20200955 Ver 1_Shoreline Stabilization_20200724

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/23/2020 2:17:20 PM (Submittal)
Approve by Montalvo, Sheri A 7/24/2020 10:35:52 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 7/23/2020 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.
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.
Lloyd and Monica Yates
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
1951 Harris Road
Address Line 2
city
Charlotte
Fbstal / Zip Code
28211-2149
r Yes
r No
Janice Estep
CBC Stone & Recycling, LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Frovince / Region
NC
Country
US

Mailing Address:*
Street Address
638 Oakridge Farm ITighway
Address Line 2
city
Mooresville
Fbstal / Zip Code
28115-7947
Asigned and dated copy of the Agent Authorization letter:*
Auth. Form.pdf 231.2KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Yates Property
State / Province / Fegion
NC
Country
US
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.*
F Upload File
r Lookup address
Upload Map: Survey.pdf
Vicinity Map.pdf
Buffer Form.pdf
Directions.pdf
Latitude:* 35.448868
396.09KB
2.2MB
369.93KB
302.71KB
Longitude:*-80.937929
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 366.75KB
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.)*
Shorehne.pdf 2.6MB
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: * 16409 Belle Isle Dr. Cornelius, NC 28031 Lot #51
Include phased nunber
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Take S Main St, NC-115 S, Langtree Rd, I-77 S/US-21 S, ... and Jetton
Rd to John Connor Rd in Cornelius
21 min (H.7 mi)
Head west on E Center Ave toward Cedar St
0.5 mi
Turn left onto S Church St
0.5 mi
Turn right onto College St
0.1 mi
Turn left onto S Main St
1.2 mi
Continue onto NC-115 S
2.1 mi
Turn right onto Langtree Rd
1.1 mi
Use the left 2 lanes to turn left onto the Interstate 77 S/US 21 S ramp
0.2 mi
Merge onto I-77 S/US-21 S
2.9 mi
Take exit 28 for US-21 S/Catawba Ave toward Lake Norman/Cornefius
0.2 mi
Keep right at the fork, follow signs for Lake Norman and merge onto W
Catawba Ave
1.1 mi
Turn right onto Jetton Rd
2.0 mi
Continue on John Connor Rd. Drive to Belle Isle Dr
6 min (2.1 mi)
Turn left onto John Connor Rd
1.1 mi
Turn right onto Belle Isle Dr
Destination will be on the right
1.0 mi
16409 Belle Isle Dr
Cornelius, NC 28031
Aease include road narres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*

Undeveloped
Fbsidential, undeveloped, etc.
6. Property Size 0.691
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Install fieldstone rip rap in front of and to the top of existing wood wall.
Install TN Crab Orchard steps.
8. How will the work be done? * PF 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.)
5' below (905 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 walls, etc.)
F above (181 sf)
10' x 50' access
corridor (500 sf of
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:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200955
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:
STREET ADDRESS, 16 qO 9 QQ�1� , 1,S le- b'-Ove.
Please print:
Property owner:._ �-f�yD 1`n. YA 1 9 r
Property Owner: ors �G la D, YA -TE—S
The undersigned, registered property owners of the above noted property, do hereby authonze
J-
am i C 6- �5 -ex� . m _ of cze 5-6 tic C.L4 no, L.1.-
(Cantractor 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 spedal conditions attached.
Property Owner's Address (i€ different than property above):
1951 L--Qr6 Raj C kar10tieT -AU-1 l
telephoneL2W
We hereby certify the above information submitted in this application is true and accurate to the
hest of our knowledge.
�-
Author ed 5ignature
Date; 61�,i

