20220648 Ver 1_Shoreline Stabilization_20220510

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 *
[e-mail]
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 5/10/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Dave and Anne Regnery
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
825 Hudson Place
Address Line 2
City
Davidson
Postal / Zip Code
28036-8602
State / Province / Region
NC
Country
US
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * Janice Estep
Company Affiliation: * CBC Stone & Recycling, LLC
Email: * [e-mail]

Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
638 Oakridge Farm Hwy
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28115 United States
A signed and dated copy of the Agent Authorization letter:*
Agent Form.pdf 664.36KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC O2H .O5O2(a) & (b)]
Project Name: *
Regnery Shoreline
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
Property Address Lookup: *
Latitude:*
35.474811
Street Address
16317 Jetton Road
Address Line 2
City State / Province / Region
Cornelius NC
Postal / Zip Code Country
28031 US
Longitude: *-80.936173
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
Buffer Form.pdf
Please use the diagram at the link below:
893.01 KB
1.15MB
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 Left Side Wall.pdf 34.14MB
Shoreline Pics Right Side Rip Rap.pdf 19.94MB
4. Location of the property (where work is to be conducted)

Nearest Town: * Cornelius
County: * Mecklenburg
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:*
Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Lots 276 and 277 recombined Crescent Land & Timber Corp.
Include phase/lot number
Head south on Evergreen St toward E Center Ave
14 s (197 ft)
Take S Main St, NC-115 S, Langtree Rd and I-77 S/US-21 S to Jetton Rd
in Cornelius
24min(12.8mi)
Turn right onto E Center Ave
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
3.1 mi
Take exit 28 for US-21 S toward Catawba Ave/Lake Norman/Cornelius
0.1 mi
Keep right at the fork, follow signs for Lake Norman and merge onto W
Catawba Ave
1.1 mi
Turn right onto Jetton Rd
Destination will be on the right
2.9 mi
16317 Jetton Rd
Cornelius, NC 28031
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, new home construction
Residential, undeveloped, etc.

6. Property Size
1.67 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Starting at left property line, install a 210' fieldstone boulder wall with cap
to replace existing damaged wall. Existing rip rap at base of old wall will
be re -installed at base of new wall. At boat ramp area where wall stops,
push down existing rip rap, shape and slope 157' of shoreline, install
matting, re -install existing rip rap and add fresh layer of boulder rip rap
extending to right property line to refresh shoreline. Install steps on wall
side of property for lake access.
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.)
Left side of
property wall 3'
below (630 sf)
Right side of
property rip rap 5'
below (785 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.)
Left side of
property wall 1'
above (210 sf)
Right side of
property rip rap 1'
above (157sf) 10' x
50' access corridor
(50 sf of 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:*
(number of trees, for instance)
Grass buffer, remove only undermined trees/brush (3-4 trees) on
immediate shoreline necessary to properly stabilize shoreline. 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):
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.
o 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");
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
• I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Janice Estep
Signature:
Submittal Date: 5/10/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220648 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
C Fee Received
C• Need Fee - send electronic notification
What amount is owed?*
C• $240.00
C $570.00

AGENT AUTHORIZAIION FOR
PROPERTY LEGAL DESCRIPTION:
0:DmId,rved Al() I \CrIC
LOT NO. g.-Its E D.1.7 PLAN NO. PARCEL JD _
STREET ADDRFSS: Ctitit , a
Ple&c'e
Propeity Owner: 111100 d._ (--PnaG-Na...\„
Property Owner: 11114 A
The undersigned,registered property owners of the above noted property,do hereby authorize
- L-i4aICC ,or C %ne q0CL3C)i-0_9 LC,
(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 Owner's A, dress(if different than property above):
8.15 I-4 uelso-n.-P\ace kon , r&Ca'6,cats
Telephone: 164:q0 5 "-31 S5
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge
Ot) 3 t
guthorized Signature A ofted Signature
Date: (AI Date:

