions to site - please include road names and numbers, landmarks, etc.:
See c�►.A-A-ack%e-d
Latitude (in decimal degrees) 35 _ y 88-15 0 Longitude (decimal degrees) — SO, Sqq 11 v
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): e 5.1 6tnk0-
6. Property size (acres): I . 1Q1 C4CreS
7. Lake/ river/ ocean adjacent to property: js`o r rnaan
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Slna e Stn msko_0 fnc,4-1 f)g
O,M ovkAf-r e k n ra F
9. Will work be conducted from land? 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:
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: "eme-
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):
r2o gees remove . m'►r,,waj CII5A rbn,nrA6
Owner/Agent's Signature`
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
Shoreline
Lake
(At Full Pond/Normal Water Level)
3 ` h e (o u-)
1x1.93' Ie.n9+h
W(of-
ACCES5
■�as��
No -gees re'rnosed
C1 lb*urbo�nce-
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
Doug and Shannon Jones
20345 Enclave Oaks Ct.
Cornelius, NC 28031
FORM: SSGP 10-2013 Page 3 of 3

81182019 610 East Center A�, MoaesAle. NC to 20345&dOaks Ct, CaMirs, NC 26031 - Google Mees
Go; gle Maps 610 East Center Drive 10.5 miles, 21 min
Avenue, Mooresville, NC to 20345 Enclave Oaks
Ct, Cornelius, NC 28031
610 E Center Ave
Mooresville, NC 28115
t 1. Head south on Evergreen St toward E Center Ave
14 s (197 ft)
r► 2. Turn right onto E Center Ave
2 min (0.5 mi)
Continue on S Church St to S Main St
2 min (0.6 mi)
11 3. Turn left onto S Church St
0.5 mi
Ir' 4. Turn right onto College St
0.1 mi
Continue on S Main St. Take NC -115 S, Langtree Rd and 1-77
S/US-21 S to Charles Towne Ln in Cornelius
16 min (9.0 mi)
41 5. Turn left onto S Main St
1.2 mi
t 6. Continue onto NC -115 S
r' 7. Turn right onto Langtree Rd
1.1 mi
8. Use the left 2 lanes to turn left onto the Interstate
77 S/US 21 S ramp
0.2 mi
httpslA~.google.corNmaps/dr/610+Ewt+r-enter+A�+M-Wille,+NC12C345+Emla ,Oal6+Ct+Carelim+NC+28031/@35.5290703,.60.8661897,... 12
8/162019
610 East Carder A�, MaorewWle, NC to 20345 Erda Cels Ct, Cornelius, NC 26031 - Google Maps
9.
Merge onto 1-77 S/US-21 S
2.9 mi
N
10.
Take exit 28 for US -21
0.2 mi
11.
Merge onto W Catawba Ave
1.0 mi
F* 12. Turn right onto Jetton Rd
0.3 mi
Follow Charles Towne Ln and Southport Dr to Enclave Oaks
Ct
2 min (0.4 mi)
r' 13. Turn right onto Charles Towne Ln
0.2 mi
*1 14. Turn left onto Southport Dr
0.2 mi
41 15. Turn left onto Enclave Oaks Ct
8 Destination will be on the right
23 ft
20345 Enclave Oaks Ct
Corns lies, NC 28031
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.
tttsl/v�.google.corrVmaWclr/610+East+Centar+Arenue,+Mmm,Alle,+NC2034.5+Endi�Oals+Ct,+Cornelis+NC+280311®35.5290703,-80.8861897,... N

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B/C
LEGEND
#4 REBAR FOUND
001-108-30001-108-29
COMPUTED POINT
•
HVAC UNIT & PAD
Property
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ELAINE E. SMITH
o
REBECCA L LEV
'10,
UTILITY PEDESTAL
MARTIN C. SMITH
N 85'55'35"
IAN M. LEV
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Map Book 37, Pg. 217
DB 32890, PG 227
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DB 22726, PG 102
; Q-� 9(
Mecklenburg County
Firth License: C-3666
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x.`20 oF1Sss7o 9iy-7
SITE
>_ 1:10,000
Error of Closure
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CORNELIUS,N.C. 28031
(TIE ONLY
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[phone]
761 CONTOUR PER
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G.I.S. AND FEMA. NOT
NOTES:
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FIELD LOCATED
a
50'UNDI URGED
a
I. NO NCGS MONUMENT
BUFFER PER MS. 37, PG.
'^
rOUND WITHIN 2000'.
17
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2. PROPERTY MAY BE SUBJECT
m
TO OTHER COVENANTS.
¢'
RESTRICTIONS. EASEMENTS
OR RIGHTS-OF-WAY THAT
MAY BE OF RECORD.
a
F
3.THEIMPERVIOUSAREA
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FOUND AT TIME OF SURVEY IS
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9.318 SQ. FT. THE PROPERTY IS
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IMPERVIOUS EXEMPT PER MB
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4. SETBACKS SHOWN ARE PER
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3
001-108-20
M DO1-108-22
5. CONSULT WITH GOVERNING
ALTOS GROUP LLC. N
I BRICK
SCOTT M. REVOCABLE TRUST MOSS
AGENCY FOR PREVAILING
DB 32897, PG 147
WALK
I
STEPHANI M. REVOCABLE TRUST
MOSS
LAND DEVELOPMENT AND
tj�
DB 24541, PG 036
ZONING REQUIREMENTS
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0— 90.75'
S 86-22'20- N 8624'04" W
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L1 N 89'48'36' W 38.27' 37• PG.
L2 S 86'35'01 W 41.77 24' B�C TO 217)
B/C
LEGEND
#4 REBAR FOUND
Professional
COMPUTED POINT
•
HVAC UNIT & PAD
Property
r Surveyors, Inc.
TRANSFOMER BOX
o
TELEPHONE PEDESTAL
m
UTILITY PEDESTAL
o
SUBJECT PROPERTY LINE
Comelius, N.C. 28031
ADJOINER PROPERTY LINE
Map Book 37, Pg. 217
BUILDING SETBACK
--
FENCE LINE
—�
Gmphic Scale
so 25 o 50
Scale of Drawing I Inch = 50 Feet
rnyslcal Nurvey of Lot b of The Enclave
Professional
Property
r Surveyors, Inc.
Property of:
As Recorded in:
Site Address:
18335 Old Statesville Road Ste. A
Shannon Jones
Deed Book 15785, Pg. 947
20345 Enclave Oaks Ct
Comelius, N.C. 28031
Douglas Jones
Map Book 37, Pg. 217
Cornelius, NC 28031
704-765-5134 Phone/Fax
Map Book 50, Pg 254
Mecklenburg County
Firth License: C-3666
042919-07 BMH
Job No. Pre d By
>_ 1:10,000
Error of Closure
1"=50'
Drawing Scale
001-108-21
Jones -2
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Doug and Shannon Jones
20345 Enclave Oaks Ct.
Cornelius, NC 28031

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: QoAg5 Enclave "K5 G -L C orneLu s. RUJU 31 County:
Owner: 5KG1,V1.YwA—TOqe..s
Print I ignatur
Contractor/agent: 3
Print ature
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 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 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 buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
I, 6�irin non , ti nyte–s '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): ' Date: `
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 1 1611 Mail Service Center I Raleigh, NC 27699-1611
919.707.9000