20221174 Ver 1_Shoreline Stabilization_20220901

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 8/29/2022
submitted on: *
Owner Information:
.........................................................................................................................
Name: * MICHAEL ZIMMER
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
17406 Sail View Drive
Address Line 2
City
Cornelius
Postal / Zip Code
28031-7615
State / Province / Region
NC
Country
US
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * Tamara Hager
Company Affiliation: * Lake Permit LLC
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
PO BOX 5335
Address Line 2
City State / Province / Region
MOORESVILLE NC
Postal / Zip Code Country
28117 US
A signed and dated copy of the Agent Authorization letter:*
ZIMMER AUTH.pdf 1.4MB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
ZIMMER
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: ZIMMER SURVEY.pdf 1.22MB
Latitude:*
35.460072
Longitude: *-80.922705
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*
ZIMMER SURVEY.pdf 1.22MB
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.)
ZIMMER PIC.pdf 928.84KB
4. Location of the property (where work is to be conducted)
Nearest Town: * CORNELIUS
County: * Mecklenburg
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:

Subdivisions name or site address: *
SUNRISE POINT AT THE PENINSULA LOT 131
Include phase/lot number
Directions to site: *
COWANS FORD DAM TRAVEL EAST ON HWY 73 6.5 MILES,
TURN LEFT ONTO WEST CATAWBA AVE 2.4 MILES, TURN LEFT
ONTO JETTON RD 2.0 MILES, TURN LEFT ONTO JOHN CONNOR
RD .80 MILES, TURN LEFT ONTO SAIL VIEW DR PROPERTY. ON
RIGHT 131 FT.
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 .319
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
CONSTRUCT 5 BOULDER STEPS FROM WATER TO SHORELINE
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: *
0
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
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.)
0
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)
NONE BY LAND
Sketch: ZIMMER SKETCH.pdf 801.89KB
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
o 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");
o 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:* MICHAEL ZIMMER
Signature:
Submittal Date: 8/29/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20221174 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

V
Project Nsmetddoat° , 17o& vo cce�i •
y �� `
li : /- : ,;,,,m, -
c,‘,.<..et t---L-A__.:*-----,........._
Print wanature •
contractor/agent 0 4 . e.r v(1 6(
Print Signature
The approval is for the purpose and design de-scribed 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. 115A NCAC
0?I-1.050 B and 15A NCAC 02B.0,43(B)i
Trees are not allowed to be removed from Zone 1 of the Buffer(within30 Ft of the full pond elevation), unless
approved.Elcceptlon.those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. r S 9.NCAC 02B.0243(5)i
Benching, gr_din>in the buffer is not allowed.Excessive disturbance of ground cover.pA NCAC OZS.0243 OD
a each es,impervious patios,impervious walkways,etc.arenotallowedinthebuffer unless specifically approved
by the DN ision. There are limitation on size for decks.i 35A NCAC 02B.0243(4)and(6)?
work to be conducted from land must indicate en access end indicate any trees that are to be removed, The
work corridor should be described.The approved access corridor_hall be restored.St=in_,spoil, cons?r ctioi:
material must be outside the buffer. (,+SA NCAC 0ZP.0502 and 15A'die P'.0 On.0)4' (4), (s), (3).1
Stormwster cannot be piped or channeled for direct disc taro; to the leke. All constructed storfnv.pe
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. EiS .ILcAC 02B.0243(5); (5))
Acknowledgement of illotificotion /� '
', / "" � (� Y'�!,,, K<..® , ner ebv state that i have been informed of the Catawba
Riparian Busier Rule. Any workconductedthe_u"" e t stated approved
in the,buffer,not moat,=�in thy,application and e�6P0 v
by the Division of Water Resources(OWR), is a violation and subjectdiligence will be
I d to enforcement. Due 3�
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 speciification(s) and other suppor ding
materials. / p
Signature(owners-, ��/ m.� t° (:) 'L-' !awe:, g 121
I f - d

