20200063 Ver 1_Shoreline Stabilization_20200110

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r# State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR-401 & Buffer Permitting Branch DWR-401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street 0 nn�
Raleigh, NC 27699-1617 Raleigh, NC 27604 `./
A. Applicant Information [15A NCAC 02H .0502(a)1 J N 1 0 2020
1. Owner Information D
Name: i� u s
Mailing Address. h -Fi v
i11(rr he I
Telephone Number: 829- 381 343/o Fax Number:
E-mail Address:
2. Agent/ Contact Person Information
AP
RID
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
httP://www.saw.usace.army.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
Name: IOv% rte
Company Affiliation: MOW iVA 4 0elS 'fV( �"oV\ (7 HI'C_ of ine
Mailing Address: 1J1'� C,yrck
r G
Telephone Number: a - 0 Fax Number:
E-mail Address: 11APt„P�,COh ®Em6.!4MCI"
l, C one
B. 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, buildings, retaining walls, docks, impervious surfaces, 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.
FORM: SSGP 02-2017
Page 1 of 3
A

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: Lt I -a lJ h q COUrt El Nearest Town: H iA d rY
Lake/ river/ ocean adjacent to property: La lS e, Fj �'r LCr, r- y
Property size (acres):. y 6 0 AGIr ,S
Subdivision name or site address (include phase/lot number):
I _ 1 r ii n , (J a+IV ,A, )n t)
to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) �a%O$Longitude (decimldegree)' $ I. 309 1 S-y
S. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Pr- S,`dekl f,`A I
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): S 6a rG 1,'n L
C )& r ( R r'nr (e /a,l , JZ . n1 J
7. Will work be conducted from land? ❑ From water? I
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts
Temporary impacts in square feet:
D
backfill, rip rap, retaining walls, etc.) in square feet:
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
r.r6 eSF
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. 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): /✓a ( ev CIS 41 S e
11.
h-13-tq
proffer/q rft's Sig re- P15A NCAC 02H .0502(fll Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 12-1 41tk Avg. Pi iV W [ ' cu r� [q County: a+fi.W ba .
1-7
Owner:
Contractor/agent:
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
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 NQtification
I, Reoi r1a�oQ 1 r I�t�1�� hereby state that 1 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 B Rules the approved plan(s)� and specification(s), and other supporting
materials.
Signature (owner): Date: 11 /15 ;D1

12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/ Normal Water Level)
RIB R�
Full Pond/ Normal Water Level x So
I,
Shoreline
Re'�� J Sol
Plan View
Lake
�x wnwwNa.mil vnln leeq
Existing Dock
30h.)fi
3R.15011
BelwihYlpaN MM
FUII Pond/Normal WaterLwel
'��hore ine
RipraP
`:
neoe rm nary anti
2 h.. JWh.
aEEl�eaang
If
• II remsary
E AMP E
Plan View
FORM: SSGP 02-2017 Page 3 of 4

Lake lr
(At Full Pond/ Normal Water L ve
J`
W
Side View
Side
10 ft. bank
jnI,'t
a
c
0
a
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
'If necessary
Existing bank
FORM: SSGP 02-2017 Page 4 of 4

11/14/2019
1173 Shiloh Church Road, Hickory, NC to 121 49th Ave PI NW, Hickory, NC 28601 - Google Maps
Google Maps
1173 Shiloh Church Road, Hickory, NC to 121 49th Ave Drive 1.5 miles, 3 min
PI NW, Hickory, NC 28601
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1173 Shiloh Church Rd
Hickory, NC 28601
t 1. Head southwest on Shiloh Church Rd toward
Rosenbalm Ln
47
2.
Turn left onto Rink Dam Rd
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Turn right onto INC-1 27 S
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Turn right onto 1 st St NW
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Turn right onto 1 st St Ct NW
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Turn left onto 49th Ave PI NW
0 Destination will be on the left
121 49th Ave PI NW
Hickory, NC 28601
354 ft
0.2 mi
1.1 mi
390 ft
276 ft
322 ft
https:l/w .google.com/maps/dirll 1 73+Shiloh+Church+Road,+Hickory,+NC/1 21+49th+Ave+PI+NW,+Hickory,+NC+28601 /@35.8079182,-81.3137733... 1/2

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Parcel: 371515546311, 121 49TH AVE PL NW HICKORY, 28601
Owners: MOORE REGINALD G JR, MOORE CLAUDIA S
Owner Address: 121 49TH AVENUE PL NW
Values - Building(s): $378,600, Land: $160,400, Total: $539,000
This map/report product was prepared from the Catawba County, NC Geospatial Information Services, Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
11 /23/2019

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FROM THE DESK OF
GI NA JENKINS, REALTOR@
April 2, 2018
Gina Jenkins, Realtor&
Realty Executives of Hickory and Lake Norman
785 Hwy 70 SW
Hickory NC 28602
Dear Lake Shore neighbor,
My name is Gina Jenkins and I 'am a Realtor® with Realty Executives of Hickory. I represent a
buyer who is under contract to purchase the Colbert property located at 110 49th Ave PI NW,
Hickory NC 28601.
In researching this property, it appears that the strip of land to the right of this house that runs
from the corner intersection down to the lake is designated on the plat as a utility easement and
lake access for the Lake Shore Subdivision. Per the Covenants, Conditions and Restrictions of
the Lake Shore Subdivision, this is the only designated common area within the Lake Shore
neighborhood.
There is some concern regarding liability with this strip of land being privately owned. The
original Developer of the Lake Shore subdivision deeded ownership of this easement to the
Colberts through a non -warranty deed. This .23 acre parcel of land, has no taxable value, owes
no taxes to the City of Hickory or Catawba County, and due to the non -warranty deed status,
does not have the ability to carry title insurance. However, the owner of this easement parcel
alone, is required to maintain home owner's insurance on the easement should someone
become injured and is solely responsible for the maintenance and upkeep of this property,
which the sidewalk and the existing pier are both in need of immediate repair.
Over the next week, I plan to visit you personally to ask your thoughts regarding this easement.
My clients are proposing to keep this strip of land as a designated, privately owned utility
easement only, removing the neighborhood lake access verbiage for liability reasons.
The other option would be for the Lake Shore Subdivision to formally form a Home Owner's
Association and take over the liability and maintenance of this easement with annual _dues to
cover the costs of such maintenance, upkeep and insurances.
Please be thinking about this and your position as a home owner within the Lake Shore
Subdivision, as my client will be asking for your willingness to sign off on the lake access portion
of this easement moving forward.
Thank you for your time and consideration in this matter,
r, i
Gin&Jenkins, Realtor®
785 HWY 70 SW HICKORY, NC 28602 [phone]

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