20201022 Ver 1_Shoreline Stabilization_20200810

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/7/2020 2:41:24 PM (Submittal)
Approve by Montalvo, Sheri A 8/10/2020 10:09:25 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 8/7/2020 2:41 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:*
heather_ a_ [e-mail]
Rease provide an email address for payment and requests for pore information here.
Ross Majewski
heather a [e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
2815 Idlewood Circle
Address Line 2
city
Charlotte
Fbstal / Zip Code
28209-1409
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 Hwy
Address Line 2
city
Mooresville
Fbstal / Zip Code
28115
Asigned and dated copy of the Agent Authorization letter:*
Auth Form.pdf 223.98KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Majewski Property
State / Province / Pegion
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
r Lookup address
Upload Map: Survey.pdf
Vicinity Map.pdf
Buffer Form.pdf
Directions.pdf
Latitude:* 35.343687
529.14KB
2.31MB
364.01KB
240.93KB
Longitude:*-80.922043
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 320.97KB
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 2.68MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Charlotte
County:* Mecklenburg
Lake/ river/ ocean adjacent to Norman
property:

Subdivisions name or site address:* 11900 Mountain Crest Cit. Charlotte, NC 28216 PID# 02316446 Lot #82
hclude phaseAot nunber
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Get on I-77 S/US-21 S in Davidson from S Main St, NC-115 S and
Langtree Rd
12 min (5.7 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 to merge onto I-77 S/US-21 S
0.2 mi
Continue on I-77 S to 11, Long Creek. Take exit 18 from 1-485 Outer
15 min (16.2 mi)
Merge onto I-77 S/US-21 S
Continue to follow I-77 S
11.1 mi
Use the right 2 lanes to take exit 1913-A toward I-85 S/Pineville
1.1 mi
Merge onto I-485 Outer
3.7 mi
Take exit 18 for Oakdale Rd
0.2 mi
Follow Mt Holly-Huntersville Rd, Abernathy Rd and Mountain Point Ln to
Mountain Crest Cir
7 min (3.2 mi)
At the traffic circle, take the 1st exit onto Oakdale Rd
0.2 mi
At the traffic circle, take the 2nd exit onto Mt Holly-Huntersville Rd
1.2 mi
Turn right onto Abernathy Rd
0.6 mi

Turn right onto Mountain Point Ln
1.1 mi
Turn left onto Mountain Crest Cir
135 ft
11900 Mountain Crest Cir
Charlotte, NC 28216
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:*
Undeveloped Lot
Fbsidential, undeveloped, etc.
6. Property Size 1.300 acres
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 boulder rip rap for a new
shoreline stabilization. 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.)
4' below (600 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 below (150 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:*
(nunber of trees, for instance)
Undeveloped, wooded lot, no trees to be 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
o I intend to electronically sign and submit this form.
Full Name:* JaniceFstep
Signature:
Cz.er5u^.��fr= WC,..ccb

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201022
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

AG -ENT AUTHORIZATION FORM
PROPEWrY LEGAL DESCRiPr[ N-
SiREEs"RDDRESS: i19oCD ti
"ad
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Please print:
Property Owner:
Property Owner
d
The undersigned, registered property openers of tiie above noted property, do hereby authorize
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-.—�C�,l�i C2. 5 hr c� � r nq
'Contractor / Agents �— (Name of consulting firm) � :J
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit of certification and any and all standard and special conditions attached.
Property Owner's Address (if d ffc ent than property above):
-Zg f-Tate C ��a t _ Z zoo
Telephone: 2 L_-5 Y 6�--�ac2
We hereby certify the above infprMazon submitted in this application is true and accurate to tif:
best of our knowledge.
:+ut or�xea. SFSFjcrdiur
Date:-•_.._.—��� _.._ __
Authorized Signature
Date:

