20201298 Ver 1_More Information Received_20201118

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
r Yes r No
ID#* Version*
20201298
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Alan Johnson:eads\adjohnson1
Select Reviewing Office:* Mooresville Regional Office - [phone]
Does this project require a request for payment to be sent?*
r
Yes
r
No

Project Submittal Form
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.
Project Type: * r
For the Record Only (Courtesy Copy)
r
New Project
r
Modification/New Project with Existing ID
r
More Information Response
r
Other Agency Comments
r
Pre -Application Submittal
r
Re-Issuance\Renewal Request
r
Stream or Buffer Appeal
Is this supplemental information that needs to be sent to the Corps?*
r Yes r No
Project Contact Information
Name: Mark Zich
Who is subrritting the inforrration?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20201298 1
20170001(no dashes) 1
Project Name: Shore stabilization
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Catawba
Please upload all files that need to be submited.
C7ickthe upload button or drag and drop files here to attach document
Catawba riparian buffer notification .pdf 1.64MB
Only pdf or kn7 files are accepted.
Describe the attachments
or comments:
Catawba Riparian Buffer Notification form
Sign and Submit
W By checking the box and signing box below, I certifythat:

■ I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to
the best of my knowledge and belief.
■ I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
■ I agree that submission of this online 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 the online form.
Signature:
Submittal Date: Is filled in autocratically.

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Nameladdress: 1338 Misty Lane, Hickory, NC 28601 County: Catawba
Owner:
Print
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 I 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. [15ANCAC 02B ,0243(6)]
Benching and 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 WIT .0502 and 15A NCAC 02B ,0243 (4), (6), (8)]
Storer water cannot be piped or channeled for direct discharge to the lake. All constructed storm water
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sbeet flow at non -erosive velocities to the lake. [ 15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
I, Mark Zich, 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 ether supporting materials.
Signature (owner):
Date: 11117f2020
4