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Home My WebLink About20240010 Ver 1_More Info Received_20240117CATAWBA RIPARIAN BUFFER NOTIFICATION FORM Project Name/address: l7 9d r 1 �tY1 I(5 J�' , U l�k f ��ll , V4,XbCounty: M bf—K Irl� _ Owner: CGd. ffl e c r) ` _ft f � LnV . Vb j.( �i�Cl`� Sew �>G'G�jL t� Print � Signature Contractor/agent: Wi e_ 1.tJh1 i! t "Doc"R CdYlSl - 5 D� �'� 1 fG�� Gi�7 FallI Print Signalfire 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 .0S06 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, 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 I, T C/ rxlo(_Z62� 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: 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Ce 51acn 1ct ,!fib 2X-i5 f(o,-- f l 6. Describe proposed work (include discussion asto how hardening of shoreline has been avoided, or why it is necessary): V� e_W n e i � �1 ho r I I (hod , l) CI Q, 1 0 0 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: tia o C) 5 1 a 6.flc- -Fee .f Temporary impacts in square n I ltznhi, riiinc 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: 7?' Temporary impacts (temporary clearing, coppstruction corridor) in square feet: 0 - t , 6 4' K run (' _ Ih U- I: j 0-1-E.(Z, 10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 feet landward to be impacted ( umber of trees, for instance): no ne• - u%y Y, 6 n L- y L�� 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 ha& 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: 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 North Carolina Dcpm.mcnt of E:ncironutcntal Quality I Division of Walc, Rc>ourccs 512 Norllt Salisbury Strce.t 11617 \jail Scrvice Center I Raleigh, North Carolina 27699-1617 aerartmxm ii Eawennxnrei p,en� 919.'07.9000 AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. 37 PINNO. PARCEL ID: 21736246 STREET ADDRESS: _17901 Wilbanks Drive Charlotte NC 28278 Please print: Property Owner: _Cameron Douglas_ Property Owner: —Tiffany Douglas_ The undersigned, registered property owners of the above noted property, do hereby authorize TODD FLOWERS of _LAKE WYLIE DOCK CONSTRUCTION LLC (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): SAME Telephone: _410-353-0223 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Owner(s) //Z Signature / Date: (2U I 'C J693 Signature -- Agent Lake Wylie Dock Construction Signature:-) e& 9—� Date: _1 ,/PP Z-'b� Date:--L�' v�3------- ka •A• State of North Carolina Department of Environment and Natural Resources v Division of Water Resources '11�ater Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization FORM: SSGP 02-2017 Please approximately sketch the following information on this plan and provide dimensions for each item: a. All proposed vegetation clearing - hvine ('WWI 6�,. 'q1 Vve b. Location of rip rap or fill to be placed above the Full ond/ 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. 44O&I'e, -- - �• �• 4 r nl.uaQL-I VI Ul uur,111g ucww Une ru1I tuna/ Normal Water Level elevation Full Pond/ Normal Water 12--1 kn�- Shoreline Plan View 3 1 0 �cfvc� f:WA P�It sE�d Abe, FORM: SSGP 02-2017 Page 1 of 3 NG 4e $ f47 Plan V46w t"� �P ri ve p AO FORM: SSGP 02-2017 Page 2 of 3 12/15/23, 12:47 PM IMG_6043.jpg https://mail.google.com/mai 1/u/O/?tab=rm&ogbl#label/SHORELINE+P I CS+FOR+RIP+RAP+PERM ITS?projector=1 1 /1