20200264 Ver 1_Shoreline Stabilization_20200217

State of North Carolina
Department of Environment and Natural Resources
N_ I Ira 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
Karen Higgins
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Name:Spuf-hnq
Mailing Address:
Telephone Number: 9$b - Z82 - 9225 Fax Number:
E-mail Address: mare n b,T r l�l�ga�hn�-rY1o, �1 _ ['�
2. Agent/ Contact Person Information
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.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Compar
Mailing
(C [noceSv lke_ .PVC 2BI I�
Telephone Number: 76LA - U'nb -StI t Fax Number: ''IOTA' iflt_ol) - 5q U
E-mail Address: r nFo 1) C6c.3-ane_oLndr-e agcb nr . c.r,tm
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

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: 1_ rPripl! Nearest Town: —Meor C5v .1 i
Lake/ river/ ocean adjacent to property: laor nartn
Property size (acres): O • L9-1
Subdivision name or site address (include phase/lot number): or- Ln,
�oore��,tl talc 28! l� bo+ 4 221 Cc scPni land
Directions to site - please include road names and numbers, landmarks, etc.:
see n44nehoA
Latitude (in decimal degrees) 3��� Longitude (decimal degrees) • SU, g5�-1 3
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): den+►a
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
7. Will work be conducted from land? 01, From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Temporary impacts 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:
Temporary impacts (temporary clearing, construction corridor) in square feet:
lO X SO' MUSS Cam nr fir'� SF ±:gMn IMPae l
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): �t�55 beer
no ree5 remov ed MAf%*1 real d 15 } Q V-bance +0 r-
11. Signat
Own r/Agent's ignature' S NCAC 02H .0502 f Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

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)
—Doc,K
170' below
Full Pond/ Nor�IWa�� el
ho
Sreline S+�Ps ' � x ►-1b' abov e�
10
w 0f--
A h�vse_
C
C
Plan View s
s
Full Pond/ Normal Water Level
717oreone
2 h.x150ft.
additlonal deadng
if necessary
Plan View
Lake
(At Full Pond/ Normal Water level)
Riprap
Existing Dock
/30hx7ft
3hx150ft
Below full pond/ NWL
_ 4hx150h
Above full pond/ NWL
"wIL flinog[$
FORM: SSGP 02-2017 Page 3 of 4

belo
Abo
High v
J
La ke a�
(At Full Pond/ Normal W ter Level)
C
L
0
V)
0
Side ViewCL
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
if necessary
1C
Side Vi
FORM: SSGP 02-2017 Page 4 of 4

2/11/2020 610 East Center Avenue, Mooresville, NC to 105 Strawpocket Ln, Mooresville, NC 28117 - Google Maps
Go gle Maps 610 East Center Avenue, Mooresville, NC to 105 Drive 13.2 miles, 26 min
Strawpocket Ln, Mooresville, NC 28117
610 E Center Ave
Mooresville, NC 28115
t 1. Head south on Evergreen St toward E Center Ave
20 s (197 ft)
Take NC-1100 to Tuskarora Trail in Davidson
N 2. Turn right onto E Center Ave
41 3. Turn left onto S Church St
F* 4. Turn right onto E Wilson Ave
23 min (11.7 mi)
0.5 mi
0.4 mi
1.5 mi
t 5. Continue onto NC-1100/Brawley School Rd
5.6 mi
t 6. Continue straight onto NC-1100
1.7 mi
7. At the traffic circle, take the 2nd exit and stay on
NC-1100
2.0 mi
Follow Tuskarora Trail and Sunstede Dr to Strawpocket Ln
3 min (1.5 mi)
r 8. Turn right onto Tuskarora Trail
0.9 mi
r' 9. Turn right onto Sunstede Dr
0.5 mi
rr 10. Turn right onto Strawpocket Ln
41 Destination will be on the left
144 ft
105 Strawpocket Ln
Mooresville, NC 28117
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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'Olt A,,,�,FORNIUM , � 105 Strawpocket Lane
�; MAW BOOM
S" GommCRESCENT LAND & TIMBER CORP.
LAKE NORMAN
I i SECTION 6 — LOT 291
and ADJACENT WATERFRONT PARCEL
Davidson Township, Iredell County, NC
40 o ao so
PIN# 4614-64-8210 — DB 1109-981 — PB 34-32
Property of. Dale Ivan Gillis II
SCALE. 1' w 40' Survey for.- Barbara Spurling

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2/3/2020
105 Strawpoclet Ln - Google Maps
Go g!e Maps 105 Strawpocket Ln
Imagery @2020 Google, Imagery @2020 Maxar Technologies, Orbis Inc, U.S. Geological Survey, Map data @2020 50 ft
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:_ L bA tArm . %- Ise+ La. 03=ram es�il l i _ County: 1. t erle[1
Owner: r3 AlZbAgA A, 'D
Print Signat e
Contractor/agent: SRC._ %_in i s U na ► C' t� a ir.8
Print ionati'm
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 026.0243 (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. bWRA-Q t A • 5Ph QU Y 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: _ i FEU. x )o