Fror Tamara Hager
Subject: Zimmer shoreline boulder steps
Date: Aug 19, 2022 at 4:56:12 PM
To: Tamara Hager ' 1riakepermit.com
•
•
/.t M
.14
S46Ps Nip
%.7
Tamara Hager
704-575-2227

ul.nv<-I
LAMNORmAN )—esmi
vR; I', ry M "P
z 4
_., n6/. Szs" e.
ENTRY EASEMENT
(MB 28, PG 10)
001-733 42
MICHAELJ. BONGIOVANNI
DB 27357, PG 653
NOTES:
I. NO N('GS MONUMENT FOUND WITHIN
2000'.
2. PROPERTY MAY B1'. SUBJECT TO (Y1 OK
COVENANTS. RESTRICITIoNS.
EASEMENTS OR RIGHTS-OE-WAY'FILVF
MY BE OF RECORD.
.3.'ITIIi SE1'13ACKS SHOWN ARE PER MB.
28. PG. 10.
'I11E REAR LAKE 1311FPER 1S 'I/O TOWN of
('ORNLLIUS ZONING.
ACCESSORY SIII13A('KS
5101i: 10'
KE.AN:30'(FI40M 760' LAKE CONTOlilt)
4. THE PROPERTY TIES IN A SPIO'Int •
11.0013 HAZARD ARG•\. HOWEVER THE
PRIN('IPA1. STRIK'I 1 RE IS ABOVI'. AND
BEYOND'1111i SPECIAL 1L000 HAZARD
AREA PER I'lMA P.ANEI. MAP 37111462200K:
DATED 3/02/2(1(19.
5. CONSULT WITH GOVERNING AGENCY
FOR PREVAILING LAND otivri OPMPN'F
AND ZONING REQUIREMENTS PRI(llt '1'O
DESIGN OR CONSrRUCrION of ANY
IMPROVEMENTS.
(ne
LINE
L1
L2
BEARING
S 37.59'05" W
S 59'52'35" W
DISTANCE
34.79'
27.23'
LEGEND:
#4 REBAR FOUND
#4 REBAR SET
COMPUTED POINT
TELEPHONE PEDESTAL
TV PEDESTAL
ELECTRIC BOX
HVAC
IRRIGATION PUMP
SUBJECT PROPERTY LINE
ADJOINER PROPERTY LINE
BUILDING SETBACK
FEMA FLOOD LINE
FENCE LINE
CI El O©a•00
N 32'24'29" W
DAR'9 W. LONG. P.L.S.
18335 OLD STATESVILLE ROAD
SUITE A
CORNELIUS, N.C. 28031
(704) 7(i5-5134
CURVE
C1
LENGTH RADIUS CHORD
62.71'
300.00'
62.59'
CHORD BRG
S 73'52'43" W
C2
68.41'
300.00'
68.27'
N 86'08'22" E
S�.p 1t
a•I,494/0
4
11R�jGC'
Ci / OJ
CriEiitiE)
_Q
CONC.
DRIVE
FIELD LOCAFF.D 760' LAKE CONTOUR
FOLLOWS SEAWALL
gr
(n
N
0
001-733-40
JANICE R. STARR
JEFFREY A. LAWRENCE
DB 31730, PG 773
SFIARED WOOD
DOCK & PIER
AC/JOINER'S FENCE
ALUMINUM FENCE
FEMA FLOOD LINT
100 YEAR+1
(11E LINE).
�6430'S2" yy�
60.67'
LAKE
NORMAN
Physical Survey of Lot 131 of Sunrise Point at The Peninsula, Phase VII-B (Revised)
Professional
Property
F Surveyors. Inc.
18335 Old Statesville Road Ste. A
Cornelius, ti.C'. 28031
704-765-5134 Phone/Fax
Finn License C-3666
Property of:
Michael & Jeannine
Zimmer
As Recorded in:
Map Book 28. Pg 10
Deed Book 36161. P' 642
Site Address:
Korn Sail View Drive
Cornelius, NC 28031
Mecklenburg County
(U 811-(11 JMI
lob No. Prepaid 11)
:, L•10,000 1 40
01)1-733-41 ZIMMIER
l av Parcel Number Drawing File Name
1 orb lO/05/2021
Sheer Nuinbe Data -
Error ot'Closure Drawing Seale

