20220382 Ver 1_Shoreline Stabilization_20220310

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
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:
[e-mail]
Please provide an email address for payment and requests for more information here.
Name:* Rick Norris
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
10740 Traymore Lane
Address Line 2
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28278-6823 US
Is there an agent working on the project? * Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
10740 Traymore Lane
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. *
Upload File
Look up address
Upload Map: 10740TraymoreLaneDirections.pdf 1011.75KB
Latitude: *
35.149140
Longitude:* -81.006210
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*
10740TraymoreSitePlan.pdf 504.1 KB
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.)
10740TraymoreLnPictures.pdf 6.32MB
4. Location of the property (where work is to be conducted)
Nearest Town: *
County:*
Lake/ river/ ocean adjacent to
property:
Subdivisions name or site address: *
Charlotte
Mecklenburg
Wylie
Lot 33/ 10740 Traymore Lane, Charlotte
Include phase/lot number
Directions to site: *
SEE MAP
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
Residential Home with new home under construction
Residential, undeveloped, etc.
6. Property Size .673
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Lot had some existing Rip Rap but as seen in pictures not enough to
provent erosion.
8. How will the work be done? *
From Land
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.)
83
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.)
1992
square feet
11. 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)
We have to leaning tree by old boathouse on land , that needs to be
removed. No other trees need to be removed. All areas disturbed will be
seeded and strawed when job is complete.
Sketch:
10740TraymoreLnBufferandAgentForm.pdf 1.73MB
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
a 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.
a I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
a 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");
a 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 the Shoreline Stabilization online form.
Full Name:*
Signature:
Randall S Clawson
Submittal Date: 3/10/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20220382 Version: * 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?* $240.00
$570.00

2/7/22, 4:33 PM
3990 Charlotte Hwy, Clover, SC 29710-8083 to 10740 Traymore Ln, Charlotte, NC, 28278-6823 Directions - MapQuest
YOUR TRIP T O:
10740 Traymore Ln, Charlotte, NC, 28278-6823
13 MIN I 7.5 MI la
Est. fuel cost: $0.97
Trip time based on traffic conditions as of 4:33 PM on February 7,
2022. Current Traffic: Light
Print a full health report of your car with HUM
vehicle diagnostics (boo) go6-2501
1. Start out going northwest on Charlotte Hwy/SC-49 toward Blucher Cir.
Then 0.05 miles 0.05 total miles
pi 2. Make a U-turn at Blucher Cir onto Charlotte Hwy/SC-49 (Crossing into North
V / Carolina).
Then 0.39 miles 0.44 total miles
3. Charlotte Hwy/SC-49 becomes NC-49.
Then 2.38 miles 2.82 total miles
41 4. Turn left onto Shopton Rd.
Shopton Rd is 0.7 miles past Majestic Oak Dr.
If you reach Buster Boyd Bridge Way you've gone about 0.1 miles too far.
Then 3.91 miles 6.73 total miles
4.1 5. Turn left,
0.2 miles past Egrets Point Dr.
If you reach Limehurst PI you've gone a little too far.
Then 0.13 mites
r, 6. Take the 1st right.
Then 0.26 miles
r) 7. Turn right onto Withers Cove Rd.
Then 0.07 miles
r)
1
8. Turn right onto Traymore Ln.
Then 0.19 miles
9. Keep left at the fork to continue on Traymore Ln.
If you reach the end of Traymore Ln you've gone a little too far.
a_es toc3i males
7.13 total miles
7.19 total miles
7.38 total miles
Then 0,07 miles 7,40 total miles
https://www. mapquest.com/directions/fist/1 /us/south-caroli na/clover/29710-8083/3990-charlotte-hwy-35.106974,-81.040643/to/us/nc/charlotte/28278-6... 1/2

2/7/22, 4:33 PM 3990 Charlotte Hwy, Clover, SC 29710-8083 to 10740 Traymore Ln, Charlotte, NC, 28278-6823 Directions - MapQuest
10. 10740 Traymore Ln, Charlotte, NC 28278-6823, 10740 TRAYMORE LN is on
the left.
!f you reach Withers Cove Rd you've gone about 0.2 miles too far.
alh Save to My Maps
Use of directions and maps is subject to our Terms of Use. We don't guarantee accuracy, route conditions or usability. You assume all risk of use.
https://www. mapquest.comldirections/Iist/1 /us/south-caroli naiclover/29710-8083/3990-charlotte-hwy-35.106974,-81.040643/to/us/nc/charlotte/28278-6... 2/2

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/,address: /U/ 11) /(ctr nd e.�.n r ��� County:
Owner:
Pri
Contractor/agent:
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 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 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 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)]
Acknowl gement of Notification
•
1, tc/ 44,ru) , 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): }��,!/ L/ Date:

PROPERTY LEGAL DESCRIPTION:
LOT NO: 33 PLAN NO: PARCEL ID: /7 Yf/3y
xS�,
STREt i ADDRESS:
/0 7 �� /(a
C��(o�1� , A/.� 02r27
Please print:
Property Owner: 1 G /" / 0Q i-2 t
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
Randall Clawson
of Clawsons Pile Driving and
Construction
(Contractor/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 special conditions attached.
Property Owners Address (if different than property above):
Telephone:
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowledge.
Authorized Signature
02- �_2022
Date