20200761 Ver 1_Shoreline Stabilization_20200611

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/9/2020 1:54:50 PM (Submittal)
Approve by Montalvo, Sheri A 6/11/2020 10:26:42 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 6/9/2020 1:55 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: * Robert Moffat
Email:* rwmoffat@aol. com
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* S
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Is there an agent working on the
project?*
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:
Email:*
Phone Number:*
Mailing Address:*
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Janice Estep
CBC Stone & Recycling, LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
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Asigned and dated copy of the Agent Authorization letter:*
Auth. Form.pdf 202.82KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Moffat Property
If your project has a formal name please use this. If your project does not have 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 have 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 553.96KB
Vicinity.pdf 1.55MB
Buffer Form.pdf 388.9KB
Directions.pdf 283.63 KB
Latitude:* 35.527076 Longitude:*
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 326.08KB
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.)*

Shoreline Pics.pdf 2.21MB
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:* The Point Lot # 87
Include phasetlot nunter
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Take NC-1100 to The Point Dr in Davidson
19 min (9.7 mi)
Head west on E Center Ave toward Cedar St
0.5 mi
Turn left onto S Church St
0.4 mi
Turn right onto E Wilson Ave
1.5 mi
Continue onto NC- 1100/Brawley School Rd
5.6 mi
Continue straight onto NC-1100
1.7 mi
Continue on The Point Dr. Take Vineyard Dr to Falmouth Rd
3 min (1.0 mi)
At the traffic circle, take the 3rd exit onto The Point Dr
0.3 mi
Turn left onto Meeting House Cir
0.1 mi
Turn left onto Vineyard Dr
0.4 mi
Turn left onto Falmouth Rd
Destination will be on the right
0.2 mi
167 Falmouth Rd
Mooresville, NC 28117
Rease include road nacres and nunters, landnarks 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 1.01
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Replace existing block wall with VA Fieldstone wall with cap. Install TN
Crab Orchard steps.
8. How will the work be done?* 17 From Land
V 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.)
3' below (537 sf)
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 w alls, etc.)
F above (191 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, 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");
• 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:
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Initial Review
Is this accepted into the review
process?*
Project Number:* 20200761
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 8 PLAN NO. PARCEL ID:
STREET ADDRESS: JLe:1 VL moo -Vi -Dr -
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Please print:
Property Owner: �-
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
TTOX�kce-of �1�(- ne. i 4`1 ecs1 Gl i ao.�L C
(Contractor / Agent) (Name of consuitino fir
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: a03 - 4-70 - rl't 81
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Sig/natu a r Authorized Signature
Date: / ���� __� Date:

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:_L63_ VaA mm*V 1�. iV1mr&,w_L11e.W_ a8111 County:
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Owner:
Print
Contractor/agent: (
Print
Signature -
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(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. 115A 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
4 :f26e- M[7Y� , 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): V "' Date: Iry
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sum 1510 East Cen a Awn e, 1ppresUll e. NC to 167 Faftroulh Rd, Mcormille, NC 26117- Google MOM
Go,; gle Maps 610 East Center Avenue, Mooresville, NC to 167 Falmouth Rd, Mooresville, NC28117 Drive 10,7 miles, 23 min
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610 E Center Ave
Mooresville,NC?81 15
Take NC-i 100 to The Point Dr in Davidson
19 min (9.7 rn)
t 1. Head west on E Center Ave toward Cedar St
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41 2. Turn left onto S Church St
r' 3. Turn fight onto F Wilson Ave
t 4. continue onto NC-1100/Brawley School Rd
t 5. continue straight onto NC -I 100
17nni
Continue on The Point Dr. Take Vineyard Dr to Falmouth Rd
3 min (1.0 r1l)
6. At the traffic circle, take the 3rd exit onto the Point
Dr
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*'1 7. Turn left onto Meeting HouseCir
0.1 MI
11 B. Turn left onto Vineyard Dr
0.4mi
41 9. Turn left onto Falmouth Rd
10 Destination w!ll be on the right
0.2 nni
167 Falmouth Rd
Mooresville, NO 28I 17
These directions are for planning purposes only
You may find that construction PrUjevts' traffic,
weather, or other events maycause conditions to
differ from the map results and you should plan
your route accordingly. You Must obey at signs or
notices regarding your route.
JrW IMp J5o8KZ3R_. 712

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Full Pond/
Normal Water Level
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Shoreline
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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 far 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
FORM: SSGP 10-2013 Page 3 of 3

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