20221025 Ver 1_Shoreline Stabilization_20220728

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 7/27/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Joshua Grieger
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
8020 Dairy Ridge Rd
Address Line 2
City
Mebane
Postal / Zip Code
27302-8935
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 634.42KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC O2H .O5O2(a) & (b)]
Project Name: *
Grieger 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:*
35.559720
Street Address
137 Chatfield Cove Drive
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117-6811 US
Longitude: *-80.936045
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:
925.11KB
1.08MB
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 28.99MB
4. Location of the property (where work is to be conducted)

Nearest Town: * Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Lot 58 Crescent Land & Timber Corp.
Include phase/lot number
Head south on Evergreen St toward E Center Ave
8 s (197 ft)
Turn right onto E Center Ave
2 min (0.5 mi)
Follow S Church St, S Broad St and W Lowrance Ave to W Wilson Ave
5 min (1.7 mi)
Turn left onto S Church St
0.4 mi
Turn right onto E Wilson Ave
0.1 mi
Turn left onto S Broad St
0.5 mi
Turn right onto W Lowrance Ave
0.7 mi
Follow NC-1100/Brawley School Rd to S Fork Rd
12 min (6.1 mi)
Turn left onto W Wilson Ave
0.5 mi
Continue onto NC-1100/Brawley School Rd
1.0 mi
Continue straight to stay on NC-1100/Brawley School Rd
4.7 mi
Take Agnew Rd to Chatfield Cove Dr
4 min (1.7 mi)
Turn right onto S Fork Rd
0.4 mi
S Fork Rd turns slightly right and becomes Agnew Rd
1.1 mi
Turn left onto Chatfield Cove Dr
0.1 mi
137 Chatfield Cove Dr
Mooresville, NC 28117
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
Residential, undeveloped, etc.
6. Property Size 0.95 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
On side of property near dock, install a fresh layer of class B rip rap on a
60' section of existing shoreline to refurbish. No shaping, sloping or
matting on this section. On remaining 205' of shoreline, shape and slope
bank, install matting and install class B rip rap to stabilize. Install TN Crab
Orchard steps.
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.)
2.5' below (662.5
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.)
1' above (265 sf)
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, no trees removed, no 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):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o 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");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Janice Estep

Signature:
cat Ls+Ft
Submittal Date: 7/27/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20221025 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 AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO, 58 PLAN NO, PARCEL ID:
STREET ADDRESS: t31 e.VIc*-k-c ie1c� ��►e �r .
\Moo re,,W1 Ike NC_
Please print:Property Owner: 30s\ < i C)'cr"
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
J c,.T;1e e CS -� , of CZC ore E 'Pied r{c I� Yl q Lt-C.
(Contractor Agent) (Name of consulting firm) J J
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 Address(if different than property above):
Telephone: n to- 1 3- 3 9'1 g
We hereby certify the above information submitted in this application is true nd accurate to the
best of our knowledge.
t ithorized Signature Authorized Signature
Date: sli j y i
Date:

A-
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certify `.:hot th's mop was drawn k;rc-.t my sup rssior, from an oct'.101
survey mode ljnder ,may si;penislor. recorded in, deed book- 2W5 page __.14_61 a-td/or
Pict boDk--j-5— thint the rci4lio of precls;on is is that this mop
wcs prepared in aceo-rdance Wtn the Stctutes of North Core linc Chcoter 89C-
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7AX MAP T.0' 46;1�*

Type: CONSOLIDATED REAL PROPERTY
Recorded: 7/20/20221:05:31 PM
Fee Amt: $7,914.00 Page 1 of 2
Revenue Tax: $7,888.00
Iredell County, NC
Maureen P. Purcell Register of Deeds
BK 2934 PG 239 - 240
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $7,889.00
Parcel Identifier No. 4626-44-2214 Verified by County on the _ day of 20
By: _ — —
MaiVRox to: Thomas & Webber, PLLC, 514 Williamson Road, Suite 431, Mooresville, NC 28117
This instrument was prepared by: Thomas & Webber, PLLC 514 Williamson Road Suite 431 Mooresville NC 28117
Title Insurance Company: The Title Company of North Carolina
Brief description for the Index: Lot 58, CL&TC
THIS DEED made this 4 day of,J U j U , 20?Zby and between
Hiroko Rawald, Widow
15 Green Acre Lane
Westport, CT 06880
Joshua C. Grieger, Single
Property Address:
137 Chatfield Cove Drive
Mooresville, NC 28117
I Mailing Address:
8020 Dairy Ridge Road
Mebane, NC 27302
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot, parcel of land or
condominium unit situated in Iredell County, North Carolina and more particularly described as follows:
Being all of Lot 58 in Section 8 as shown on map recorded of the Crescent Land & Timber Corp. Lake Norman Map of Recreation
Lots in Map Book 15, Page 36 in the Office of the Register of Deeds for Iredell County.
Commonly known as 137 Chatfield Cove Drive, Mooresville, NC 28117.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 2585 page 1461 .
All or a portion of the property herein conveyed $— includes or _ does not include the primary residence of a Grantor.
NC Bar Association Form No. 3 © Revised 712013 North Carolina Bar Association - NC Bar Form No. 3
Printed by Agreement with the NC Bar Association North Carolina Association of Realtors, Inc. - Standard Fotm 3
Page Count: (�
ROTC ®Ns®PQ0zi
Book: 2934 Page: 239 Page 1 of 2

