HomeMy WebLinkAbout20191714 Ver 1_Shoreline Stabilization_20191213AGENT AUTHORIZATION FORM N" 4
PROPERTY LEGAL DESCRIPTION: �10
LOT NO. 225 PLAN NO. PARCEL ID: 4637336206
STREET ADDRESS: 432 Oak Tree Road, Mooresville, NC 28117
Please print:
Property Owner
Property Owner
Aei:oV
j Is
0Fc */OwR
1v
The undersigned, registered property owners of the above noted property, do hereby authorize
Beth Mosteller of Dale & Beth's Lake Use Permit Service
(Contractor / Agent) (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: 336-314-1793
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
11� r1Z —
a
Authorized SignatLW
Date: �a�lo� lal
Authorized Signature
Date:
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:
Owner: David C & Barbara B Smith
Print Sig ture
Contractor/agent: Beth Mosteller 291Aa.,,.,
Print Signature
Iredell
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. 115A NCAC 02H .0502 and 15A NCAC 028 .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, David C & Barbara B Smith , 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 m nt of the 401 Water Quality Certification and
Buffer Rules, the approved n(s) pd�sp�cifisation(s , and�r supporting materials.
Signature (owner): ,�i--� ��� ef�� Date: I A -16 1 7
State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 30-2013
Shoreline Stabilization Application Form
Three copies 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: David C & Barbara B Smith
Mailing Address: 432 Oak Tree Road
Mooresville, NC 28117
Telephone Number: 336-314-1793 Fax Number:
E-mail Address: dcsmith4321@gmail.com
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/S9/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
CRIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Beth Mosteller
Company Affiliation: Dale & Beth Lake Use Permit Service
Mailing Address: 988 Clear Creek Circle
Lincolnton, NC 28092
Telephone Number: 704-996-3245 Fax Number:
E-mail Address: sbmosteller@icloud.com
Person to receive the Certification Approval: Beth Mosteller
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,
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 the property (where work is to be conducted)
County:lredell Nearest Town: Mooresville
Subdivision name or site address (include phase/lot number): 225
Directions to site - please include road names and numbers, landmarks, etc.:
see attached
Latitude (in decimal degrees) 35.585100 Longitude (decimal degrees)-80.905070
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): residential
6. Property size (acres): 0.66
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Due to wave action.
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: 155.61
along shoreline
11. 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: 155.61 along shoreline
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): grass -fescue
ka_fqaJ&iA, Beth Mosteller
Owner/Agent's Signature* Printed Name Date
[15A NCAC 02H .0502(f)l
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3
Lake
(At Full Pond/Normal Water Level)
0000000000000000000000000000000000000000
0000000000000000000000000000000000000000
Full Pond/ 0000000000000000000000000000000000000000
e ►Lei 0000000000000000000000000000000000000000
Norma�NL
Shoreline7'00600oo000000000000000000000000000000000
155.61' to follow contour of shoreline,
one foot above full pond,
and 3-4 feet below full pond
David C & Barbara B Smith
432 Oak Tree Road, Mooresville, NC 28117
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
FORM: SSGP 10-2013 Page 3 of 3
David C & Barbara B Smith
432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith4321@gmail.com
PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070
Plat Book 55 Page 22, Lot 225
David C & Barbara B Smith
432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith432l,@gmail.com
PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070
