20231477 Ver 1_Shoreline Stabilization_20231016

RECEIVED
2023
V ©EQ49ATER RESOURCES
' 401 & BUFFER PERMITTING
A AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: `
LOT NO. PLAN NO. PARCEL ID: 9 \ vlc y
STREET ADDRESS: 1 JVk
Please print: Property Owner: t aMi `fi t to w +n
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
G��F�.l1�CiGv 1, rir1;4,U5�`�1 , of !.Vea�in�—
(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):
Telephone:
'31uu- -)3C1-61
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date: kt \ L` k;lL 2>
"-I V-C4-*Ut
Authorized Signature
Date:

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA Environmental Quality State of North Carolina
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.
RECE". ._
Date of Pre -filing Meeting Request: _J__/ (required)
DWR ID # Version (if applicable) OCT
DEQ-WATER RESOURCES
401 & BUFFER PENMITTINQ
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:(J.v y1��-�
Mailing Address: Sri vie,
_-V I'1 V Z.V ", N C. �ky C'i t
Telephone Number: _JtL1—_4Qy -9A"Gr Fax Number:
E-mail Address: NC ]P_rI, la1 \ 1 (�wyus_.1, Cv•-V\
D E Q�� North 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
Nivcn �iH Ar!0!�N
D ,. nl d Emvamnm tal a.lity / 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.mil/Portals/59/docs/regulatory/`regdocs/Permits/SAMPLE AGENT AUTHORIZ
Name: F'flJldfC�
Company Affiliation:
Mailing Address:
1' CGY
Telephone Number: Fax Number:
E-mail Address: kkVV04� L-k-l*-Ar !?1fY" I , CVm
B. Project Information [15A 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: U nc0%V1 Nearest Town: CU►�f�+b�• CsO NS
��
Lake/ river/ ocean adjacent to property: w�.0 w ma-V%
Property size (acres): t A 3A
Subdivision name or site address (include phase/lot number): WQ Ho5 C., \LytA Cp Ve,
Directions to site - please include road names and numbers, landmarks, etc.:
(OCArALA fir) , (0V bh 15 614UJ C04C CJ+, MVIVP,taaL dv►v2, otak to&,. jf tQQ c
Latitude (in decimal degrees) -$5• 45-Z I Longitude (decimal degrees)'— 01).9I"1
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): &Sickw:A7�N'
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): S V00 1109 Shwas Y A U2MM L, pn
FORM: SSGP 09-2020 Page 2 of 5

7. Will work be conducted from land? ❑ From water?*K
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:
.-To @5 �0(rg�k
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 V
acts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
�-O C l Q L.V
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. 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): VUI)
RIX_ 0- rnNa hti.e,L �� ao(3. � ti C(cue c1�
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 requests that the certifying authority review and take action
on this CWA 401 certification request within the applicable reasonable period of time
#rUA
G zs
Owner/Agent's Signature' [15A NCAC 02H .0502(f)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:
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/ Nor al Water Level)
-7 >4 shy .
y
� 1~
Full Pond/ Normal Water
Shoreline
AT&S
Plan View
19W
Full Pond/ P
. — 7
>S SGC()
,V) n a i � vQ-mMN-Crj .
Plan View
Lake
(N Full Pond/ Normal water LeYO) Existing Dock
/30 ftw 7ft
FORM: SSGP 09-2020 Page 4 of 5

�—C
J
Lake
(At Full Pond/ Normal Water Level)
c
L O
O
Z N
�Q
0
Side View
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
'if necessary
Existing bank
10 ft. bank
height
Side Vi
FORM: SSGP 09-2020 Page 5 of 5

Google Maps
10/9/23, 11:55 AM
Go gle Maps
Imagery @2023 Airbus, Map data @2023 20 ft
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7350 Lakeridge Dr - Google Maps 10/4/23, 5:13 PM
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7350 Lakeridge Dr - Google Maps
10/4/23, 5:13 PM
7350 Lakeridge Dr
Building
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Save
Nearby
Send to
phone
0 7350 Lakeridge Dr, Denver,
NC 28037
At this place
Leverage Consulting, LLC
5.0 (6)
Consultant - Floor 1
Closes soon - 5:30 PM - Opens 8 AM
Thu
S
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BK 3265 PG 707 - 709 (3) DOC# 669957
This Document eRecorded: 07/26/2023 04:31:19 PM
Fee: $26.00 DocType: DEED Tax: $4,540.00
Lincoln County, North Carolina
Danny R. Hester, Register of Deeds
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $4,540.00Parcel Identifier No. 8I991 Verified by
20
By:
County on the _ day of
Mail/Box to: Knipp Law Office, PLLC, 8221 Village Harbor Drive, Cornelius, NC 28031
This instrument was prepared by: Knipp Law Office PLLC. 8221 Village Harbor Drive, Cornelius. NC 28031
Brief description for the Index: Lot 19 Webbs Chanel Cove
Title Company: Fortified Title LLC
THIS DEED trade this _f day of July , 2023 __, by and between
GRANTOR
Kevin A. Johnson and spouse, Shelley R. Johnson
Forwarding Address:
355 Harbour Drive, Apt. 6
Humacao, PR 00791
GRANTEE
The Matthew P. McKeown Revocable Living Trust dated
September 30, 2020; The Leslie T. McKeown Revocable Living
Trust dated September 30, 2020, as tenants m common
Property Address:
7350 Lakeridge Drive
Denver, NC 28037
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 situate in the City of Denver, Lincoln County, North Carolina and more particularly described as follows:
See attached Exhibit A
The property hereinabove described was acquired by Grantor by instrument recorded in Book 1776 page 527.
All or a portion of the property herein conveyed _ includes or does not include the primary residence of a Grantor.
A trap showing the above described property is recorded in Plat Book 13 Page 227-232.
NC-23-01941
submitted electronically by "Knipp Law office, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Lincoln County Register of Deeds.