"I CERTIFY THAT THIS MAP WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION (DEED DESCRIPTION RECORDED IN
BOOK: 6= PAGE: AM OR OTHER REFERENCE SOURCE MAP BOOK: a PALE: =: THAT THE BOUNDARIES NOT SURVEYED ARE INDICATED AS DRAWN
FROM INFORMATION IN ROOK —. PAGE: _.,,,, OR OTHER REFERENCE SOURCE SHOWN HEREON THAT THE RATIO OF PRECISION IS 1:10_00a. AND THAT
THIS MAP MEETS THE REQUIREMENTS OF THE STANDARDS OF PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA (2t NCAC 56.1600)."
THIS 9 DAY OF _NOV_FMRER_. 20,._]z_-_. THIS MAP IS NOT INTENDED TO MEET G.S. 47-30 REQUIREMENTS.
'THIS, SURVEY DOES NOT REFLECT A COMPLETE TRIP EXAMINATION'
NOTES-
1. BOUNDARY SURVEY {JADE USING EJASTING PHYSTCAL SIGNED
EVIDENCE OBSERVED DURING FIELD SURVEY. RDEFRT E US, P 9.NONK IIYHD 9uNEYDR L-47C5
FIT OF A
SUBJECT
WERE TAKEN FROM DEEDS,
SURVEYED ,43E SHOWN As
LEamD
BET ftEOUPIWEM-ENLTa BETFONiHINown REJM OMS OR
PROPERTY LSD
RES7AICTNECONRWfT8 MAY Eg6TFORTHMPROPERTY. PRIORTO
—ADJOWER PRGPERIY LINE
ANYCONSTHUMIONONTHOMPER3 BUnmCNRFAUIREhi4a
— ---EASEMENT LINE
—X^-X—X—X—FENCE LINE
MUST BEVERIFED BYTHEHOMEOWIO:RORCONTRACTOR.
7- THIS PROPERTY IS NOT GRAPHICALLY SHOWN IN A DESIGNATED
—OVERHEAD UTILITY LINE
FLOOD HAZW AREk
RIGHT-OF-WAY
8. UNDERGROUND UTILITIES NOT LOCATED AT THE TIME OF SURVEY.
—SEMA"
IF SHOWN UTAITY LOCATKDNS ARE APPROXIMATE BASED ON
E.R. - EXISTING ipm RMAR
.P. - EXISTING IRON PIPE
LOCATIONS OF ABOVE GROUND APPURTENANCES. UNDERGROUND
UTILITIES NOT SHOWN HEREON MAY EXIST.
cp. - COMPUTED POIKT
S. MINOR IMPROVEMENTS INCIDENTAL TO THE STRUCTURE OR YARD
S.I.A. - RE -SET i4 IRON HEBAR
MAY EXIST AND ARE NOT SHOWN HEREON.
P.S.D.E. - PUBLJ STORM DRAINAGE EASiM81V
10. THE TERM ENCROACHMENT IS USED AS A MEANS TO CONVEY
S.S.E - SANITARY SEWER EASEMENT
THAT PER LISTED DEEDS AND MAPS THAT AN OBJECT TOUCHES
RCP - RF]WFORCED CONCRETE PIPE
R/W - RIONt-OF-WAY
OR CROSSES THE DEED OR MAP LINE IN THAT AREA ON THE
DATE OF SURVEY, NO CERTIFICATION OR STATEMENT IS BEING
PP- - POWER POLE
MADE TO THE POSSESSION, ADVERSE OR OTHENATSE OR TTSLE
M.B. - MAP BOOK
ED D.B. - DEBOOK
TO THE LAND EFFECIM
PG. - PAGE
L - LINE
C - CURVE
\
- TAX PARCEL IDENTIFICATION NUMBER
r�
Nis - NOT TOO SCALE
KTS
Q APPROXIMATE LOCATION OF FLOOD
AS 5CAlID FROEM M.B. 23, PG. 55BAPPROXIMATE
YI-7Z
LOCAM"OAAEEN'"JJOF 100 YEAR FEMARODDLI
AS
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MOUNTAIN ISLAND
LAKE
PROPERTY LNE FOLLOWS
JAN , 1
PER M.B. 27. PG, SSe
S84 59' 19"E
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566Z.060 Sqv.ft.
NOW OR FORMERLY
LOT 81
M.B. 23, PG. 558
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RID #02316445
NOW OR FORMERLY
QA3/
LOT 83 & STRIP
M.B. 23, PG. 558
(pDt wa i_)
=a
D.B. 26712, PG. 512
