20200834 Ver 1_Shoreline Stabilization_20200624

Owner. � VA
Print �Z%are
Comtractorlageot: ,rW
Print Signature
The. approval 'is 'ft the purpose and design descrbed 'in Yom aofitaaon. hwacm brrmmtd im z e
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A
NCAC 02H .0506 and- 15A1\TCAC 02B
Trees are not allowed to be removed from Zone 1 of 1he Buffer (within 30 R of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along .the in=ediate shoreline can be removed.
'i.'r^i_ f j}r sl.5:"?°'4�4`.,�'. ; c s-y S:�L.`-: ` ^� . `: e`_'tiu .o.. +'._' ��t u ` 4tr�'.rY+.' 'e r"i, qUWTC R A`f.
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. 115ANCAC 02B .0243
(6)]
Beaches, irnperviom patios, imapeMous walkwzys, ete. •= aot,aowed m the buffer unless specifically
approved by the Divisiom There are limitation on size for decks. [15ANCAC 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 15ANCAC 02B .0243 (4), (6),(8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructea stormwater
discbarga& must be at the nOn-& elm nod dkdhaM& pfim to =Wda. flk buffer &r=ttd as- ar
Sleet 434V $i 47Ft eF 35� V. V$-0 Te5 tip ii D-1ce .�� _IVQA Goa-va`zz fT tit
Acknowledgement of Nofif ication
�LA \!y � CLI ,hereby date 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
b5tibe Divzsian of Water Resources {1: WR), is a viola`don aud submit to fifareemeriL Due diligence will be
takensuchfhattne construction-wf'oebuitvti -suos=iiu—1 i t ce aud-inteu- oflhvAD Water Q1X !
ci 2_.0
�.. .t;
Signatzue (owner): Date:
JUN 2 4 2020
DENR TRANSPORTATION PERMITTING UNIT

State of North Carolina
Department of Environment and Natural Resources
Division of water Resources
15A NCAC 02H .0500 — water Quality Certification, Shoreline Stabilization
Division of Water Resources
FORM: SSGP 10-2013
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: ?pL4.1 Vo-rA W
J'hoo-,rc 5yiilc.r[e. 24117
Telephone Number: 5_2-1- Z15-(,543 Fax Num
E-mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59ldocs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHO
RIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: _TY'oy 194W. Pi
Company Affiliation:
9c A P;WdJ =AJC.
Mailing Address: I I `� Vo pk. Ar17r. 5LA; N
�O0 YY SJl Ite dC "1t7
Telephone Number: '?TO. 759-370 Fax Number:
E-mail Address: MAxvuel\h0vd3e-o►pr�segMA ,cork
Person to receive the Certification Approval: 7-1-0y
—-9--�—
Ill. Project Information [15A NCAC 02H .0502(a) & (b)
1. 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.
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
FORM: SSGP 10-2013 Page 1 of 3

construction access corridors. You may use the diagram provided at the end of this
application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted) ,/ 1
County: (dearest Town: _ � `�DoV-Csy:die.
Subdivision name or site address (include phase/lot number): ��� Sliev-ems �dy}—j
Directions to site -please include road names and numbers, landmarks, etc.: --7-- 77A/
4V 3 3� W o4 rp4w 40., 4_�-6,► 8r-^&✓l_.,
l awe V 4c%t Arre s 1j�f_ eov d r,r e
Latitude (in decimal degrees) ?• 5 Z/ 6, Longitude (decimal degrees) JC , V I
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Y-c-5,;A1e.-i-�-}'w
6. Property size (acres): !- 03
7. Lake/ river/ ocean adjacent to property:
8. Describe proposed work (include discussion/as to how hardening of shoreline has been
avoided, or why it is necessary): `j�il` a� ��►e p.-c� evosca�
9. Will work be conducted from land? rv7 From water? ❑
10. 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:
/4'�x3` _
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: / ff'� , x I
12. Please describe the vegetation above the normal pool lake level/ Normal Water Lev�and 50
feet landward to be impacted (number of trees, for instance): cl rA 55
rP
Owner/Agent's Signature* Printed Name Date
[ 5A NCAC 02H .0502if)l
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Lake
(At Full Pond/, Normal Water Level)
Full Pond/
Normal=tNater Level
Shoreline
Z0
f\Ge,-Q �5
Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such as 10 ff 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

