20200728 Ver 1_Shoreline Stabilization_20200604

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/3/2020 1:32:06 PM (Submittal)
Approve by Montalvo, Sheri A 6/4/2020 11:48:29 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 6/3/2020 1:32 PM

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: *
Scott Tucker and Wendy Horne
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
168 Carlton Drive
Address Line 2
City
Mooresville
Fbstal / Zip Code
28117
Is there an agent working on the r Yes
project?* r No
Agent/Consultant Information
Name:* Janice Estep
Company Affiliation:* CBC Stone & Recycling, LLC
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
State / Frovince / Fegion
NC
Country
us

Mailing Address:*
Street Address
638 Oakridge Farm Hwy
Address Line 2
city
Mooresville
Postal / Zip Code
28115
Asigned and dated copy of the Agent Authorization letter:*
Auth. Form.pdf 201.53KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Tucker/Horne Property
State / Province / Region
North Carolina
Country
United States
If your project has a formal name please use this. If your project does not ha\,e a formal name, please identify your project by
the owner name and proposed activity (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
Upload Map: Plat.pdf
Vici n ity. pdf
buffer form.pdf
directions.pdf
Latitude:* 35.638499
582.27KB
1.65MB
363KB
228.82KB
Longitude:*-80.914746
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*
Site Plan.pdf 322.43KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.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.)*
Shoreline.pdf 3.95MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mooresville
County:* Iredell
Lake/ river/ ocean adjacent to Norman
property:

Subdivisions name or site address:* Crescent Resources Lot #201
Include phase/lot nunber
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Take NC-115 N, Cornelius Rd and Judas Rd to Fern Hill Rd in
Fallstown
16 min (8.3 mi)
Head west on E Center Ave toward Cedar St
0.2 mi
Turn right onto N Maple St
0.2 mi
Turn left onto E Iredell Ave
0.3 mi
Turn right onto NC-115 N/N Broad St
Continue to follow NC-115 N
2.1 mi
Turn left onto Connector Rd
0.8 mi
Continue onto Cornelius Rd
2.4 mi
Turn right onto Judas Rd
1.2 mi
Turn right onto Perth Rd
1.0 mi
Continue on Fern Hill Rd. Drive to Carlton Dr
4 min (2.3 mi)
Turn left onto Fern Hill Rd
2.0 mi
Turn right onto Riverbend Dr
0.1 mi
Slight right onto Carlton Dr
Partial restricted usage road
Destination will be on the right
0.3 mi
168 Carlton Dr
Mooresville, NC 28117
Rease include road narres and nur hers, landr arks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Residential, undeveloped, etc.
6. Property Size 0.76 acres
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Shape and slope, install matting and boulder rip rap for new
shoreline stabilization
8. How will the work be done?* V 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 w ails, etc.)
3' below (420sf)
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.)
1' above (140 sf)
10' x 50' access
corridor (500 sf
temp. impact)
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)
Grass buffer, no trees removed except for a few small trees
already fallen on immediate shoreline, minimal disturbance to
buffer
Sketch:
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):
$240.00 for impacts to lake (below normal water level) of less than 1 acre
$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");
o 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:* Janice Estep
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200728
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

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. _ aO I _ PLAN NO, PARCEL ID:
STREET ADDRESS: 16 8 r I- o n D.
ooresv l 1le Z S l I
Please print:
Property Owner: �3L'
Property Owner: � co-*`} 4Vr)�O"
The undersigned, registered property owners of the above noted property, do hereby authorize
of %10
1_L
(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):
Telephone; . =(o�
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
�jr Authorized�inate
Date: 5, Q&(
Aut orized Signature
Date:

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 6 a C OLCIAZA Om County.
Owner:
Pri
Contractor/agent:
Print
Signatu
nature
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(g)]
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), (S)]
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, 1 IJeryJ r ne 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 appr ed plan(s) and specification(s), and other supporting
materials. \1
Signature (owner): %j,�� r'�i ��� Date: 02 20

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Full Pond/
Normal Water Level
�ow�
Shoreline
Lake
(At Full Pond/Normal Water Level)
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Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such as 10 ft x 100 ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
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