20200876 Ver 1_Shoreline Stabilization_20200706

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/5/2020 2:17:34 PM (Submittal)
Approve by Montalvo, Sheri A 7/6/2020 11:44:41 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 7/5/2020 2:17 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:*
Email:
Phone Number:*
Mailing Address:*
Is there an agent working on the
project? *
Agent/Consultant Information
......................................................................................................
Name:*
Company Affiliation:*
Email:
Phone Number:*
Julian Hacker
[e-mail]
[phone]
(xxx)xxx-xxxx
Address
16418 Pinwhenny Road
Address Line 2
City
Cornelius
Postal / Zip Code
28031-7697
C Ye:
fJ No
Donna P Hrko
State / Province / Region
NC
Country
US
Lancaster Custom Dock and Lift Systems Inc.
[e-mail]
[phone]
(xxx)xxx-xxxx

Mailing Address:*
Street Address
1156 Perth Road
Address Line 2
city
Troutman
Fbstal / Zip Code
28166-8640
Asigned and dated copyof the Agent Authorization letter:*
Hacker Agent Authorization and Catawba
448.64KB
Riparian Buffer Notification Form.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 021-11.0502(a) & (b)]
Project Name:* Hacker Shoreline Repair
State / Province / Fegion
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 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.*
f Upload File
r Lookup address
Property Address Lookup:*
Latitude:* 35.462238
Street Address
16418 Pinwhenny Road
Address Line 2
city
Cornelius
Fbstal / Zip Code
28031-7697
State / Province / Fegion
NC
Country
US
Longitude:*-80.933604
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*
Hacker Site Plan Survey and County GIS.pdf 1002.99KB
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.)*
Hacker Photographs.pdf 652.81KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Cornelius
County:* Mecklenburg

Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* 16418 Pinwhenny Drive Cornelius, NC 28031, Lot # 1 The Minor
Subdivision
Include phasellot nunber
Directions to site:*
From 1-77 SB, Take Exit 28, Right on West Catawba Ave., Right on
Jetton Rd., Left on Harbor Light B1vd,Left Yawl Rd,
Right on Green Dolphin Road. Green Dolphin turns into Pinwhenny Road.
Property is on the left.
Rease include road naves and nunbers, 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 .689 Acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Straighten stacked stone seawall and fill in cracks from muskrat
infestation. Remove ornamental plantings, spread gravel and place seawall
caps.
8. How will the work be done? * I7 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.)
approx. 630 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, backfill, excavation, rip rap, retaining walls, etc.)
approx. 604 sf
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)
The small ornamental grasses and shrubs currently on the top of the wall
on the lake side of the fencing will be removed. See previously uploaded
photographs.
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:* Donna P Hrko
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200876
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: 1 PLAN NO: PARCEL ID: 00107157

STREET ADDRESS:
16418 Pinwhenny Road
Cornelius, NC 28031
Please print:
Property Owner: Julian Hacker
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
Donna P. Hrko , of Lancaster Custom Dock and Lift Systems Inc.
(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 Owners Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate tothe
best of, our knowlOge.

Authorized Signature Authorl.ze Signature
Julian Hacker

Date 7/3/2020 Date
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address; liar _14 ex-ii?/rCountY: Ke g 1.1/ ow/le/pi Rd ZS OS
Owner:
Print
Contractor/agent:
Prin Sign. ure
The approval is fo? 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 0213 .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 028 .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 0211 .0502 and 1SA 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
1, 1-4(1( 11-)e , 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 Rulesa the approved p1an(s) and specification(s), and other supporting
materials.
Date: I-1 .3 -70ZO Signature (owner):
Lake
At Full Pond/ Normal Water Level)

Existing Dock
/30 ftx7 ft

00.000000000.,01.41 .M.EMMI.nn•n111,40.1•nn•nn1104
Full Pond/ Normal Water Level
"UrireTnr
2 ft, 150 ft
additional clearing
• If necessary
3 ft x 150 ft
Below full pond/ NM.
me on
4 ftx 150ft
Move full pond/ NM.
E AMPLE
Plan View
12. 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
Lake
(At Full Pond/ Normal Water Level)

;54i 5e-cLN"cA. )0 cepa'
am ma 3ms MN MI
104X Co-z(0304 Approx..
Full Pond/ Normal Water Level
Shoreline

