20201164 Ver 1_Shoreline Stabilization_20200904

owd
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee
should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center RECEIVED
Raleigh, NC 27699-1617
S E P 0 4 2020
• Applicant Information [15A NCAC 02H .0502(a)] NCDEQ/DWR/NPDES
1. Owner Information 00
Name: ?kAe-1- a r�cx t!� vt n.e ovt E
Mailing Address: IU I -I ( Mooly 12J
Los Alit hills-, CA a 4a.2-z
Telephone Number: 9 y9_ 3gN_ I ! 1 S Fax Number:
E-mail Address: c)-e���o►� Oa�.cll�ws�ir�s • �o>yl
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be
downloaded here:
httu://www.saw.usace.armv.mil/Portals/59/docs/regulatorv/readocs/Permits/SAMPL
E AGENT AUTHORIZATION FORM.pdf) must be attached if the Agent has signed
this application form.
Name: 12_a,, / tllccwSoh 's J7%(A ���� ►�
Company Affiliation: (2w"Q-c
Mailing Address: S"5 Pt$ 1--& Jz.,Q
��ov�r , S-C• �-�7lO
1

ECEIVE®
SAJ`'ls l F A.GETI I AU [ H^R —AA TION FORM
PROPFUM-f LEGAL DESCIZP T ION:
Lo —i No. 17 PUMN NO. P; �PCEL T D:
bjai r i , !, I
TIMM
Please print
Property owner:
Property Owner.
?"e--ktx- S-N
S E P 0 4 2020
NCDEQIDWRINPDES
t fie undersigned, :ed, registe, ed propertI owners off the above noted property, do hereby authorize
gL-C& L/%�cw5p.� , of uAcn:j PrIL. VI)r#Llti.a
(Contractor Agent) (Name of consulting firm) 0
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 arched.
Property Owner's Address (if diiterent than property above):
Telephone
We hereby car 61 the above information submitted in this application is true and accurate to the
best of our knowledge.
Au horized Signature
Date: 2�'ZJ

Project Name/address: /a.s leaae AX611 4 1;2inco4I4 lU,9 County_
Owner:
Contractor/agent:
Print V 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, 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
! 9ZW -E L-1, VI-e S�r-� hereby state that 1 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 pl ) and s ecification(s), and other supporting
materials_ �y
,_E9
Signature (owner): - ate:
State of idorth Carolina Ernironmcntal Quality `tiater Resources
:L� \ SaUshur4 Street ; :cil Mail Service Center Raleigh NC 27b99-IbII
g14.7079000

Telephone Number: Fax Number: '03- 5f31- S(.5S
E-mail Address: ccL.k_'_)S 55 (2 Ito-fJtik) my- rid+
Person to receive the Certification Approval: r l a"o n s ?. L .vim►,
• Project Information [15A NCAC 02H .0502(a) & (b)]
• Attach 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.
• 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 provided at the end of this application form.
• Attach a photograph of the shoreline/ buffer proposed to be stabilized.
(Include a scale of some sort- a yard stick, shovel handle, etc.)
• Location of theroperty (where work is to be conducted)
County: Nearest Town:
Subdivision name or site address (include phase/lot number):
7e S C,*e_ Aup, u .-t _3> l . "bed ►vw 1, N-[ka
Directions to site - please include road names and numbers, landmarks, etc.:
51-6- @ SmK4-h t 044 ILT!�h Scl1QOr( , At,.ry" dkY _ oVXk 'S
Latitude (in decimal degrees)
Longitude (decimal degrees) ` L1 • 037ZSfA
Describe the existing land use or condition of the site at the time of this
application (residential, undeveloped, etc.): /2�s�ni�o.l ��aca►1�
Le ;-
• Property size (acres):
0 Lake/ river/ ocean adjacent to property: �'OIC4_

• Describe proposed work (include discussion as to how hardening of shoreline
has been avoided, or why it is necessary): 2 uod,S f�r,
r/,ea rs IY1 c r f �a l� t ti r U /a �P T �c�s Crr a tc�
rYly(`�-efOSlo��
• Will work be conducted from land? ,.� From water?
• Total amount of disturbance (including all excavation, backfill, rip rap,
retaining walls, etc.) below the normal pool lake level/ Normal Water Level in
square feet or acres: P,-Ft
11. Total amount of disturbance (including all clearing, back fill, excavation, rip
rap, retaining walls, etc.) above the normal pool lake level/ Normal Water
Level and 50 feet land -ward in square feet or acres: ;0�_
12. Please describe the vegetation above the normal pool lake level/ Normal
Water Level and 50 feet landward to be impacted (number of trees, for
instance):
/ Gf l ( d 1 �uT1"Lr cr
t
Owner/Agent's Signature' [15A NCAC 02H .0502(f )] Date
*Agent's signature is valid only if an authorization letter from the owner is provided.

