20201001 Ver 1_Shoreline Stabilization_20200805

Action History (UTC-05:00) Eastern Time (US &Canada)
Stixbmit by Anonymous User 8/4/2020 11:05:02 AM (Submittal)
Approve by Montalvo, Sheri A 8/5/2020 11:05:04 AM (Non -DOT -Approver)
• The task was assigned to Montalvo, Sheri A 8/4/2020 11:05 AM

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:*
porters @c arolin a. rr. c om
Rease provide an errail address for payrrent and requests for nnre inforrration here.
Stephanie Porter
porters @c arolin a. rr. c om
[phone]
(xxx)xxx-xxxx
Street Address
20618 Queensdale Drive
Address Line 2
�Y
Cornelius
R�stal /Zip Code
28031-6537
r Yes
l' No
Janice Estep
CBC Stone &Recycling, LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / FYovince /Region
NC
Country
US

Mailing Address:*
Street Address
638 Oakridge Farm Hwy
Address Line 2
Mooresville
Fbstal /Zip Code
28115
Asigned and dated copy of the Agent Authorization letter:*
Auth Form.pdf 205.52KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Porter Property
State / Rovince / F�gion
NC
Country
United States
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
C' Look up address
Upload Map: Survey.pdf
Vcinity Maps.pdf
Buffer Form.pdf
Directions.pdf
Latitude:* 35.540367
474.29KB
1.9MB
356.37KB
197.99KB
Longitude:*-80.883958
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 313.84I{B
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.)*
Shoreline Pics.pdf 1.83MB
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:* 133 Potomac Ln. Mooresville, NC 28117 Windsor Pointe Lot #3
hclude phase/lot nunber
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Head west on E Center Ave toward Cedar St
1 min (0.5 mi)
Turn left onto S Church St
1 min (0.4 mi)
Follow E Wilson Ave and US-21 S to Alcove Rd in Davidson
8 min (3.7 mi)
Turn right onto E Wilson Ave
1.5 mi
Turn left onto US-21 S
2.2 mi
Use the left lane to continue on Williamson Rd
387 ft
Take Templeton Rd and Camino Real Rd to Potomac Ln
4 min (2.1 mi)
Turn left onto Alcove Rd
0.5 mi
Turn right onto Templeton Rd
0.9 mi
Turn left onto Camino Real Rd
0.7 mi
Turn right onto Potomac Ln
302 ft
Potomac Ln
Mooresville, NC 28117
Rease include road nacres and nurrbers, landrrerl6 etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Undeveloped Lot
Residential, undeveloped, etc.
6. Property Size 0.581 ac,-c,
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Shape and slope shoreline. Install matting and install boulder rip rap in an
enhanced fashion for a new shoreline stabilization.
Install TN Crab Orchard steps.
8. How will the work be done?* r1 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 w alls, etc.)
3' below (567 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.)
1' above (189 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:*
(nurrber of trees, for instance)
undeveloped lot, 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):
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 certifythat:
o I have given true, accurate, and complete information on this form;
o 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")
o 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");
o 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:* JaniceEstep
Signature:
rf.�r �,ir�vfat i-n�ar rr»�t

Initial Review
Is this accepted into the review
process?
Project Number:* 20201001
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
C'Yesallo
Version:* 1
Alan Johnson:eads\adjohnsonl
Mooresville Regional Office - [phone]
(' No Payment Needed
l" Fee Received
C' Need Fee -send electronic notification
r $240.00
f $570.00

a��Nr AUTHor�zzAT�Q� Fa�r�
i�RCiPERiY I�GAL i3ESCRTPTIdh''
i.OT rvo. � 3 ��lv Igo, �ARCE� >�:
STREET ADDRESS:
Please print:
Property Owner: _ _ �p�.�' .._. ._..
property Owrler:
�i'1@ undErsigned, registerEd property owners Of the above rfQted property, d0 hereby allt�'iorlZE
tiJ ani C G S of C� � t p
,Contractor (Agent) {irlame of consulting firm}
to act on my behalf and take al3 actions necessary for the processing, issuance and acceptance of
this permit or cQrtiFcatian and any and all standard ar;d special conditions attaeited,
Property Owner's Address (if different Than property above):
� C 3$D
'Feiephone: �a�{ go2.8' gY�' S _._
''°:fie hereby certify the above inforr�iation submitted in this application is true and accurate to the
best of our knowledge.
I �'��
Authorized Signature Authorized Signature
late: 7(0� o2Q Date:

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As Recorded in:
Site Address:
1;3335 Old Statesville Road Ste. A
Ross A Porter. 3r. and
Map Book 69. Page l29 and
13� Potomac Lane
14iooresville, SIC 28117
Corliclius. ti.C.28J1S1
StE'�TFIc'l1lIC �. Porter
Deed 13ook 2610. Page ? l65
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
a$rr�
Project Name/address: C 1-1�1t onne vs t NG County: =r�d-eJl
i7wner: �+e !� � r r
Print ll Signatu�jrl�e ['�„
Contractor/agent: C� �`C�Y12 F ��s,_l1Cl � Ylfl . L�. t1�MAL`Q C 17� 0 1"l
Print
ore
The approval is for the purpose and design described in your app€ication. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the app€ication. [15A NCAC
02N .0506 and 1SA NCAC 02B .0243(8}]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation}, unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243{6J]
Benching, grading in the buffer is natal€owed. Excessive disturbance of ground cover. [15A NCAC 02B .4243 {6}]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless spec€fically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243{4} and (6}]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H A502 and 15A NCAC OZB .0243 {4}, {6}, {$}]
Stormwater cannot be piped or channeled far 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 f€ow at non -erosive velocities to the lake. [15A NCAC 026 .0243{5), (6}]
Acknowledgement of Noti�catian
I. __s_ZC _ � �__ ,hereby state that I have been informed of the Catawba
Riparian offer 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
fZuality Certification and Buffer Rules, the approved plan(sj and specification{s}, and other supporting
materials.
Signature (owner}: � _ . __ _� Date: 7 ag �

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�re.��:
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Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ftx 1OQ ftJ*:
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 fi11 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 Leve! elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

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