Delinquent property taxes, if any, are to be paid by the closing attorney to the county Tax Collector upon disbursement of the closing
proceeds.
A map showing the above described property is recorded in Plat Book 15 page 36.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple,
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in
fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions:
1. Ad valorem taxes for the current year (prorated through the date of Settlement);
2. Utility easements and unviolated covenants. conditions or restrictions that do not materially affect the value of the
Property.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
(SEAL)
Hiroko Rawald
S 1 A t h UP NORTH CAROLINA
COUNTY OFIREDELL
I, Ev 11) L , Oe0.flq 5� rNv�ar�
Public,
otarydo hereby certify
that Hiroko Rawald personally appeared before me this day and
acknowledged the due execution of the foregoing instrument.
Witness my h icial seal this day of July, 2022.
Official Signature of Notary
? W : XO A%.
Printed or typed name of Notary
I i �0(rgutG U=
My Commission Expires: III31 zCo
%�0%'�r
NC Bar Association Foam No. 3 0 1976, Revised 0 111/2010, 2013 This standard form has been approved by.
Printed by Agreement with the NC Bar Association North Carolina Bar Association - NC Bar Form No. 3
Book: 2934 Page: 239 Page 2 of 2

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Tax Map Information ; Print map scale is approximate.
•PIN 4626442214.000 IREDELL Critical layout or measurement
•Address 137 CHATFIELD COVE DR �- - activities should not be done using
•GIS Owner RAWALD RONALD A+HIROKOE this resource.
•Deed Ref. 2585/1461-WD MAP FOR REFERENCE ONLY
•Deed Date 20181024 NOT A LEGAL DOCUMENT
•Tax Acres 0 Ac-
-- — Iredell County,North Carolina makes no claims and no
•Lot# 58 warranties,expressed or implied,concerning the validity or
•Plat Ref. 15-36 accuracy of the GIS data presented on this map.
•Subdivision CRESCENT LAND+TIMBER CORP
•SD Phase S8
•Description CRESCENT LAND+TIMBER CORP
S8 PB15-36
•Old Parcel# 1702F02000A058
•Total Assessed $1,373:860
Value

Iredell County, North Carolina July 25, 2022
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Tax Map Information '�- Print map scale is approximate.
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•PIN 4626442214.000 IREDELL
y
•Address 137CHATFIELDCOVEDR . n c activities should not be done using
•GIS Owner RAWALD RONALD A+HIROKO E this IS resource.
•Deed Ref. 2585/1461-WD MAP FOR REFERENCE ONLY
•Deed Date 20181024 NOT A LEGAL DOCUMENT
•Tax Acres 0 Ac.
Iredell County,North Carolina makes no claims and no
•Lot# 58 warranties,expressed or implied,concerning the validity or
•Plat Ref. 15-36 accuracy of the GIS data presented on this map.
•Subdivision CRESCENT LAND+TIMBER CORP
•SD Phase S8
•Description CRESCENT LAND+TIMBER CORP
S8 PB15-36
•Old Parcel# 1702F02000A058
•Total Assessed $1,373,860
Value

Lake
(At Pull Pond/Normal Water Level) , S,
h
e
a.5 \etow pc 305'
hc pe i, SIo Q mG„ nJJG, vs)
P ra� �1 5 of..
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r
ho 5Q_
}
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
Project Name/address: 1-31 e,lct Cove be. tnnorcs Sj Ike_ Ciu ty: T rc=(le II
Owner: A iiS. C G^}
Print ignatur I
Contractor/agent: C t3C v Y' 1 cy C l+r u.2 m�c.Q
Print g atu'r e
The approval is for the purpose and design described in your app ' ation. Impacts not indicated in the
application is a violation of the Buffer Rule.Site specific work should be provides)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 treed 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 Iakee All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering th;e buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake. [15A NCAC 02B.0243(5), (6)]
Acknowledgement of Notification
A (. \ r hereby state that I have been informed of the Catawba •
Riparian Buffer Rule. Any wor'K 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 i tent of the 401 Water
Quality Certification and Buffer Rules,the ap oved plan(s)and specification(s), nd other supporting
materials.
Signature(owner): Date: r)/ )e/c a

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