20230329 Ver 1_Shoreline Stabilization_20230307

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Qualify
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 3/2/2023
submitted on: *
Owner Information:
Name: * Michael McQuaid
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address: * Street Address
18115 John Connor Rd
Address Line 2
City
Cornelius
Postal / Zip Code
28031
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
...............................................................................................................................
Name: *
Company Affiliation: *
Email: *
Yvette Huffman
Lake Permit Services, LLC
[e-mail]
State / Province / Region
NC
Country
USA

Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
PO Box 6369
Address Line 2
City State / Province / Region
Hickory NC
Postal / Zip Code Country
28603 United States
A signed and dated copy of the Agent Authorization letter:*
Michael McQuaid - Agent Auth.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .O5O2(a) & (b)]
Project Name: *
McQuaid - Cornelius
460.67KB
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:
Latitude: * 35.460910
Longitude: *-80.923970
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*
of
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.)
pic
pic
pic
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: *
18115 John Connor Rd, Cornelius NC 28031 - Georgia Connor Torrence
Prop, Lot 2
Include phase/lot number
Included above.
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/Developed
Residential, undeveloped, etc.
6. Property Size .806
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Included above.
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.)
382, 1446 temp corridor
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)
Included above.
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
• $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
• 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
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Yvette Huffman
Signature:
4faw
Submittal Date: 3/2/2023

Initial Review
Is this accepted into the review process?* Yes 0 No
Project Number:* 20230329 Version:* 1
Select Reviewer: * Andrew Pitner:[e-mail]
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

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION -
LOT -NO; - PLAN NO: Shoreline PARCEL ID: 001E341
STREET ADDRESS:
18115 John Connor Rd
Cornelius, NC 28031
Please print:
Property Owner: Michael MgQuaid
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Yvette Huffman , of Lake Permit Services, LLC
(Contfactor/Agent) (Name of co nsulting firm)
to act on my behalf for the processing, issuance and acceptance of this permit or certification and
pi-mide the property owner and this contractor with the outcome/correspondence associated with succh.
Property Owners Address (if different than property above):
(Mailing) same
Telephone: [phone] or 828-600-52S3
We hereby certify the above information submitted in this application is true and accurate to the
bes; of our knowledoe.
Client Signature - ---- - _--
Date
Yvette Hufffm i - take Perm' rvices
Dotf.

o
gle Maps
1-77, Charlotte, NC to 18115 John Connor Rd, Drive 19.3 miles, 33 min
Cornelius, NC 28031
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Map data ©2023 Google 2 mi ■ ■
1-77
Charlotte, NC
Follow 1-77 S to US-21 S/Catawba Ave in Cornelius. Take
exit 28 from 1-77 N
15 min (15.5 mi)
'r 1. Head south on 1-77 S
2.5 mi
2. Take exit 16 A to merge onto Sunset Rd toward
US-21 N
0.4 mi
3. Turn left to merge onto 1-77 N toward Statesville
12.3 mi
4. Take exit 28 for US-21 S/Catawba Ave toward Lake
Norman/Cornelius
0.2 mi
'l 5. Keep left at the fork, follow signs for Lake Norman
and merge onto US-21 S/Catawba Ave
190 ft
Take Jetton Rd to John Connor Rd
8 min (3.8 mi)

6. Merge onto US-21 S/Catawba Ave
40 Continue to follow Catawba Ave
1.1 mi
f4 7. Turn right onto Jetton Rd
2.0 mi
+-1 8. Turn left onto John Connor Rd
0 Destination will be on the right
0.7 mi
18115 John Connor Rd

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3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of
some so+t- a yard stick, shovel handle, etc,)
4. Location of the property (where work is to be conducted)
County: ivlecklenjj Nearest Town: Cornelius
Lake/ river/ ocean adjacent to property: Lk Norman
Property size (acres): .806 acres
Subdivision name or site address (include phase/lot number): ' Gate code: -one
' 8115 John Connor Rd, Cornelius NC 28031 Subdiv: Lot 2 of Georgia Connor Torrence Prop,
Directions to site - please include road names and numbers, landmarks, etc.:
Included in packet
Latitude (in decimal degrees) 35,46091 Longitude (decimal degrees)-80.92397
5. Describe the existing land use or condition of the site at the tirne of this application
(residential, undeveloped, etc.): Residential/Developed
6. Describe proposed work (include discussion as to how hardening of shoreline has beer,
avoided, or why it is necessary): Property owner is requesting aporovai to level shoreline°
to prevent further erosion of the shore area
7. Will work be conducted from land? XX
From water?
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
sgft
Temporary impacts in square feet:
Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
�$2scift (2X19f)
Temporary impacts (temporary clearing, construction corridor) in square feet:
44% (construction corridor", `W,3��E 10Y-20+- (Io X I R1
Z,U� I 2-one,2' S hall,
10_ Please describe the vegetation above ti-1t, r:crrr­i pool lake level/ Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): Grassy yard. No impacted
trees or veeetation other than era
11. Signature
Signature' N 2 Owner/Agent's5 R tore [ CAC 021f .Q50�if}t Date
FORM SSGP 02-2017 of 5

