20231476 Ver 1_Shoreline Stabilization_20231010

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AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. j 0 PLAN NO.
STREET ADDRESS: ! as W i1Yll:a L�
PARCEL ID: k71-0 Z_ GA'A."2'> IMO G�) `G
Please print:
Property Owner: ��Q2� Property
Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
.tr f f&ilCt. l i,yla SS.' ► , of L( t2 Nov►'YifLn
(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):
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We hereby certify the above information submitted in this application is true and accurate to the best of
our knowledge.
Authoig Lure Authorized Signatu
Date:riz -L te:

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project
Owner:
Contrac
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 028.0243 (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,'�r� , 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 sub tantial compliance and intent of the 401 Water
Quality Certification and Bu r Rules, t pproved pl (s) and specification(s), and other supporting
materials.
Signature (owner): Date: 3 2

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA State of North Carolina
Environmental Quality
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Shoreline Stabilization Application Form
FORM: SSGP 09-2020
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
NOTE: Before submitting this form, please ensure you have submitted the Pre -Filing Meeting Request
Form as we will not be able to accept your application without this important first step. The Pre -Filing
Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre -filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must include documentation that a pre -filing meeting request was submitted to
the certifying authority at least 30 days prior to submitting the certification request. Click here to read
more information on when this form is needed prior to application submission or here to view the
form.
Attach documentation of Pre -Filing Meeting Request to this application.
Date of Pre -filing Meeting Request: ___J_/ (required)
DWR ID #
Version (if applicable)
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: .ki`rncS�.xc�
Mailing Address: w_Alrlwa. U xk_
N (, A& 11-1
Telephone Number: 13' old 1'�I ICA Fax Number:
E-mail Address: , M . k-Xk 14. Cc'VI
RECEIVED
0 C T 1 0 7n?3
40E� BU TF A PERM111 CEa
71NQ
D E QNorth Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh. North Carolina 27699-1617
919.707.9000

2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.miI/Portals/59/docs/regulatory/repdocs/Permits/SAMPLE AGENT AUTHORIZ
Name: KWIi
Company Affiliation
Mailing Address:
Telephone Number:
E-mail Address:
Z
Y L � D0
3?kL--S cr-CV'VSU Fax Number:
pv V'&aala trlf-N (0-v!w1a 1 • ccn-1
B. Project Information f15A NCAC 02H .0502(a) & (b)]
1. Attach 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.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation
or dredging below Full Pond/ Normal Water Level elevations, and construction access
corridors. You may use the diagram provided at the end of this application form.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: \ Q," Nearest Town: MCDQS\ t 11R ; NC%
Lake/ river/ ocean adjacent to property:,, ill cfYY�G.�I
Property size (acres):
Subdivision name or site address (include phase/lot number): V, r�\-L,,
SVOV O o, N CA" Smut A j D� rug,��2 rh
Directions to site - please include road names and numbers, landmarks, etc.: NL ISM 1YM�
�.. rdAQvn A .. �i1.._1 D'I .1 nigh nLpl%AC 0A IArNmtrilanu irar%IV-71.itnL,10iAWOO
1 . v Longitude (decimal degrees)'' � 'D, 9
Latitude (in decimal degrees) �
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Qkyk&Uy a
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Pfflaumgk itD ?0 Al
An u n a e yb siby\
FORM: SSGP 09-2020 Page 2 of 5

7. Will work be conducted from land? ❑ 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:
Temporary impacts in square feet:
9. 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:
.'1 r, - P-4 — O _
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake leveV Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): '& was
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• The project proponent hereby quests that the certifying authority review and take action
4 this CWA,4e3\certification tecluest within the applicable reasonable period of time
's Signature` [15A NCAC 02H .0502
63
Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
FORM: SSGP 09-2020 Page 3 of 5

Lake
(At Full Pond/ Normal Water Level)
3
S'Le f+
60\-V,� SYKnauti
Lake
(K fim Pad/ Nonnd war U-M) li
Existing Dock
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v�rrr�rw�r�ovww��.�r� :M�r�•
rrr♦►r• rrr rrr rr•r�
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Plan View
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FORM: SSGP 09-2020 Page 4 of 5

oa irk 0300"t ("KU pziqj t % be Wo
2k&OX .
Lake a�
(At Full Pond/ Normal Water Level)
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C
Side View
ILL.
10 ft. bank
Side Vi
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AL qjU"4rL
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
necessary
Existing bank
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QUO
FORM: SSGP 09-2020 Page 5 of 5

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Type: CONSOLIDATED REAL PROPERTY
Recorded: 8/7/2023 4:48:49 PM
Fee Amt: $3,132.00 Page 1 of 2
Revenue Tax: $3,106.00
Iredell County, NC
Renee L. Holland Register of Deeds
BK 3008 PG 1501 - 1502
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $3,106.00
Parcel Identifier No. Property 1:
4636-10-3106Verified by County on the day of , 20
By:
Mail/Box to: Thomas & Webber, PLLC, 514 Williamson Road, Suite 421, Mooresville, NC 28117
This instrument was prepared by: Thomas & Webber, PLLC, 514 Williamson Road Suite 421 Mooresville NC 28117
Title Insurance Company: North Carolina Title Center, LLC
Brief description for the Index: L10
THIS DEED made this ��ay of.
lei 7lT1 k ileT7
Christian Daneffel and Daniela Daneffel-
Haeuseimann, Married
1101 Nowell Road
Raleigh, NC 27607
20,13, by and between
GRANTEE
James Read and Allison Read, Married
Property Address:
122 Wynward Lane
Mooresville, NC 28117
Mailing Address:
122 Wynward Lane
Mooresville, NC 28117
Enter m 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 10, Block 1 of North Shore II, Phase I Subdivision as shown on a map thereof recorded in Map Book 25 at Page 222
in the Iredell County Public Registry.
Commonly known as 122 Wynward Lane, Mooresville, NC 28117.
The property hereinabove described was acquired by Grantor by instrument recorded in Book page .
submitted electronically by "Thomas and Webber, PLLC'
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Iredell county Register of Deeds.
NC Bar Association Form No. 3 ® Revised 7/ 2013 North Carolina Bar Association - NC Bar Form No. 3
Printed by Agreement with the NC Bar Association North Carolina Association of Realtors, Inc. - Standard Form 3

All or a portion of the property herein conveyed includes or does not include the primary residence of a Grantor.
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 25 page 222.
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.
' �`
�, t� � V'N'
k.�• (SEAL)
Christian Daneffel
Daniela Daneffel-Haeu e'lmann aka Daniela Daneffel t
STATE OF NORTH CAROLINA
COUNTY OF IREDEL; n'� ���
I, _ Z _!� A Vy , Notary Public, do hereby certify that Christian Daneffel and Daniela Daneffel-Haeuselmann aka
Daniela Daneffelpersonally appeared befo a me this day and acknowledged the jµg,gxecution of the foregoing instrument.
Witness y hand and official seal this day of August, 2023. , �'`:� A. VV
NOTARY z
Offici gignatureofNotary -O PUBS -IC O
Printed or typed name of Notary
My Commission Expires: V I S G-� 7i1U cO� �P`
/ NOF?
NC Bar Association Form No. 3 © 1976, Revised © 1/l/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

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redell County GIS Data Downloads
Property
�t 4G36103106.000
122 WYNWARD LN
GIS Owner (curr"t)
READ JAM ES•ALLISON
s t 3008 ! 1501
20230807......'VrD
1
10
25-222
NORTH SI+CRC I
P1 M1
NORTH 514GRE k P1 Y1
P625-203 REV PKJ-222
17055
1702G23000B010
Tax Owner Info
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