20230676 Ver 1_Sketch_20230512

PROPERTY LEGAL DESCRIPTION:
LOT NO: 34Z PLAN NO: PARCEL ID:
STREET ADDRESS:
Pig
Please print:
Property Owner: "Ad/
Property Owner;
The undersigned, registered property owners of the above noted property, do herebyauthorize
Randall Clawson
of Clawsons Pile Driving and
Construction
(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.
PropertyOwners Ad)dr/e/sss, (if different than property above):
zzj/ (/1 uG
lal ul
Telephone;
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowledge.
Aut rized Signature AAUtorized Signature
Date Date

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:, ?M _501-tw � —County: C12a—.5
-
Owner: QG f
Pr' t J rr ture
Contractor/agent: lCt —
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(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 and 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 02B .0243(5), (6)]
Acknowledgement of Notification
1, f lk � — hereby state that 1 have been informed of the Catawba
Riparian B ffer 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
Quality Certification and Buffer Rules,the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner): /�%` ! � Date:

p� 55. - �'es SEAL '���
�r L-3190 �
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CABIN ROADa�5
UNDEFlNED PRIVATE
ASPHALT PAVING
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1 2 .78' 1—
U1
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m LOT 31 , LOT 30
L07 2
LOT 34 ' LOT 33 3,781 t c'
0 0. c co
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I.PIN(F) 1
LPIN(F)
66 N
GASTON COUNTY WILDLIFE GASTON COUNTY WILDLIFE
CLUBHOUSE, INC. �' CLUBHOUSE, INC.
P.B. 65, PG. 127
cos 5g P.B. 65, PG. 127
C6
p y 6 �z
c�
ul
N
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gg5
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/I.PIN( I-PIN(F)
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LAKE TMIE
LEGEND
LINES SURVEYED
LINES"NOT SURVEYED ---
ALL CORNERS ARE AS NOTED O
N.T.S. NOT TO SCALE
C.P. CALCULATED POINT
OVERHEAD UTILITY LINES
UTILITY POLE
METAL FENCE —x—x—x—x—x—x—
WOODEN FENCE—c—o—o—a—o—o—
SEWER MANHOLE Q8
MBSL — MINIMUM BUILDING SETBACK LINE
LPIN(S) — IRON PIN SET
LPIN(F) — IRON PIN FOUND NOTES: SURVEY MADE USING EXISTING PHYSICAL
I. — IRON CMF — CONCRETE MONUMENT(F) EVIDENCE FOUND AT TIME OF SURVEY.
(F) FOUND
(S) SET SUBJECT PROPERTY MAY BE SUBJECT TO
RECORDED OR UNRECORDED EASEMENTS,
te RIGHT—OF—WAYS, SETBACKS AND/OR
SURV RESTRICTIVE COVENANTS NOT SHOWN
HEREON.
CL®NINGER GRAPHIC SCALE
INC 40 20 0 40 80
SCALE IN FEET
CLONINGER SURVEYING & MAPPING, PL-C
201 W. 2nd AVENUE, SUITE C
GASTONIA, NC 28052
704.864.9007 OF
LICENSE P-2326
LOT 329 GASTON COUNTY WILDLIFE CLUBHOUSE, INC.
SCALE: 1" = 40' SOUTHPOINT TOWNSHIP — GASTON COUNTY, NC DATE: OCTOBER 13, 2022
PROPERTY TO BE ACQUIRED BY:
MAP RECORDED IN BOOK 65 AT PAGE 127 DEED RECORDED IN BOOK PAGE
CADD # 2218SMITH WORK ORDER # 2218 DRAWN BY: MLC TAX ID NO. 194520

5/10/23,2:23 PM South Point High School to 3175 South Point Road, Belmont,NC-Google Maps
Ga Maps South Point High School, 906 S Point Rd, Belmont, NC Drive 5.2 miles, 10 min
28012 to 3175 S Point Rd, Belmont, NC 28012
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Google
Map data 02023 Google I mi,
via S Point Rd 10 min
Fastest route now due to traffic 5.2 miles
conditions
Explore 3175 S Point Rd
Restaurants Hotels Gas stations Parking Lots More
https://www.google.com/maps/di r/South+Point+H i g h+School,+South+Point+Road,+Belmont,+N C/3175+South+Point+Road,+Be Im ont,+NC/@35.1920...

5/10/23,2:30 PM South Point High School to 3175 South Point Road,Belmont,NC-Google Maps
r_ South Point High School, 906 S Point Rd, Belmont, NC Drive 5.2 miles, 10 min
C1 P 5
28012 to 3175 S Point Rd, Belmont, NC 28012
South Point High School
906 S Point Rd, Belmont, NC 28012
Take 2534/Nixon Rd to NC-273 S/S Point Rd
2 min(0.4 mi)
'r 1. Head southeast
72 ft
2. Turn right
203 ft
3. Turn left toward 2534/Nixon Rd
141 ft
f 3 4. Turn right toward 2534/Nixon Rd
410 ft
r 4 5. Turn right onto 2534/Nixon Rd
0.2 mi
f 4 6. Turn right onto NC-273 S/S Point Rd
5 min(3.4 mi)
Follow S Point Rd to State Rd 2525
3 min(1.5 mi)
T 7. Continue straight onto S Point Rd
1.5 mi
a-> 8. Turn right onto State Rd 2525
0 Destination will be on the right
171 ft
3175 S Point Rd
Belmont, NC 28012
https:l/www.google.com/maps/dir/South+Point+High+School,+South+Point+Road,+Belmont,+NC/3175+South+Point+Road,+Be Imont,+NC/@35.1920... 1/1