Plat Book 55 Page 22, Lot 225
Shoreline Stabilization — redo has existing dock
a
,R
g
,a.
t � s
4p
David C & Barbara B Smith
432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith4321@gmail.com
PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070
Plat Book 55 Page 22, Lot 225
Shoreline Stabilization — redo has existing dock
316ar tlY - W011l .Vt - lE W6Y1 .v/C -O
OLfM SY wM pI1660 -•
lE OMNIOn A -•
NM a/,6
PoPV � WV o I° •.a�M VAv lw s0 �l-l4rY lid � +OM J�..�9M W CNN Ptl ro
•1Y IOIMw N N 4+.vlb•� 1° N••-� N I.1/ rV r./ l•�A
ra a J�w.a'o dN-•°L Nv aY•Yrl►�JZ7J�R�t
wro ro —ft 9ms0
Y•NL•_M ro
Ap w+—•°•✓ ^—pN v rbaa3 N••N Lr-•1 ro �•v
ro �JM•Y rN /° aF w M nr� l!W w.av J•o 1p Nw
� � M•.^w.V�.N A � M w /•Yo.J•
a/ao aW4 a+N s�+rro �•w J•w
t Ob •J6.41 NI4v 10t/ J /MfiF
NFM la•x • ro ••Jdnw M•d-w •n
—MV ^�-••N) NaM M N
•p mMJM [N wrX.o•NN�NMV N
� •N ro N/v0 •M-dw •{0 N �/A •W
'-'Ir6)�m �.0 u +sYs� nW v dr+ru wwn
a�w• •w�.N•• rw w ro...xm+wa ro r.a6.-w NY
'y�bbJ Lai' ••� JNr - t .on..s rwr/�t�p�•/..*wwv��w
cwJN p��w w�ilp�
4ww .a w IN wr n. urn s� M .wo./wr
W �C
/,tlM ADS gw.�'
a'doa Gel,,
\
L33d 0, - MNI l Sl StMVN0 !0 37v3S
rasuN t�mfi 3W se.N arr s®° anrmnuY
do O OZ OY
root Y L3• ssv6 wL ZJO Loot°-Cu°R ml °°DV A9 �J°I6at>a
01
W v3W OWZVN 000E Y MNW II110N 5b0 AlYbOW 0131Y(6 31Y 9
LMYt !D 6IDWd ID IDWI OMIiW W O Ai.M6 v A A !l'V SIILL Y
aIiWLStO 0WM10 N1wtIYDM 3YY SLWY61011Y t
awuvLtwJ6o uvMmoo3 Ae mMi6NtM svLw
LMull uaJumLr Sur 5nam A6 oss6N'0Y 3sYum ,t
-SSLON
/
6S OWA lwY1 NNOMN
mw A9 :WA W3tl MMMN
/ / \
Al mtA 3M6 110111MN
/ �
AlYldOYd A A6°t MNLLM 6LN]IVYI011 600N OM
.I
a66L 'WMW a aura=,U
%
666t 'AWIYM SL 036M]tl - MI'L66 w Zt aura A m
69L - v3w W=
/
�0J016J/001
6901 Td OLSLXa330A3M130 T NYPw A30M T
'Jrvm .S/6
\ \ Og1603
\
ev
\
li�C fLML \
\
WN-cc-LEW Md
BStt 'Od 69LL ')IB 03311 /
\\\Pw
vWawa HIM /
I` •4
�OiAYO
2a
/
1� 9LZL 'Od BZOL 'MB 0330
\\ /
-• - 1 IN 7 v161lllvd
PUD IMtl.30 YI lu3BOM
V
9R 101
1
6WYMI ^t/l
1
eMtsm
ZZ°° CJCJ1°
J• t w:e m•u•,W�IWW.
����eomom®m�m0�i
LYE[ ,tILL M Al ,Cl m S ,W'01Z U
MMst •+I �1•M Wo °Ww•8 iM •N°•Y ••+G
A611 3 ^W
,S" 3 •LS ,er .SC S L1
.+�m•M 6w••a •m
NVWMON
3HH'l
Vf -0 -0 -A
p °,-' z N
m.o a,O
7 O V X-
03 N m
N q Ql 0
im M N Q-
'+ N S
O :V O Z
O �• O
rh
A N N m
0 L,Ln
�.
U7
N F-3 z
m n
X. N
00
3 O- FA
a D
A d S
O 0
r w
e••t N
O-
M FY
N l0
Ln
L W
N m
N 3
0
O
Q
O fA
0'0 A 3
: 1M
S
C W
O N
O QQ
O �
Ln OI
00
a
v
CL
nn(3ZL
20
W
ni
cr
N
01
W
N
S
David C & Barbara B Smith
432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith4321@gmail.com
PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070
Plat Book 55 Page 22, Lot 225
Shoreline Stabilization — redo has existing dock
a x
. pN.wo s�an.�m-tw.n.��va.+..�m,_ >b�w •nu un,. x..�uNs. uwuwwespa ®-®- "-�••R.•swN-'°°". p-wDa� ,
. U30<l irNRo.O� nib cs � �..n
��v LLL��v LLL 3
3amin (z9.9miles) 17 < 8S
k-1iW14, °
�.
sacscl..mb E �' - n r7 r
Fd l]]N Ia NC-IM&B S/MJ RE in '.on••...• J ..
gryacn. tnk«vY 95M1cm l]]N 4"^*•• .•.. •. n51 mn [an.oia ...
> Tl wNC-ttCN&m1<Y `�I iRE �o ��M,Oak '•'•• .v.• CU
TN PJ in Mcaesn& -' sva.
"2()&TF RE
'rsaevrce.enas..awtv:, d: <e mm
yr .... 0
ema�mou.++m!c.xavv vs
rnvwauroronme'rqun .
me^T rwwMswvovaeanW^rvwpss.-G rve .. s....�
no
David C & Barbara B Smith
432 Oak Tree Road, Mooresville, NC 28117, Phone 336-314-1793, Email dcsmith4321@gmail.com
PIN 4637336206, Shoreline 155.61', Land Area 0.66, Latitude 35.585100, Longitude-80.905070
Plat Book 55 Page 22, Lot 225
Shoreline Stabilization — redo has existing dock
Get Latitude and Longitude
Latitude and Longitude are the units that represent the coordinates at geographic co
place, city, state, or address, or click the location on the map to find lat long coordin
Place Name
432 Oak Tree Road, Mooresville, NC
Add the country code for better results. Ex London, UK
Latitude
Longitude
35.585100-80.905070