20200567 Ver 1_More Info Received_20200527

Strickland, Bev
From: Jill Mongene <[e-mail]>
Sent: Wednesday, May 27, 2020 9:44 AM
To: Perez, Douglas J
Subject: Re: [External] Re: 1420 Roundstone Rd.
Attachments: Dock May 27 2020jpg
®' T External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Try this one!
On Wed, May 27, 2020 at 9:22 AM Perez, Douglas J <doug_perezkncdenr.gov> wrote:
Hi Jill,
When I opened the file, it was blank and not filled out. Maybe it would be better if you print it out, fill it out and sign it,
and scan it back in to me.
Doug
From: Jill Mongene [mailto:[e-mail]]
Sent: Wednesday, May 27, 2020 9:11 AM
To: Perez, Douglas J <[e-mail]>; Joseph Keisling <[e-mail]>
Subject: Re: [External] Re: 1420 Roundstone Rd.
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Here is the completed version.
Jill

On Wed, May 27, 2020 at 8:09 AM Perez, Douglas J <doug_perezkncdenr.gov> wrote:
Hi Jill,
You're not the first person to have an issue with that file. I'm sorry for the inconvenience. I've attached a PDF version
and a word version. Let me know if neither work.
Doug
From: Jill Mongene [mailto:[e-mail]]
Sent: Wednesday, May 27, 2020 6:17 AM
To: Perez, Douglas J <[e-mail]>
Subject: [External] Re: 1420 Roundstone Rd.
• xternal email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Hi Mr. Perez,
I've tried for 2 days now to access and download this form. I've even tried conversion software and
there is something wrong with the file. Can you send it by PDF or scan a copy in and resend to me
so I can complete it today?
Jill
On Tue, May 26, 2020 at 11:56 AM Perez, Douglas J <doug_perezkncdenr.gov> wrote:
Hello,
I'm emailing you today about your shoreline stabilization application. It all looks good, however I will need
a Catawba Riparian Buffer Form from you. I contacted Terri, however he is out of town for a few weeks and
N

told me to contact you. If you could fill it out and send it back to me, I can finish the application and send it
up the chain.
Sincerely,
Doug Perez
D�W--R
Divh4on of Warr Resources
Doug Perez — Environmental Specialist
NC Dept. of Environment & Natural Resources (NCDENR)
Division of Water Resources - Water Quality Regional Operations
610 East Center Ave., Suite 301, Mooresville, NC 28115
Phone: [phone] Fax: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
111 manycnf Tosgk Kiij((ny]
ProJect Name/address: Ift �1404i lonel�W S%ILrY IIIJ rab �JCZW2 County: 1p 14WbQ,
owner: ^xII mil 011AlU19�v
Contractor/agent:
Signature
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 fit 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 028 .0243(6)1
Benching and 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)]
Acknowledgenrrennt��o/f Notification
I, 1I I mw `%] `'f w . hereby state that I have been informed of the Catawba
Riparian Buffer Rul . 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. '-'V `,/)%
Signature (owner): Date: �7 v