eg Ni to 0113
BREN6 A D. BEII
^f G15'1 f a of OFf.DS
Line Bearing Distance
L1
S 77' 04' 55" W
140.UU
L2
N 77' 05' 45' E
60.07'
L3
5 83' 04' 05" W
45.18'
L4
N 41' 27' 45" E
82,37'
L5
N O7' 39' 35' E
48.89'
L6
N 20' 56' 45' E
24. 10'
1-7
N D2' 22' 50" W
92.22'
LB
N 20' 58' 45 E
22.98'
L9
N 11' 22' 15" W
60.94'
110
N 42' 35' 40' W
29.14'
Lit
N 29' 58' 00" W
20.59'
L 12
N 29' 58' CO- W
57.53'
L13
N 24. 52, 25" W
41,36'
L 14
S 87' 4400" W
46.5T
L 15
N 02' 16' 00' W
16.21'
L 16
S 32. 28' 00 E
62.18'
L 17
S 62" 47' 05" W
35.15'
L 1 8
5 75° 04' 55 W
38.08'
L 19
N 48' 12' 25" W
19.76'
L20
N 22' 38' 40" W
45.47'
L21
N 08. 19' 20" W
15.05'
02
N 39' 2R' 00" W
101.56'
L23
S 77' 05' 45" W
60.06'
L24
N 04' 28' 20" E
I I.27'
L25
N 77' 04' 55" E
51.43'
L26
N GS' 19' 20" W
19.63'
L27
N 05' 2B' 55' E
68.96'
L28
N 05' 2855' E
31.77'
L29
N 23' 32' 50" E
25,00'
L30
N 23' 32' 50' E
61.86'
L31
N 22' 11' 45" E
29.19,
L32
N 02' 53' 05" E
38.11'
L33
N 07' 01' 05' W
39.67'
L34
6'
S 04 220" W
55.09'
L35
N 00' 00' 15" W
39.41'
L36
N 14' 39' 40" E
107.85'
L37
N 11' 22, 10" W
26.01'
L38
N 78" 37' 50' E
60.00'
L39
S 04' 28' 20" W
34,46'
L40
N 11' 22' 10" W
40.00'
L41
N 21' 55' 55" W
63.63'
L42
N 19' 30' 15" E
18.16,
L43
N 10' 26, 00" W
22.89'
L44
N 77° 33' 10" E
134.56:
L45
S 77° 04' 55" W
51.43
L46
S 12° 55' 05" E
45.00'
L47
S 12' 55, 05" E
45.00'
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Curve Radius Chord Bearing and Distance
Cl
50.00,
N 41' 19' 20" E
25.76'
C2
25.00'
N 5144' 40" E
21.41,
C3
50.00'
N 71' 20' 50' E
26.04'
C4
50.GO'
S 61' 58' 00" E
52-31T
C5
50. CO.
S 12' 25' 00" W
67.93'
C6
50.06
N 78' 04' 35" E
26.70'
C7
50.00'
S 70' 02' 50" W
25.61'
C8
25.00'
N 77' 33' 10" W
21.41'
C9
50.00'
N 73' 39' 25 W
36.58'
C10
50.00'
N 03, 44' OS" W
91.59'
Ci l
25.00,
N 32' 47' 40" W
30.28'
C12
127.50'
N 40' 46' 40' E
150.98'
C13
50.00'
S 68' 47 15" E
30.32'
C14
SO'00'
S 23' 19' 55" E
46.65'
C15
172.50'
S 13' 12' 25" W
52.39'
C16
172.50
S 34' 17' 05" W
73'75'
C17
172.50
S 57' 53' 20' W
57.37'
C18
172.50'
S 73" 07' 00" W
23.m.
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L4 L A K E 35 1-33 3
Arc Length N O R M A N
26.06'
22.12'
26.35'
55.14'
h6 d°Q idJY. Ptw
74.69'
27.03'
25.90'
L26
72.12'
14
37.45'
32176.0 S.F.
115.76'
LEGEND
0.74 Aa
32.52'
0. EXISTING IRON
1 ,1.58
R
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30.81'
X 311fltl POINT -
No MAWER s�
48.53
■. 00MORM MARKER
52.59'
74.33'
67.61'
23.88'
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L 48 N 41' 27' 45" E 8.09'
L49 S 77' 04' 55' W 51.51'
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Sheet 1 of 2
100 60 0 1D0 200
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11290 Olde Cedar Ct, Davidson, NC 28036 to 114 Baybreeze Ct, Mooresville, NC 28117... Page 1 of 1
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