20200379 Ver 1_Shoreline Stabilization_20200316

SAMPLE AGENT AUTHORIZATION FORM
PROPER -if LEGAL DESCRIPTION:
LOT NO. 9 -7 PLAN NO.
SiREE T ADDRESS:
Please print: c.
Property Owner: �✓
Property Owner:
PARCEL ID:
The undersigned, registered property owners of the above noted property, do hereby authorize
S. C ..So'x_, of
(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):
s
v on . fA A 1'4 //0
Telephone:. —�03 21-26
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authori Signature
Date: v
�'Avthorized S4nature
Date: �-9ao

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: ��CccD.e&�gts-' FI , 8 1la? o✓t"r r �� County:
Owner:
Contract
Print z)Ignaiure
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
1'� o 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:
� IZ
State of North Carolina I Environmental Quality ; Water Resources
512 N. Salisbury Street Ibll Hail Service Center Raleigh. NC 27699-1611
919.707.9000

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: 160 Cc.0n 6 a Lk&
Mailing Address: 3SS W Mt l( J�. 16lvk. uvi;-r //D 7
Cht,,r10He, , It�� aoa
Telephone Number: :227 - �V3' 125" Fax Number:
E-mail Address: kci a,n , �c'Loln co GVS kca "-"W.
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be
downloaded here:
h_ttp://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPL
E AGENT AUTHORIZATION FORM.pdf) must be attached if the Agent has signed
this application form.
Name: Ilfdvt,a f ,���n
Company Affiliation: �/Q u/SortS (1 i (c- �f� ✓; t C�v�StruC�«o�►
Mailing Address: ��$^OS "r-5-fct U.

Telephone Number: ;�03- 83 / - V31 (o Fax Number: L63 - 31-YYS-
E-mail Address: {'C (CLU-)_S
Person to receive the Certification Approval: 2o4JO'V Ca.Vs",t(__
• Project Information [15A NCAC 02H .0502(a) & (b)]
• 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.
• 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, and construction access corridors.
You may use the diagram provided at the end of this application form.
• Attach a photograph of the shoreline/ buffer proposed to be stabilized.
(Include a scale of some sort- a yard stick, shovel handle, etc.)
• Location of the property (where work is to be conducted)
County: Ga..st,-,_ Nearest Town: 25eJW7&.S1t�
Subdivision name or site address (include phase/lot number): A_
Sou-f 4 .S h " �2_- Zo f '2
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) 3S. /SG J S9 Longitude (decimal degrees)
-61, 03G9y3
• Describe the existing land use or condition of the site at the time of this
application (residential, undeveloped, etc.): F'e5'1d"4-ra J
• Property size (acres): . 76 gccr-S
• Lake/ river/ ocean adjacent to property: 1�ake% (air /;,`,e ,
K

Describe proposed work (include discussion as to how hardening of shoreline
has been avoided, or why it is necessary): o ! is 2Co j 441� aL
iVtc i'o /_L!_g (�/ls'i , eaVy iai 5 i ✓� Crlx 5-erQ �ij na-f -fP� <<
Th i _5 wo r k w, ( t V c v�
• Will work be conducted from land?Z" �-- From water?
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: 1/5- .s,2, f t•
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: moo. ft
L
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): oZ Sk),mll -t r<-r—s to 4`� , (��, dot/{ SS-rc 1 ; [ f'L�r� " %%v
04..r tl,_e-S h -cr-I -tb bc- cu7 ,4/14A{ r'cSt /s ✓rar6fYp
IJG1SIvcS '
LIV
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from the owner is provided.

PRicrosck Pc,-. : erPc!nt
J,
Home - Insert Design Anim bons Slide Shorn Renew 'Tiew Laser fiche
Paste New Reset _ _ ,L�,. �' [ V
.r Slide' Delete } - ._ _ - si 1 )
LRCL**oa o Sndes fort Parsgrspb
Lake
(At Full Pond/Normal Water Level)
G
.. 5k�
Slide cf; 'Office Theme'
Please approximately sketch the following information on this plan (provide
dimensions for each item, such as 10 ft x 100 ft) *:
• All proposed vegetation clearing
• Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level
elevation
• Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level
elevation
• Location of any proposed structures such as buildings, retaining walls, docks, etc.
• Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
rd