RUNS JACKSON LOVE CERTEX THAT THIS MAP WAS DROSS FROM AN ACTJAL BURVEY UNDER MY
EXIT 28 DIRECT SUPERWRRO THAT THE RATIO OF PRER1 IS 1:10,000+SFFORE AUmSTMENIS:AND MAT
ME ANGUUR ERROR WAS[7.6 SECONDS PER 1URN.
SIT
JETTON RD.
ta M N1MESS MY HAND AND OFFICIAL SELL Des 3RD DAT OF FEBRUARY,2 2
TOWN HARBOUR / �/
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EXIT 25 /
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LAKE h.." PLR
VICINITY MAP
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dN 35'00'30:W 27.68' + "� \ / R®
U N 55'05'82'E 21,61' eb'�U- " LOTS 276
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Curve Radius Length Chard Chord Bear. / yyy / /
&1 trig: y8.94' 158.00' S BB'22'29"W \\ // p0 ,p i O /
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/ FOUNDATION SURVEY
REFERENCES: / FOR
DEEDS AND MAPS AS SHOWN / AUGUSTA HOMES
•
/ / PROPERTY OF
PYRAMID ' DAVID S. & ANNE D. REGNERY
JJ
DEED BOOK LEGEND:
PROPERTY UNE
61254E 765N PINA001-331-25
�* — — — — — UNSURVEIID UNE NOTES: LEMLEY TOWNSHIP,MECKLENBURG COUNTY
`� — _ — EDGE OF DD ONENT CORNELIUS, NORTH CAROLINA
SETBACK UNE 1.THIS PROPERTY IS LOCATED IN A ODSUSUTDO FL000 ZONE
.�,1 1( AT COMPUTED POINT 2 AREA DETERMINED BY COORDINATE COMPUTATION.
FEBRUARY 2,2022
//l�" 12PP POWER POLE 3.CP DENOTES COMPUTED POINT,NO MONUMENT FOUND OR SET.
4.UNDERGROUND UTUTES NOT LOCATED AS OF THIS DATE
LAND SURVEYING 5.NO NCGS CRIO MONUMENTS ARE WITHIN 2000'OF SUBJECT PROPERTY.
A AIL MONUMENTS ARE EXJSTNG UNLESS OTTERWSE NOTED,
C-1341 7.IRS PROPERTY UES IN THE WS-IV-CA WATERSHED OF LAKE NORMAN.
RUFUS JACKSON LOVE 8 ELEVATONS ARE BASED ON NAVD BB USING TOPCON GRS-1 CPS UNIT. FILE xnx.E wc-»uauvrr+nO-svRrtT
PROFES[IONLL MVO SURVEYOR L-0044 9.SETSACKS,FRONT 30' SIDE 10' PRINCIPLE STRUCTURE 50'FROM FULL POND 40 0 40 BO 120
P.O.Box 11 30'UNDISTURBED BUFFER FROM FULL POND Oavieeon.NC 28036 ■ ■ ■ ■ ■ —
[phone] ■■■ ■ ■ —
GRAPHIC SCALE — FEET 1"=40'

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Legend
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(At Full Pond/Normal Water Level)
3' beioLk, )C 2,10 5 �elouJ 1571
Wall ;�; �o�
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Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item,such as 10 ft x 100 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

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
jetName/address: I(D311 i mcounty: k
Ovmer: D • — , 4JA 1 t s
Print � / Sign re LC �}
Contractor/agent: ( ! &� e jCJ! 9) I ' it lee
Pri � Signet
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.(1SA 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.j15A NCAC 02B.0243(6)j
Benching,grading in the buffer Is not allowed.Excessive disturbance of ground cover.USA NCAC 02B.0243(6)1
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.(1SA 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.115A NCAC 02H.0502 and 15A NCAC 020.0243(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.j15A NCAC 028,0243(5),(6)1
Acknowledgement of Notification
0 14 yl e .hereby state that I have been informed of the Catawba
(parian Buffe ule. ny work condu l in e 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 8u , ules,the approved plan(s)and specification(s),and other supporting
materials. � / �1
Signature(owner), G`" }°,t. 1/ Date: -T _�

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