20191566 Ver 1_Shoreline Stabilization_20191113

State of North Carolina
TMID Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form 00
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
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: 1' 1 t l
Mailing Address
REC8VELU©ENR/DWR
NOV 13 2019
3118 VoJ ha l la Cr. Permitting section
C11 r«n,_15haro NC. a-1Li0U
Telephone Number: 334-" l0(49 - LA"183 Fax Number:
E-mail Address: M c.6_h-'t-off+S � 1 re_ . C dm
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/dots/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: 110L,- (Qlc0 -51{ I Fax Number: '10cd- t.aUC), 5glpq
E-mail Address: C_%CSea.wa_ILSc1)usir dskre-am_ne-�'
Person to receive the Certification Approval: JOI'd�c-e
11. 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: I _ i neol in Nearest Town: i yw t r'
Subdivision name or site address (include phase/lot number): 8b35 L.Uekq Creev, Lo.
Directions to site - please include road names and numbers, landmarks, etc.:
see -
Latitude (in decimal degrees).'45_ L461. 3aq Longitude (decimal degrees) — 13b, q RL4 (A a 19
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): le.s►Aex4 1PA
6. Property size (acres): O. L415 ae.rcS
7. Lake/ river/ ocean adjacent to property: R,,r+man
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): f,,s aujl a to,l ,r Red; alocK wall , tnsiow (2)
Iyl `onn Allan Hock L'-'a_II bhQ4�_ mope . tnf4wi Mxw r a dnd r; p nip on 3-7 1 eV 5hort(sRv
9. Will work be conducted from land? From water? ❑
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
11.
below the normal pool lake level/ Normal Water Level in square feet or acres:
1 1
p'rA-P)
ng, 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: i v.re_
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): orG6<_ ?oV�cq_
nb +ree-S rtmogecl , rn ri ma�1 d �k� nce +v 6oF�e_e
tolacoliq
Owne /Agent's Signature` [15A NCAC 02H .0502(f)] 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 r } P
ro- f
La ke
(At Full Pond/Normal Water Level)
l�iecl -13loch LOGJ
wptl1
`Ol
W1u�
C
-'oka,l len5i'h 'ne. C
B -7
S
S
Micah Testerman
8035 Lucky Creek Ln.
Please approximately skei Denver, NC 28037 imensions for each
item, such as 1oft x --- j , .
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
o� wall •15 on -E he bkorek ne.
eLncl 15 ► r,
(2) �11ar, 31ocK wa115 10' X 3 one- '15 on Shc,rfJi ne., one l5 no+
of r, P r4 on 5hore.l tne_ , spt iv 6e,-1<weein Z area5
FORM: SSGP 10-2013 Page 3 of 3

11/412019 610 East Center Avenue, Mooresulle, NC to 8035 Lucky Creels Ln, Demer, NC 28037 - Google Maps
&,, gir Maps 610 East Center Avenue, Mooresville, NC to 8035 Lucky Creek Ln, Denver, NC 28037 Drive 21.4 miles, 35 min
610 E Center Ave
Mooresville, NC 28115
t 1. Head south on Evergreen St toward E Center Ave
15 s (197 ft)
Take NC-115 S,1-77 Sand NC-73 W to Cherry Point Dr in
Catawba Springs
33 m!n (20.8 mi)
r' 2. Turn right onto E Center Ave
05 mi
41 3. Turn left onto S Church St
05mi
r 4. Turn right onto College St
0.1 mi
41 5. Turn left onto S Main St
1.2 mi
t 6. Continue onto NC-115 S
2.1 mi
N 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
02-
9. Merge onto 1-77 S/US-21 S
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5.7 mi
Y' 10. Take exit 25 toward Concord/Huntersville
0.3 mi
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11/4Y2019 610 East Center Avenue, Mooresrlle, NC to 8035 Lucky Creek Ln, Dem ,NC 28037-Google Maps
r' 11. Turn right onto NC-73 W/Sam Furr Rd
8 Continue to follow NC-73 W
76 mi
r• 12. Turn right onto N Pilot Knob Rd
0.9 mi
r 13. Turn right onto NC-16 Business N
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1 min (0.5 mi)
r' 14. Turn right onto Cherry Point Dr
318
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8035 Lucky Creek Ln
Denver, NC 28037
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.
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'ERSONAUY APPEAREp BEFORE 1. t:5000 THAT InE SOUn CAIiF:
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—�.•ALLLOTS SUBJECT TO NEW 6dRlW AND SIDE LOT"C'MWC`5��, SUF'uJECT TO 20' DRAINAGE EASEMENT WHERE REQUIRE BY NC DOT //

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10/31/2019
8035 Lucky Creek Ln - Google Maps
&;a gl, Maps 8035 Lucky Creek Ln
Imagery ©2019 Google, Imagery ©2019 Maxar Technologies, Orbis Inc, U.S. Geological Survey, Map data ©2019 50 ft
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:
Owner:
-Print
Contractor/agent: (
Print
re
County: L-, ncol rl
u re
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, 10 Qk l e5--ecfyl= 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.
xSignature (owner): Date: O 3,Lk
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