20200580 Ver 1_Shoreline Stabilization_20200430

Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Owner Information:
Name:*
Ted Park
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
8630 Hayden Way
Address Line 2
City
Concord
Wstal / Zip Code
28025-8601
Is there an agent working on the C
project? *
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Parks
State / Frovince / Pegion
NC
Country
US
If your project has a formal name please use this. If your project does not hake a formal name, please identify your project by
the owner name and proposed acti\ity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that ha\e been used to identify the project in the past.
1. Provide 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.*
r Upload File
r Lookup address

Property Address Lookup..*
Latitude:* 35.579368
Street Address
4099 Barbrick Street
Address Line 2
city
Sherrills Ford
Postal / Zip Code
28673-7708
State / Frovince / Region
NC
Country
us
Longitude:*-81.014428
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, and construction access corridors. You may use the
diagram under section 12.normal pool lake level/normal water level*
Parksdiagramforshoreline.pdf 700.68KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%2OLayout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a
yard stick, shovel handle, etc.)*
Ted Parksshorelinepics.pdf 769.93KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Sherrills Ford
County:* Catawba
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* 4099 Barbrick St Sherrills Ford, NC 28673
Include phase/lot nun ber
Directions to site:*
1.Head northwest on W McLelland Ave toward S Academy St 0.9
mi
2.13ear left onto NC-150 Pass Hess in 2.4 mi 11.0 mi, 20 min
3.Turn right onto Little Mountain Rd 0.3 mi
4.Turn left onto Static Way 463 ft
5.Turn right onto Barbrick St 0.2 mi
6.Arrive at Barbrick St The last intersection is Static Way
Arrive at 4099 Barbrick St, Sherrills Ford, NC 28673
Rease include road narres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Fbsidential, undeveloped, etc.
6. Property Size 0.850
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Stabilize eroding shoreline. Water is eating up the bankline (as
shown in pictures)

8. How will the work be done?* I7 From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
684 sq ft
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
228 sq ft
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunber of trees, for instance)
none
And all disturbed grass will be reseeded and strawed
Sketch: ParksSketch.pdf 1.09MB
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit this form.
Full Name:* Ted Park
Signature: R!
ra���'C

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200580
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
r Yes f No
Version:* 1
Alan Johnson:eads\adjohnson1
Mooresville Regional Office - [phone]
r No Payment Needed
f Fee Received
r Need Fee - send electronic notification
* $240.00
f $570.00

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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
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
La ke
i�� Full Pend/ Normal Water Level)
Full Pane/ Nor al V
hor line
2Zb' (a>,"5
Plan View
FORM: SSGP 02-2017
t-10 �. -NQ,
Page 1 of 3

1
ObUU11-1
1
bQ�dW
v
Lake
(fit FUII Pond/ Normal Water Level)
0
Side View
Lake
(At Fu!! Pond/Normal Wate L,,I)
Existing Dock
36fls7ft
1
3 F, zsa k
Full Por3H/ Normal Water Level eelnv Fn!I WO NWL
.. Shoreline, - rr.T Y_
i RiPraP u l aft. tsoR
i2 I- x ISO ft.
' if necessary 3 i
3
Plan View
L _ _ i
FORM: SSGP 02-2017
Page 2 of 3

i 3 ft. belnw f1A pond water level 4 ft. above frill pond water level 2 ft- additional cleating
"if necessary
Existing hank
fi
�f
10 ft. bank kf
height
QE'
R
Side Vi LEI
FORM. SSGP 02-2017
Page 3 of 3

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07�-- a Catawba county Geospatiai Real Estate Search
MAWING_ ITVING, B'ETrER. Information. Services
MV
61
\n�'
62
�3
N
W+E 1 in=100ft
s
Parcel: 460717110886, 4099 BARBRICK ST SHERRILLS FORD, 28673
Owners: PARK TED A,
Owner Address: 8630 HAYDEN WAY
Values - Building(s): $223,400, Land: $144,100, Total: $367,500
This maplreport 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 maplreport 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 maplreport product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
03/ 10/2020

%7� 0 catawba county Geospatial Real Estate Search
MAKING. tIVING. BITTER. Information Services
N
IN+E 1 in=100ft
s
Parcel: 460717110886, 4099 BARBRICK ST SHERRILLS FORD, 28673
Owners: PARK TED A,
Owner Address: 8630 HAYDEN WAY
Values - Building(s), $223,400, Land: $144,100, Total: $367,500
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 maplreport 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 maplreport product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
03/10/2020