• Location of construction access corridors

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'CS

VICINITY MAP
Not To Scale
IMPERVIOUS SURFACE AREA
DESCRIPTION
AREA
HOUSE w/ PORCH
3,550 S.F.
PATIO/HVAC/MISC
9 S.F.
DRIVEWAY & WALKS
1,751 S.F.
TOTAL (ALLOWED)=
10,500 S.F.
LOT AREA =
1 33,033 S.F.
TOTAL (AS -BUILT)=
1 5,310 S.F.
NOTE:
1. BUILDER ASSUMES RESPONSIBILITY FOR GRADING LOT AND/OR DESIGNING
STEPS, PORCHES, DECKS, ETC. AS NECESSARY TO PREVENT ENCROACHMENT
INTO SETBACKS.
2. HOUSE DIMENSIONS AND OPTIONS SHOULD BE VERIFIED WITH CONTRACTOR
PRIOR TO CONSTRUCTION.
3. SETBACKS/ EASEMENTS SHOULD BE VERIFIED NTH DEVELOPER AND LOCAL
OFFICIALS PRIOR TO CONSTRUCTION.
4. THIS IS A CONCEPTUAL DRAWING AND CONTENTS SHOWN HEREON ARE
SUBJECT TO CHANGE UPON FINAL CONSTRUCTION.
LAKE WYLIE
DUKE ENERGY
PROJECT BOUNDARY
(ELEV=569.4 MSL)
i3OLLOWS PROPERTY LINE)
�FLO%
N FCOp P(
50' RIPARIAN_
BUFFER
LINE TABLE
LINE
LENGTH
BEARING
L7
3.69
N73'07'54'E
L2
2.61
S20'06'35'E
L3
16.67
7' 9'35'E
L4
16.40
S44 '
L5
13.30
S30'21'32'E
L6
26.48
S10'05'35'E
L7
9.59
S38'07'43'E
L8
5.70
S28-47.58-E
L91
21.001
N482 '59'W
CURVE TABLE
3.6' CURVE I BEARING CHORD
ILENGTH RADIUS
CIS4423'46E 89.09 89.17 625..
PUBLIC R/W — 778 �\
#245 CAPE AUGUST PL. REVISIONS
TAX ID225785
THIS DRAWING DOES NOT
REFLECT AS —BUILT INFORMATION
THIS PROPERTY MAY BE SUBJECT TO ANY AND ALL APPLICABLE DEED
AIMP
RESTRICTIONS, EASEMENTS, RIGHT-OF-WAY, UTILITIES AND
PRELM NARY PLAT
RESTRICTIVE COVENANTS WHICH MAY BE OF RECORD OR IMPLIED
FM RIBCORUUMN m4lWANCES, OR &[SS
60 ° 60
HOUSE LOCATION PLOT PLAN
SCALE: 1' = 60'
FOR
RASTOVER
LOT 2MCLEAN — SOUTH SHORE, MP 6
T North Carolina
South Poine Township, City of Belmont, Gaston County,
LAND SURVEYING COMPANY, PA
PROPERTY OF: PULTE HOMES
LAND SURVEYORS - PLANNERS (C-1833)
10430 PARK ROAD, SUITE p300
MAP BOOK 85 PAGE 117-118nEED REFERENCE
CHARLOTTE, NORTH CAROLINA 28210
PHONE [phone]
FAX [phone]
DRAWN BY: ERG
DATE: OCTOBER 11, 2019

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YOUR TRIP TO:
245 Cape August PI
13 MIN I 7.3 MI
Est. fuel cost: $0.63
Trip time based on traffic conditionv as of 1:45 PM on March 6,
2020. Current Traffic: Moderate
Print a full health report of your car with HUM
vehicle diagnostics [phone]
O1. Start out going northwest on Charlotte Hwy/SC-49 toward Blucher Cir.
Then 2.63 miles
2,63 total miles
2. Turn right onto Highway 274/SC-274.
Highway 274 is 0.1 miles past Latitude Ln.
Then 0.91 miles
3.53 total miles
3. Turn slight right onto Pole Branch Rd/SC-279 (Crossing into North Carolina).
Pole Branch Rd is 0.1 miles past Blue Rock Rd.
Then 1.92 miles
5.45 total miles
,r 4. Pole Branch Rd/SC-279 becomes S New Hope Rd/NC-279.
Then 0.92 miles
6.38 total miles
T5. Enter next roundabout and take the 1st exit onto Armstrong Rd/NC-273
Then 0.49 miles
6.86 total miles
6. Tom right onto Shimmnerlake Ln.
If you reach Commodore Ct you've done about 0.1 miles too far.
Then 0.21 miles
7.07 total miles
7. Tom right onto Cape August Pt.
Then 0.27 miles
7.34 total miles
®S. 245 Cape August Pl, Belmont, NC 28012-6768, 245 CAPE AUGUST PL is on
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the left.
Your destination is 0.1 miles past Cross Current Ln.
If you reach South Shore Dr you've pone a little too far.
Use of directions end maps is subted to our Terms of Um We don't guarantee accuracy, ro iae conditions or usability. You assume ail ri ek of use.
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