•^ - Ifj- 1; C _ _. -._'a .?.7[::" _ At
y Nose Lnsed Design rations Sbde Show Rear. \iew Lasefihe .
tj Float
93ste .: Sla - aJ Delete r:
_.....: me 'cx: ::pr-. -. .,repE•
Full Pond/
Normal Water Level
11).
--
Slide ota 'Office Theme'
La ke
(At Full Pond{ Normalwaterl-evel)
Please approximately sketch the following information on this plan (provide
dimensions for each item, such as 10 ft x 100 ft) *:
• All proposed vegetation clearing
• Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level
elevation
• Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level
elevation
• Location of any proposed structures such as buildings, retaining walls, docks, etc.
• Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
M

• Location of construction access corridors

BY IK yuL4!f1.
WILLIAM T. POWELL, JR.
LAKE WYLIE
• ICR M"
Not To Scale
MB. 85 PIGS. 49_ .z
S1
50 JJAPARIAN BUFFER
y\G�ts�
o COVERED
LANAI o 21.
CURVE TABLE
CURVE I BEARING CHORD LENGTH RADIUS
CI N 318' "W 57.20 57.22 675.00
LINE TABLE
LINE
LENGTH
BEARING
LI
33.64
7 '3 ' 7"W
L2
6.24
S '48'01 "E
L3
8.16
SI820'45'E
L4
15.79
S21*13' "E
L5
10.89
S14'34'49"W
L6
7.27
S51'48'03"E
L7
9.27
S181 '06'E
L8
9.94
S03 8'0 "W
L9
6.75
14' 'W
LID
8.59
1'17'09"W
L11
4.45
S3714' 4"W
L12
4.76
S08'34'15"E
L13
5.80
N7 '3 '19`
L14
2.34
371'
L15
11.81
S46 '51`
Lib
4.66
S122F2 "E
L11
65.60
S78'00'33"W
L18
47.68
N25'44'0 `W
THIS PROPERTY MAY BE SUBJECT
TO ANY AND ALL APPLICABLE DEED
RESTRICTIONS, EASEMENTS, RIGHT-OF-WAYS
UTILITIES AND RESTRICTIVE COVENANTS
WHICH MAY BE OF RECORDED OR IMPLIED /
,�rqnlr
��•��N CAR 1 11
04,
ESSj�%
SEAL =
L-3981
DUKE ENERGY
r
,J
'(R omPROJECT BOUNDARY
IDDO�PLIAN (ELEV.-569.4 MSL)
(FOLLOWS PROPERTY LINE)
_J
NOTE:
1. BUILDER ASSUMES RESPONSIBILITY FOR
GRADING LOT AND/OR DESIGNING STEPS,
PORCHES, DECKS, ETC. AS NECESSARY TO
PREVENT ENCROACHMENT INTO SETBACKS.
2. HOUSE DIMENSIONS AND OPTIONS
SHOULD BE VERIFIED WITH CONTRACTOR
PRIOR TO CONSTRUCTION.
3. SETBACKS/ EASEMENTS SHOULD BE
VERIFIED WITH DEVELOPER AND LOCAL
OFFICIALS PRIOR TO CONSTRUCTION.
4. THIS IS A CONCEPTUAL DRAWING AND
CONTENTS SHOWN HEREON ARE SUBJECT
TO CHANGE UPON FINAL CONSTRUCTION.
IMPERVIOUS SURFACE
AREA
DESCRIPTION
AREA
HOUSE w/ PORCH
3,448
S.F.
PAT10/HVAC/MISC
9
S.F.
DRIVEWAY & WALKS
3,412
S.F.
TOTAL (ALLOWED)=
10,500
S.F.
LOT AREA =
145,834
S.F.
TOTAL (PROPOSED)=
1 6,869
S.F.
PARCEL. NO.: 22M
#205 CAPE THIS DRAWING DOES NOT
REFLECT AS —BUILT INFORMATION
AUGUST PL.B kmim oR
60 ° 60 HOUSE LOCATION PLOT PLAN
SCALE: 1" = 60' FOR
FASr`�-+OTLOT 17 MCLEAN —SOUTH SHORE PH 1 MP 4
South Poine Township, City of Belmont, Gaston County, North Carolina
LAND SMVEW40 COMPANY, PA PROPERTY OF: PULTE HOMES
LAND SURVEYORS - PLANNERS (C-1833)
10430 PARK ROAD, SUITE #300 MAP BOOK 85 PAGE 49-51 DEED REFERENCE
CHARLOTTE, NORTH CAROLINA 28210
PHONE [phone]
FAX [phone] DRAWN BY: ERG DATE: JANUARY 23, 2018

OV91
714 Od _SIC
(11:J) "V704' ,5`21x,e
JP9
y -d-do-
)

.'
l�� J f �. � • y/ yr K$�
ow
Nk
Alt
00,
410
ow
ry
f `
71
i �

41 v - I I
Al

f
r
'J
4AL