PID #02316447
5'04' °
15.99 TIE
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DR IN
FLOOD HAZARD AREA CERTIFICATION:
ADDITIONAL NOTES rPER M A 23. PO. M—
ANY CONSTRUCTION OR USE WnWN THE
AREAS OELNEATEO AS FLOODWAY FRINGE
D'STRICP BWHMRY LINE AND FLOODWAY
DSMCT F77CRO4
LTDiT LFNE IS SUBJECT
�r2�w TO THE RESTRICOONS IMPOSED e'f THE
FLOODWAY REGULATIONS OF MECNIENSURG
VR COUNTY.
n �ArY�aliljp0~ NUM DELTA ARC
50'p !C)L-AtvJ; I C1 84'11'27" 29.39
m C2 49'59'52" 21.82
LEE LAND
SURVEYING, PLLC.
NC FIRM LICENSE NUMBER: P-1259
P.O. BOX 180
MT. HOLLY, NC 28120
PHONE: [phone]
EMAIL: [e-mail]
-100 0 100
SCALE: V = 100'
IN ACCORDANCE WXTH NATIDHAL FLOOD INSURANCE
RATE MAPS PUBuSWEO By THE UNITED STATES
DEPARTMENT OF HOUBENG AND URBAN DEVELOPMENT
(HUD). FEDERAL INSURANCE ADMINISTHATICN, AND
PROVIDED BY THE FEDERAL EMERGENCY MPNAGDJENT
ADENCY (FELUI. TAPS PROPERTY HAS BEEN
DUMMINI NN LIE INSIDE A SPECIAL FLOOD AaARD
AREA DESMmito AS ZONE 'W. (PER
IMECKLENBURG COUNTY, NORTH CAROLPU FLOOD
NSUR44CE RATE MAP). COUNTY COMMUNITY -PANE,
NO. 370158 452E L, WP NUMBER 37IM280CL
EFFECTIVE DATE, SEPTEIMBER 2, 2015.
NUM I BEARING DISTANCE
RING I DISTANCE
25"W 26.81
17"E 1 21.13
#11200 MOUNTAIN CREST CIRCA
LOT 82 OF MOUNTAIN POINT, PHASE II - MAP 3
LONG CREEK TOWNSHIP, MECKLENBURG COUNTY, NC
PROSPECTIVE OWNER: ROSS MAJEWSKI AND HEATHER DAVIS
LEGAL REFERENCES:
MAP BOOK: 23 PAGE: 558 DEED BOOK: 6206 PAGE: 675
TAX PARCEL IDENTIFICATION NUMBER: 023-164-46
DRAWN BY: R. LEE JOB NUMBER: 4586

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
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Project Name/address: I !_ QOQ 0JpQ0A& n CJ�re_4 Cr _ C 6Ar kaKC , tC_. County: YYI n�
Owner: _ OSS (� C� �, e l u sk��Lo Ai.-_
1 Print '_J Signature
Contractor/agent: C QC S�We i IRECLILr_xt- u C
Print L .J J l /Signature
The approval is for the purpose and design described in your application. impacts not indicated in the
application isa, violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 026.0243(8)1
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).j
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 0211,050Z and 15A NCAC 028.0243 (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
i, 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:

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Full Pond/
Normal Water Level
Shoreline
La ke
(At Full Pond/Normal Water Level)
y ' �etow )C 156 !
I moue ? - 150, F-, 5�'PS
150, 1 e-n3tk
u nde.Uelo?e�d
wins.
C
C.
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NAo-�,cee5 remoued
0%Vi,Cno. C tS��lri�0.t�Ce,
1-0 100�r
Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such as loft x 10o 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