HomeMy WebLinkAbout20221285 Ver 1_Shoreline Stabilization_20220919Shoreline 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*
john.gregory@grandfatherhomes.com
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 9/15/2022
submitted on:*
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
John Gregory, Grandfather Homes
john.gregory@grandfatherhomes.com
(704)996-4749
(xxx)xxx-xxxx
Street Address
1111 Central Avenue
Address Line 2
Suite 320
City
Charlotte
Postal / Zip Code
28204-2257
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: *
Company Affiliation: *
Email:*
Janice Estep
CBC Stone & Recycling, LLC
info@cbcstoneandrecycling.com
State / Province / Region
NC
Country
US
Phone Number:* (704)660-5111
(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 603.57KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Gregory Shoreline 2
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:*
35.541386
Street Address
136 Potomac Ln
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117 US
Longitude: *-80.884090
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.pdf
Please use the diagram at the link below:
967.56KB
1.04MB
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 23.51 MB
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 5 The Preserve at Windsor Pointe
Include phase/lot number
Head south on Evergreen St toward E Center Ave
15 s (197 ft)
Turn right onto E Center Ave
2 min (0.5 mi)
Turn left onto S Church St
1 min (0.4 mi)
Follow E Wilson Ave and US-21 S to Alcove Rd
9 min (3.7 mi)
Turn right onto E Wilson Ave
1.5 mi
Turn left onto US-21 S
2.2 mi
Use the left lane to continue on Williamson Rd
387 ft
Take Templeton Rd and Camino Real Rd to Potomac Ln
5 min (2.2 mi)
Turn left onto Alcove Rd
0.5 mi
Turn right onto Templeton Rd
0.9 mi
Turn left onto Camino Real Rd
0.7 mi
Turn right onto Potomac Ln
0.1 mi
136 Potomac Ln
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 new construction.
Residential, undeveloped, etc.
6. Property Size
0.582 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Remove old concrete boat ramp and old wood plank gang way. Install a
VA Fieldstone boulder wall for new shoreline stabilization and TN Crab
Orchard steps 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.)
3.5' below (500.5
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 (143 sf) 10'
x 50' access
corridor (500 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 undermined trees/brush on immediate shoreline
necessary to properly stabilize. Trees that have fallen into lake will also be
removed. Minimal disturbance to buffer. Access corridor through buffer to
be restored to original condition.
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
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
a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Janice Estep
Signature:
uirm
-titer-r-r.cr�-rs(�
Submittal Date: 9/15/2022
Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20221285 Version: * 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - (704) 663-1699
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?* $240.00
$570.00
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. .�') PLAN NO. PARCEL ID:
STREET ADDRESS: 1 14 ?®-k-o mGkc
(YA(DoceS KC__=.12)111
Please print: I 1
Property Owner: i o k r reCJ1 p c-c j 1 rc ca-A-V -e v" 1�c rc e S
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
�lUr� tCC ESAe , of Ct�� SA-csr E c5CVip) ,.C.
(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 Address (if different than property above):
IIII CeraA Aye. Su'3a.o Chr\c*-e.,NC. a43aoy
Telephone: 16 -1 qcit.a ._ L\ 1 L\
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Agnatur
Authorized Signature
Date: vile Date:
X
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CAMINO REAL RD.
'- REVISION PLAT
THE PRESERVE AT WINDSOR POINTE
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WINDSOR POINTE
LOTS 1-9
end
T11E PRESERVE AT 97NDSOR POINTE
LOTS 1-7
Ikvidmn Township JA J&1 unty, NC BB l
Iredell County, North Carolina
Tax Map Information
• PIN 4635973492.000
• Address 136 POTOMAC LN
• Account Acct 80079536
• Tax Owner GRANDFATHER HOMES INC
• Mailing 1111 CENTRAL AVE STE 320
Address
CHARLOTTE, NC 28204
• GIS Owner GRANDFATHER HOMES INC
• Deed Info 2911 / 2362 - WD - 20220414
• Tax Acres 0.582 AC
• Lot # 5
• Description THE PRESERVE AT WINDSOR POINTE
P853-46
• Zoning R20
• Old Parcel #
• Bldg Value $0
• OBXF Value $5,880
• Land Value $495,000
• Total Value $500,880
• Defer Value $0
• Tax Districts -ALLCOUNTY FIRE- -
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Iredell County, North Carolina makes no claims and no
warranties, expressed or implied, concerning the validity or
accuracy of the GIS data presented on this map.
September 14, 2022
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.
Iredell County, North Carolina September 14, 2022
11.1011.1
133
?3,.
6
4a
131
O
-o
0
O
1" = 58.553153846288076 ft
Tax Map Information
• PIN
• Address
• Account #
• Tax Owner
• Mailing
Address
• GIS Owner
• Deed Info
• Tax Acres
• Lot #
• Description
• Zoning
• Old Parcel #
• Bldg Value
• OBXF Value
• Land Value
• Total Value
• Defer Value
• Tax Districts
4635973492.000
136 POTOMAC LN
Acct 80079536
GRANDFATHER HOMES INC
1111 CENTRAL AVE STE 320
CHARLOTTE, NC 28204
GRANDFATHER HOMES INC
2911 / 2362 - WD - 20220414
0.582 AC
5
THE PRESERVE AT WINDSOR POINTE
PB53-46
R20
$0
$5,880
$495,000
$500,880
$0
-ALLCOUNTY FIRE- -
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Iredell County, North Carolina makes no claims and no
warranties, expressed or implied, concerning the validity or
accuracy of the GIS data presented on this map.
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.
Full Pond/
Normal Water Level
Shoreline
Lake
(At Full Pond/ Normal Water Level)
.5 b001/4)3 x 1L13'
{-e..p 5
ct-bove x ty3'
t y 3
Neu)
Con:A r o cA.10 0
MIN MAIM I;_
Rern cDve uncles -To')
trees, hru5h o n
mm2d, Q 5
, c,0A Cti g4Ur-3ancr"
*b bu VCe.)C
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 RIP 0 i BUFFER Pi TII IICAT IOR1 FORM
Project Game/address: l3Lo <s 1MGLC `.rZ. I�o�re5'v� (tL 1 NC County: _.re,de.11
Owner: Gnaw/ iz►Thlr �enit.3 h..
Print Contractor/agent: C 1C C J+On e
Print
c-
5ignzre
Si
e
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
02N .0506 and 1SA 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 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 028 .0243(5), (6)]
Acknowledgement of Afotbrcation (Lyles,
1, 3-* i n re orl , Cn �zs m(�u-14iyr tLrn s, hereby state that I have been informed of the Catawba
Riparian Buffer /lute. 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.
Sigh turn (o er):
K
Date: W_.2242 2