f cerilfy Met ihid map ,raa drone
tfaaA ar Mop Dad, de shown); tba
that the -H. of preala7on fa betb
North Carnwle (21 NCAC SQ.160q
ihh survey does flat hanaflt f A,
from on octud survey m
cvn^0.vad are In��usea m
�� nn.. mop mcdL^ the
Parcel is subject to Torn of Cornelius••••„
GR saning tandarde, /�•Z ��•(,
sotba shoo,n per MB 17-5b2.
Restrictldno recorded in aE 3903-43.
Parcel is subject to Pand'amg Easement
remrded in 08 354d-4a5.
PGA-01 ie located withfn the Lake Norman f r
Critrepi Area Watershed, and h subject to rFr , / ,try r i r✓ r� _
Wit-'Upan Area r Ws gars. Sea Town of Cornell- Land
C.do fur further IMarMetion en buiidiny
setboclo end Built -Upon Arm rddrictfann,
Boundary Data:
L-1: N 3800'0" W - 14.78`
L-2: N 42dl'D" W- 12.00' 1 r r✓ F` N RiV1 r'��' f �J r_✓ r
L-3: N 53d43'0- W- 18.78'
r
L-4: N 52tl27'53•' W - 10.40'
bi-k rem16m9 ww1Pc
f
i.PIPE found
N 26d37.0" w
52r 10' fa' (�
ssspervrefon (--f dvecrlPU- --,ded +n aced
ronnn,bn A, need tdooke and Nop Anoka w shorn;
aP i}w Standartla of PraMlde far road 9 ry,
LPIN found ( -LOT FJ 1 ^
( r(
50' take setbock
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'3
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(5 N a I aok _ d area - grave? d uvy
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l4 t1 tln�i �ot15E
LOT 50 3 "l
1 q 1
j
r LOT 52
semack
4 4 rea = 585 res
t 84 s.#.)
1
'l by coordinates
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LPIN found 1 r Utility Easement (CO 3903-43) -` I ' 0
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MIM found
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t
BELLE ISLE DRIVE
60' Public R/W
(formerly Torchlight Drive)
CDMKP NT 2041)
a• 5a• tab• ,�•
PHYSICAL SURVEY OF
LOT 51 of the LAKE NORMAN RECREATION LOTS Section 2
TOWN OF CORNELIUS, MECKLENBURG COUNTY, N.C.
Certifed to:
LLOYI7 YATES & MONTCA YATES'
Description Taken From Map Book 17, Page 552
Scale I" = 30' January 5, 2020
J. Martin Zoutewetle L-3498, Zootewelle Lond Surveyors, PC C-3764, 1123 Shadowbrook Lone, Chtiriatte, NC 28211 704--910-2329

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 14 4'0 1
Owner:
CP7-, �) E`n- YX 71fJ
Print
Contractor/agent: QIW .
Print
Dr,yt ) 6r'rladias rJc county: Mc U�_o&.r 9
ure
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. [15A 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
L-L,,YD M. YA-Trz g , 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): Date: 7 i 4 Zo 2 C�

GoJgle jape 610 East Center Avenue, Mooresville, NC to 16409 Belle Isle Dr, Cornelius, NC 28031 Drive 73.8 miles, 27 min
nr
i-
_ - � cuosims
y
�� ncnewnv
Go gie
MapduMO2020 2miL�
610 E Center Ave
Moore&vine, NC 28115
Take S Main St, NC-115 S, Langtree Rd,1-77 S/US-21 S,...
and Jetton Rd to John Connor Rd in Cornelius
21 min (11.7 mi)
t 1. Head west on h Center Ave toward Cedar St
0.5 and
'1
2. Turn left onto S Church St
o, s mi
P'
3. Turn right onto College St
C.1 rri
'l
4. Turn left onto SMain Si
t
L2 ml
5 Continue onto NC-115 S
27 mi
f'
6. Turn right onto LanglreeRd
mi
T Usethe left 2 lanes to turn left ontothe Interstate
77 S/US 21 S ramp
C,2 rtri
B. Merge onto 1-77 S/US-21 S
2-4 mi
/'
9. Take exit 28 for US 21 S/Catawba Avetoward
Lake Norman/Cornelius
C2m!
10. Keep right at the fork, follow signs for Lake
Norman and merge onto IN Catawba Ave
1.1 mi
F*
11. Turn right onto Jetlon Rd
20 mi
Continue on John Connor Rd. Drive to Belle Isle Dr
omn(2,1 m)
'1
12. Turn left onto John Connor Rd
1.1 mi
T
13. 'urn right onto Belle Isle Dr
9 0esHnafion v41 6e an the right
1.0 mi
16409 Belle Isle Dr
Cornelius,
NC 28031

Full Pond/
Normal Water Level
Shoreline
Lake
(At Pull .Pond/ Normal Water Level)
1 ' abbe c X l8l � �.
u ndevelo?e.d
l of
N,o -E-rcet cernwed
m in'. mG4 dl.5kvrbance+
-0 b00r-e r
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 wails, 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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