PROJECT:
MCQUAID
LAKE VIEW
281 Total Shore I
BANK (191 impacted)
HEIGHT � Below = 0
1-2 FT Above =382
Beach area 2 x 191)
tr► ..j L 4--- ---------------------- --( .-�_� with 2 trees _
-- eroded area to be resurfaced no impact
i with a gradual slope
iE'+ ACCESS Zone 1
No vegetation TEMP 6 x 30 = 180
*-- _ _ _
to be impacted, _ CORRIDOR -
except grass ``
� ACCESS Zone 2
6 x 20 = 120
18115 John Connor Rd,
Cornelius, NC 28031
SIDE VIEW
+� Below NWL Above NWL Temp Corr Shore
0 -�! - - 382 --- - 1-�-1146 -
(2x191) (6x191)
No Impact
Bank
Height
14'r 1-2 ft
Temp Corr
through
Zone 1 = (6 x 30) 180
Zone 2 = (6 x �0) 120
18115 John Connor Rd,
Cornelius, NC 28031
Pg2of3

Project: McQuaid - Cornelius
18115 John Connor Rd
Cornelius, NC 28031
1) Shoreline and Buffer Impact
Shoreline: Homeowner requests leveling of partial shoreline to correct eroding and return
to natural grade. 191 of the 281 linear ft will be impacted because not all of the shoreline
has eroded. The portion of the shoreline that will not be disturbed consists of a natural
beach area.
Buffer: Buffer consists of a grassy yard, with 2 trees. Trees will NOT be impacted as they
are not within the work zone; therefore, vegetation impact will be minimal grass only.
2) Temporary Access Impacts
Homeowner requests one temporary access corridor. Viewing from the water, access will
be on the left side of home, due to electrical conduit on the right side.
Zone 1 passage: Impact to only a grassy yard. 6 x 30 = 180
Zone 2 passage: Impact to only a grassy yard. 6 x 20 = 120
Along Shoreline: 6 x 191 = 1146
TOTAL TEMPORARY: 1446 SQFT
3) Restoration Plan
Temporary: The property owner will place straw and/or rye immediately after project
completion to stabilize property and prepare for permanent restoration.
Permanent: Property owner is responsible in restoring and replanting with comparable
vegetation within 2 months of job completion. Also, property owner will maintain and monitor
all newly planted vegetation, to ensure the health for long term existence.
Page 3of3

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Tlrls mt may not be a crrtitied cti as �,
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has ndt be+etl reviewrd bya iocaf
L DARYL W, LONG, CEICTIFY THAT THIS PLAT Bovemment agency fat campAance with any i �
WAS DRAWN UNDER MY SUPERVISION FROM
aPAkable land dirmloprrmnt rMialons and I a
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SUPERVISION. THAT THE DEEDS AND MAPS recortingregtArenwrttsfor plat. NLAKE
NOTED WERE USED AS REFERENCES. THAT 60 0 50 120 Q
THE BOUNDARIES NOT SURVEYFA ARE CLEARLY �
INDICATED AS DRAWN FROM INFORMATION INDICATED, SCAt£ IN FEET
THAT THE RATIO OF PRECISION AS CALCULATED IS GREATER THAN 1: I 0,000; THAT
THIS PLAT WAS PREPARED FOR THE PURPOSE OF R/W ACQUSSITION ANDIOR EASEMENT
ACQUISrrION ONLY, AND. IS NOT INTENDED TO BE A BOUNDARY SUkVFY OF THE PARCEL.
SHOWN HEREON; THAT THIS MAP MEETS THE REQUIREMENTS OF THE STANDARDS Or
PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA{21 NCAC 56.1600a.
WITNESS HAND AND SEAL THIS � DAY OF �a����of 2019,
DARYL LONG, PLS L-4 S8,
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P09 POINT OF BEGINNING
R/W RIGHT OF WAY
SUBJECT PARCEL
SUBJECT EASEMENT
STREET RIGHT OF WAY
ADJACENT PARCEL
ST— PROPOSED DRAINAGE

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Mc uaid - Cornelius _ _ � County:
Owner: Michael
Print i signature
Permit Agent: Yvette Huffman — Lake Permit Services LLC �_(t�111
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(g)]
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. 115A 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 o-
sheet flogs at non -erosive velocities to the lake. (15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
1, Michael McQuaid 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 Qualm
Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting materials.
1
l` j Signature (owner): i _-----__ _ Date: ( _Y�
Signature (owner). _ _ Date:
0