..110111fooPit INI11111110

NMI

Plan View
FORM: SSGP 02-2017 Page 3 of 4
a)
Side View
2 ft. additional clearing
if necessary 3 ft. below full pond water level 4 ft. above full pond water level
AMPLE
Existing bank
<2s
10 ft. bank
height
Side Vi
Lake
(At Full Pond/ Normal Water Level)
U
)5zr?t'C.Dirfe trj-jd-r
o'°'-c)he51 )c n -\°19e
11-2 ‘1)116<
FORM: SSGP 02-2017
Page 4 of 4
4
c:2- 7 /
//
FENCE
LANDSCAPE IRRIGATON AND 1
FINDING BAWD:NANCE
EASEBEN1S PER D.B. 25158-22 ‘
604
‘../
TO SERVE THE ROBERT J. w12
, 4
NOTES:
1. NO NCGS MONUMENT FOUND
WITHIN 2000'.
2. PROPERTY MAY BE SUBJECT
TO OTHER COVENANTS,
RESTRICTIONS, EASEMENTS OR
RIGHTS-OF-WAY THAT MAY BE
OF RECORD.
3. ALL DISTANCES SHOWN ARE
SURFACE HORIZONTAL DISTANCES.
4. IRON PINS FOUND OR SET AT
ALL PROPERTY CORNERS UNLESS
OTHERWISE NOTED.
5. ALL AREAS SHOWN HEREON
WERE COMPUTED USING THE
COORDINATE COMPUTATION
METHOD.
6. MAP REFERENCES - DEED
800K 26786 PG.342
PLAT BOOK 52 PG. 9
7. SETBACKS SHOWN ARE PER
MB. 52, PG. 9.
AD..ONER'S
ALUMNI-RA FENCE PIN: 001- 071-70
aaNNE Re.B.LuNP:OPPGERZEzS
ADANNER'S
ALUMINUM FENCE
CROSSES UNE
38.TX 1.3' AND
CONNECTS 70 SUBJECTS
PROPER1Y
LANDSCAPE IRRIGATION AND
FD1ONG BAINTENANCE
EA-430M PER D 23158-22
TO SERVE IRE ROBERT LUTZ
PROPERTY
CURVE TABLE
CURVE LENGTH RADIUS CHORD CHORD BRG
C1 32.96 125.00 32.87 N51'00 .16"E
C2 40.50 125.00 40.33 967'50'28"E
0. M.B. 52, PG. 9 DARYZ W. LONG. P.L.S.
18335 OLD STATESVILLE ROAD
SUITE A
CORNELIUS, N.C. 28031
[phone]
(,\J
11051SF DETAIN.
8. LOT 1 TOTAL SITE AREA IS
30,002 SQ. FT. OR 0.689 ACRES.
9. PORTION OF SUBJECT
PROPERTY IS LOCATED WITHIN A
SPECIAL FLOOD HAZARD AREA
ACCORDING TO FEMA FLOOD
INSURANCE RATE MAP - PANEL
0710462200K; EFFECTIVE DATE:
3/02/2009.
10. FLOOD ZONES DEPICTED
HEREIN WERE NOT FIELD LOCATED
BY PPS AND ARE SHOWN USING
INFORMATION FROM FEMA PANEL
#3710462200K, DATED
03/02/2009, AND ALSO USING
INFORMATION PROVIDED BY
MECKLENBURG COUNTY
FLOOOZONE MAPPING.
11. THE FLOOD MAPS ARE
SUBJECT TO CHANGE WHEN FLOOD
INSURANCE RATE MAPS (FIRM's)
ARE UPDATED AND ADOPTED BY
THE FEDERAL EMERGENCY
MANAGEMENT AGENCY (FEMA).
THESE CHANGES SUPERCEDE THE
RECORDED PLAT.
12. CONSULT WITH GOVERNING
AGENCY FOR PREVAIUNG LAND
DEVELOPMENT AND ZONING
REQUIREMENTS PRIOR TO DESIGN
OR CONSTRUCTION OF ANY
IMPROVEMENTS.
Graphic Scale
50 25 0 50
Scale of Drawing I Inch - 50 Feet
Pik 001 -071 -58
LEAN W ENSOR
0.13. 19070 PC. 448
UNE TABLE
UNE LENGTH BEARING
LI 34.77 S03 .50106"E
L2 22.24 548'45 1 56"E
L3 10.06 50318'10'W
L4 10.77 S43113156'W
L5 14.71 S40'38 .56"W
L6 4.05 S37 101 153'W
L7 8.00 S36'23'28 .W
LB 50.77 $32 121'16"W
L9 13.35 N50•01 .16 -W
L10 23.57 534129 1 18'W
)1/4 D., .,0-
TT:112.m , 4,0 ,v-
(9
LEGEND:
5/8' REBAR FOUND
#4 REBAR SET
COMPUTED POINT
MAC NAIL FOUND
WELL (WATER)
SUBJECT PROPERTY UNE
ADJOINER PROPERTY UNE
BUILDING SETBACK
FENCE UNE
Co n trek,
NJ...N FENCE
LAKE
NORMAN
O
OO •
A
Physical Survey of LOT 1 OF THE MINOR SUBDIVISION FOR JEAN GUESS
_ Property 'ql Professional
Surveyors, Inc.
18335 Old Statesville Road Ste. A
Cornelius, N.C. 28031
704-765 -5134 Phone/Fax
Finn License: C-3666
Property of: As Recorded in:
MB. 52 PG. 9
DB. 26786 PG. 342
Site Address:
16418 PINWHENNY ROAD
CORNELIUS, NC 28031
MECKLENBURG COUNTY
072516-04 1 DWUJEC I
a 1:10.000 1 1"--50' 001-071-57 MANUEL 16418 1 of I 07/29116
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\ Job No.

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Polaris 3G Map — Mecklenburg County, North Carolina
Date Printed: 6/5/2020 8:
6/5/2020
IMG_5225.jpg
hops://mail .google.comimail/u/Oitinbox/FMfcgxwHNghBHZIINGTwrizPWmIkXZw0W?projector=1 1/1
6/5/2020
IMG_5224jpg
https://mail .google.com/mail/u/0/#inbox/FMfcgxwHNghBHZhNGTwpzPWmIkXZwt1W?projector=1
1 / I
JULIAN HACKER
Write a description for your map.
Legend
16418 Pinwhenny Rd
=WI