BK 3265 PG 708 DOC# 669957
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:
APPLICABLE ZONING.
ANY EASEMENTS AND RIGHTS OF WAY FOR SERVICE LINES, ROADS AND UTILITIES AS MAY BORDER OR
CROSS THE PROPERTY, INCLUDING THE SUBDIVISION STREETS AS SHOWN ON RECORDED PLAT.
ANY EASEMENTS RESERVED IN THE RESTRICTIVE COVENANTS, INCLUDING HOMEOWNERS ASSOCIATION
PROVISIONS.
APPLICABLE RESTRICTIVE COVENANTS OF RECORD AND STREET ASSESSMENTS.
2023 REAL PROPERTY TAXES.
Title to the property hereinabove described is hereby conveyed subject to all valid and subsisting restrictions, reservations,
covenants, conditions, rights of ways and easements properly of record, if any and current year ad valorem taxes.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
/T' " �t - �' -- ----ram'! (SEAL)
N"ame:KevinA. Johnson
`� (SEAL)
Na , helley R. Johnson
State of /V\__— _ _ - Countyof
I, the undersigned Notary Public of the County and State indicated, certify that Kevin A. Johnson and Shelley R. Johnson
personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or seal this _day of_ Tit 20 ?
My Commission Expires: S 1JJ %ZOZ p
�� Gomm E+,oy�i
-Z:
PUBLIC % U
inO • ,Lla_Y 1 t , 2�,� r 2 .
<c c0\3 \
,`Irrlrll111 tilt\\\�\\\
[J�l
Notary Public
tiG23-01941

BK 3265 PG 709 DOC# 669957
EXHIBIT "A"
Leval Deserbdon:
BEING all and the full contents of Lot No. Nineteen ( 19) of Webbs Chapel Cove Subdivision as shown on plat entitled "Webbs
Chapel Cove" prepared by Ronnie DW=n Surveyor P.A. dated May 27, 2005 and recorded in Plat Book 13 at Pages 227 through 232
in the Office of the Register of Deeds for Lincoln County.
Parcel:
81991
Physical Address:
7350 Lakeridge Drive, Denver, NC 28037
NC-23-01941

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: -1
Contractor/agent:
Print Signature
ylwkrn
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 sae 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)]
Admowledgement of Notification
I, ` ` `caou iq , 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
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner): Date: ot�j

Map with Parcel Information
10/4/23, 5:05 PM
Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division
Lincoln County and its mapping contractors assume no legal responsibility for
the information contained on this map. This map is not to be used for land
conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
0 Date: 10/4/2023
7342
a
7334
f
r,
7 ,5
Inl1/
73j
Parcel ID
81991 Owner MCKEOWN MATTHEW REV LIV TRUST
MCKEOWN LESLIE T REV LIV TRUST
Map
4605 Mailing 7350 LAKERIDGE DRIVE
Account
0298657 Address DENVER,NC 28037
Deed
3265 707 Last Transaction Date 07/26/2023 Sale Price $2,270,000
Plat
13 230 Subdivision WEBBS CHAPEL COVE Lot 19 (MAP 4 OF 6)
Land Value
$403,395 Improvement Value $1,246,538 Total Value $1,649,933
Previous Parcel
81278
-----All values for Tax Year 2023 -----
Description
#19 LOT WEBBS CHAPEL COVE Deed Acres 1.434
Address
7350 LAKERIDGE DR Tax Acres 1.434
Township
CATAWBA SPRINGS Tax/Fire District DENVER
Main Improvement CUSTOM HOME Value $1,190,862
Main Sq Feet
4250.61 Stories 1.7 Year Built 2015
Zoning District
Calc Acres Voting Precinct Calc Acres
R-SF
1.44 DN29 1.44
Watershed
Sewer District
1.44
1.44
https://arcgisserver.lincoincounty.org/taxparcelviewer/PropertyReport.aspx?vacinity=false&akpar=81991 Page 1 of 2

Map with Parcel Information
10/4/23, 5:05 PM
Census County
109
Tract Block
071203 1024 1.44
Flood Zone Description Panel
AE SPECIAL FLOOD HAZARD AREA BASE ELEVATION DETERMINED - 3710460500 0.06
100 YEAR
NO FLOOD HAZARD
3710460500 1.37
https://arcgisserver.lincoincounty.org/taxparcelviewer/PropertyReport.aspx?vacinity=false&akpar=81991 Page 2 of 2

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