20200953 Ver 1_Shoreline Stabilization_20200724

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/23/2020 1:32:32 PM (Submittal)
Approve by Montalvo, Sheri A 7/24/2020 10:23:24 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 7/23/2020 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.
Primary Contact Email *
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:*
[e-mail]
Rease provide an email address for payment and requests for more information here.
Lacy Hamilton
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
2152 Conner Cove Lane
Address Line 2
city
Denver
Fbstal / Zip Code
28037
r Yes
r No
Dean Fisher
State / Frovince / Region
NC
Country
United States
Lake Norman Custom Dock & Pile Driving, Inc
[e-mail]
[phone]
(xxx)xxx-xxxx

Mailing Address:* Street Address
PO Box 1439
Address Line 2
City
State / Province / Region
Denver
NC
Fbstal / Zip Code
Country
28037
US
Asigned and dated copyofthe Age nt Auth orizatio n letter:*
Agent Form Signed.pdf 20.86KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Hamilton shoreline
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.
C Upload File
a Lookup address
Upload Map: 5054 Wickford Ln - Google Maps.pdf 392.17KB
Latitude:* 35.555485 Longitude:*-81.002560
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*
plot plan.pdf 101.21KB
CatawbaRipFormSigned.pdf 23.77KB
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.)*
image0.jpeg 1.44MB
imagel.jpeg 1.39MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County:* Catawba
Lake/ river/ ocean adjacent to Norman
property:

Subdivisions name or site address:* 5054 Wickford Ln Denver NC 28037 / lot 123
Include phase/lot nunber
Directions to site:*
Head northwest on NC-16 Business N toward Prairie Trail. Turn right
onto Campground Rd. Turn left onto Catawba Burris Rd. Turn right onto
Bankhead Rd. Turn right onto Salleybrook Ln. Turn right onto Wickford
Ln.
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. Pro pertySize .700
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Demolition and removal of old wall to off -site location. Grading, clearing
and backfill along shoreline. Installation and delivery of approx 8x20ft
along shoreline for RipRap with fabric at culvert. Installation and delivery
of approx 16x11Oft along shoreline for RipRap with fabric.
8. How will the work be done?* I7 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 walls, etc.)
390 sq ft
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.)
1950 sq ft
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)
manicured lawn
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):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
a I have given true, accurate, and complete information on this form;
a 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")
a 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');
a I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND

o I intend to electronically sign and submit this form.
Full Name:* Dean Fisher
Signature:
o kw vin:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200953
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

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 123 PLAN NO. PARCEL ID: 460603434047
STREET ADDRESS: 5054 Wickford Ln, Denver NC 28037
Please print:
Property Owner: Lacy Hamilton j
Property Owner: M C:--A°C
The undersigned, registered property owners of the above noted property, do hereby authorize
Dean Fisher
(Contractor / Agent)
of Lake Norman Custom Dock & Pile Driving, Inc
(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):
2152 Conner Cove Ln, Denver NC 28037
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized nature Authorized Signature
Date: 16 7;'O� Date: -7 / k ( ko,

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LEGENDI
CURVE TABLE
PK NAIL FOUND I Id Radius
Are Length Chord
Ch Bear
A PK NAIL SET C1
200 77' f99.03'1
S 11
■ CONCRETE MONUMENT SET
LINE TABLE
• #4 REBAR SET
id Bearina
Distance
O # REBAR FOUND
L1 N 27"3946" W
65.4T i
m SAiNTARY SEWER MANHOLE
L2 N 27°3548" W
15.34' i
c POINT NOT
L3 N 25°00'00" W
39.76'
SET
L4 N 22°15W W
- — — — — — — - Boundary not surveyed
�A�— Tie Line (Not to Scale)
— -�
Right ofWay
NOTE LOT 122 CONTAINS t
0,7036ACRES+- v�
30,649.6900 SQ. FT +-
NOTE AREA BY COMPUTER
Joseph C. Roberts PLS L3580
424 Leland St.
Charlotte N.C. 28214
Telephone # [phone]
tv
=ho�
/Co,
2
6' oCONCRETE
YLINDER
.
i
761 CONTOUR
PER FIELD LOCATI N'�
LAKE LOT 123
MB 18 PG 359 �. RETEN
760 CONTOUR \
50' OFFSET LINE . \ WALL
\
WELL
SALLYBROOK LN ,
WICKFORD LN
VICINITY MAP
NOT TO SCALE
NOTE: WIDTH OF
ROAD RIGHT OF WAY PER MB 18 PG 359
NOTE BASE FLOOD ELEVATION IS 760.2'
FIRM PANEL #37104606000K PANEL 4606
DATUM NAD 88
ERROL L. ELEY
& CATHY M. ELEY
DEED BOOK 2066 PAGE 1117
LAKE LOT 125
PLAT BOOK 18 PAGE 339
.-760 CONTOUR
PER FIELD LOCATION
��`FLOATIN�
'\\ DOCK
LOT 159 SECTION 34
PLAT BOOK 16 PG 22
NANCY V. CONRAD
DEED BOOK 3034 PAGE 670
1, Joseph C. Roberts, certify that this plat was drawn under my
supervision from an actual survey made under my
supervision (deed description recorded in Book I922;
page r21' , ect) (other); that the boundaries not
surveyed are dearly indicated as drawn from
information found in Book page or
other reference source; j� P( ;
that the ratio of precision or positional accuracy is
1: 10,000; and that this map meets
the requirements of the Standards of Practice
for Land Surveying in North Carolina (21 NCAC
56. 1600)..")
This 18th day of May,201 .5 I
Professi r^r aid Surveyor L-358
LAKE NORMAN
BENCH MARK
/ SCRATCH MARK
ELEVATION 758.63
(PER LAKE LEVEL)
BOUNDARY SURVEY
OF
Iti
LAKE LOT 123 : MARKED DRAWING C.F. 34-0-2
PLAT BOOK 18 PAGE 359
BUYER'S: MARK HAMILTON & LACY HAMILTON
DEED BOOK 1922 PAGE 1273
LOCATION: MOUNTAIN CREEK TOWNSHIP,
CATAWBA COUNTY N.C_
SCALE 1" = 60' DATE OF SURVEY 5/16/2016
60 45 30 15 0 60 120

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Hamilton Shoreline / 5054 Wickford Ln Denver NC 28037
Owner: Lacy Hamilton
Print
Contractor/agent: Dean Fisher
Print
County: Catawba
X
ature ��/��
�/LG�L �L 2lGyi ,
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 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 and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 026.0243
(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 026.0243 (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
Lacy Hamilton , 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. A
Signature (owner):Date:%

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