Lake
ke
(At Full Pond/Normal Water Level)
r
Full Pond/ b EL�:YAN
lNormal UVatee-Leve;0.9.4 ail► 2� ;: tf�V l� c0 � ..
' Arm Pitt IAr 41Ir bli 11;i�i1t , Y V , I11 �, ..
Shoreline , , rr �3�r+M I►i� •, lilra.,� �,r�1 ��x� -..,..►
sT,
1� p !—EYS 2(_MO'✓(-Z
'..� , , (Vk 'I�tk L D 16Tu i34n
� �11
ti
Please approximately sketch the following information on this plan (provide dimensions for each
item,such as 10 ftx 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

ul.nv<-I
LAMNORmAN )—esmi
vR; I', ry M "P
z 4
_., n6/. Szs" e.
ENTRY EASEMENT
(MB 28, PG 10)
001-733 42
MICHAELJ. BONGIOVANNI
DB 27357, PG 653
NOTES:
I. NO N('GS MONUMENT FOUND WITHIN
2000'.
2. PROPERTY MAY B1'. SUBJECT TO (Y1 OK
COVENANTS. RESTRICITIoNS.
EASEMENTS OR RIGHTS-OE-WAY'FILVF
MY BE OF RECORD.
.3.'ITIIi SE1'13ACKS SHOWN ARE PER MB.
28. PG. 10.
'I11E REAR LAKE 1311FPER 1S 'I/O TOWN of
('ORNLLIUS ZONING.
ACCESSORY SIII13A('KS
5101i: 10'
KE.AN:30'(FI40M 760' LAKE CONTOlilt)
4. THE PROPERTY TIES IN A SPIO'Int •
11.0013 HAZARD ARG•\. HOWEVER THE
PRIN('IPA1. STRIK'I 1 RE IS ABOVI'. AND
BEYOND'1111i SPECIAL 1L000 HAZARD
AREA PER I'lMA P.ANEI. MAP 37111462200K:
DATED 3/02/2(1(19.
5. CONSULT WITH GOVERNING AGENCY
FOR PREVAILING LAND otivri OPMPN'F
AND ZONING REQUIREMENTS PRI(llt '1'O
DESIGN OR CONSrRUCrION of ANY
IMPROVEMENTS.
(ne
LINE
L1
L2
BEARING
S 37.59'05" W
S 59'52'35" W
DISTANCE
34.79'
27.23'
LEGEND:
#4 REBAR FOUND
#4 REBAR SET
COMPUTED POINT
TELEPHONE PEDESTAL
TV PEDESTAL
ELECTRIC BOX
HVAC
IRRIGATION PUMP
SUBJECT PROPERTY LINE
ADJOINER PROPERTY LINE
BUILDING SETBACK
FEMA FLOOD LINE
FENCE LINE
CI El O©a•00
N 32'24'29" W
DAR'9 W. LONG. P.L.S.
18335 OLD STATESVILLE ROAD
SUITE A
CORNELIUS, N.C. 28031
(704) 7(i5-5134
CURVE
C1
LENGTH RADIUS CHORD
62.71'
300.00'
62.59'
CHORD BRG
S 73'52'43" W
C2
68.41'
300.00'
68.27'
N 86'08'22" E
S�.p 1t
a•I,494/0
4
11R�jGC'
Ci / OJ
CriEiitiE)
_Q
CONC.
DRIVE
FIELD LOCAFF.D 760' LAKE CONTOUR
FOLLOWS SEAWALL
gr
(n
N
0
001-733-40
JANICE R. STARR
JEFFREY A. LAWRENCE
DB 31730, PG 773
SFIARED WOOD
DOCK & PIER
AC/JOINER'S FENCE
ALUMINUM FENCE
FEMA FLOOD LINT
100 YEAR+1
(11E LINE).
�6430'S2" yy�
60.67'
LAKE
NORMAN
Physical Survey of Lot 131 of Sunrise Point at The Peninsula, Phase VII-B (Revised)
Professional
Property
F Surveyors. Inc.
18335 Old Statesville Road Ste. A
Cornelius, ti.C'. 28031
704-765-5134 Phone/Fax
Finn License C-3666
Property of:
Michael & Jeannine
Zimmer
As Recorded in:
Map Book 28. Pg 10
Deed Book 36161. P' 642
Site Address:
Korn Sail View Drive
Cornelius, NC 28031
Mecklenburg County
(U 811-(11 JMI
lob No. Prepaid 11)
:, L•10,000 1 40
01)1-733-41 ZIMMIER
l av Parcel Number Drawing File Name
1 orb lO/05/2021
Sheer Nuinbe Data -
Error ot'Closure Drawing Seale