Shoreline Application-Sharon Sigmon

AGENT AUTHORIZATION FORM
PROPERLY LEGAL DESCRIPTION: q
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: � 'Lv s k%f e' CA.
ShP m� 5 Gb'A \ N V zuq`i
Please print: C� �� i `n C' n
Property Owner: J► �
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
l-,yNo-: S'jn of ' y n%.,YMcL-n Dar iajn
(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. a
Property Owner's Address (if different than property above):
Telephone: �a —� — su Ya
00
�
i
T
n
Fill
-n
m
rrt
3 0
N
0
A
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
l Ul L —
Signature Autt(gfized Signature

xDate: , I cl'2t-A Date: O E 7Z-

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 Farm 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: _/� (required)
DWR ID
Version (if applicable)
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: ��T
Mailing Address:
Telephone Number:
1
-lQ]a145U)ia Fax Number:
RECEIVED
F E B - B 2024
QEQ-WATM rl -r -I it-7T,
401 & °iK 1, : _-.
D _E QJ 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
"`a'+w�+u.w� /'� 919.707.9000

E-mail Address: iV" 1, CL
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: 1" V&Ayr_EVA(t LkXrJ_xtaw
Company Affiliation: (1kU 00m4.vs Z7AfAL-Ka�
Mailing Address: 4j;:L'-'t-4-LAVfc Qov�' Cat f,:0-3Cn
�tri ,'s Vi>�, N - ak(-13
Telephone Number: 331II-Saol-01i6¢ fax Number:
E-mail Address: kui%rmn(k L.y-N di�o)mex t-tom
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: CNA&WrJv Nearest Town: MOWAka.L�' Cva_w-
Lake/ river/ ocean adjacent t� eroperty
Property size (acres): 1 u
Subdivision name or site address (include phase/lot number):
Directions to site - please include road names and
etc.: N L I W (Q
Latitude (in decimal degrees) 555411-KLongitude (decimal degrees) 00'
5. Describe the existing land use or condition of the site at the time of this application ll (residential, undeveloped, etc.): 4SAUA Q
FORM: SSGP 09-2020 Page 2 of 6

6. Describe proposed work (include discussion1 asto how hardening of shoreline has been
avoided, or why it is necessary): C Up-C g,"y \Vkkfc( KL(A aryl wq�
Iri`Q YIT c7 \MaCa Q K��w
7. Will work be conducted from land? ❑ From water? X
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (ingluding 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:
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): .
lOAA (t" '!� AXUO�D, AVto1
11. Signature Ly��hi
by ov NY YTr �p a p9uza�U..
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
Owner/Agent's Signature' [15 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
FORM: SSGP 09-2020 Page 3 of 6
th

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
-j-
(At Pond/ Normal ter Level)
,5cr,
s4y.(�
ICI o-R .
Sho�o�'
(Full Pond/ Nor�malW ter�Le el ®
���
Shoreline W<
-hr.uS
Plan View
Lake k^
Existing Oxk
/.M1.Ih
Plan View
FORM: SSGP 09-2020 Page 4 of 6

)At Fu�lond/ Normal Water Level) C�
5 N
l7� E
Z�
Side View
�r us
)ZAV O, R
apPvlu-b-�
3 h. below lull popd water level 4 h. above full pond water level 'if
h. additional clearing
•if necessary
FORM: $5GP 09-2020 Page 5 of 6

Project
XOwner:
Contractor/agent:
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Print
C 5�l.i'Yl\ASV-brJtlJ��
V •Z\'lhorl
Signature
ccXY u_
I �
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. 115A
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. 115A 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
xI, SYVIUlLn N , 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. X Signature (owner): / ,j
L 4 'xJ Date:

Parcel Report - Catawba County NC
Parcel Information:
Parcel ID: 460604834020
Parcel Address: 7784 KEISTLERS STORE RD
City: SHERRILLS FORD, 28673
LRK(REID): 18761
Deed Book/Page: 3323/0311
Subdivision:
Lots/Block: /
Last Valid Sale:
Plat Book/Page:
Legal:
Calculated Acreage: 1.410
Tax Map: 018 X 02017B
Township: MOUNTAIN CREEK
State Road #: 1899
Tax/Value Information: Tax Rates
City Tax District: All in County
County Fire District: SHERRILLS FORD
Building(s) Value: $730,800
Land Value: $566,100
Assessed Total Value: $1,296,900
Year Built/Remodeled: 1974/1979
Tax Revaluation 2024: Info, COMPER
Online Appeals
Valid Sales (COMPER) for this parcel
Contact Tax Dept. at 828-465-8436
Current Tax Bill
Miscellaneous:
Current: If available, Building Permits for this
parcel.
Before 12/4/23: Building Permit Address
Search for this parcel.
If available, Building Permits for
this parcel. Septic links are not permits.
Septic Final Permits prior to 08/2018, contact
Environmental Health.
Building Details
WaterShed: WS-IV Critical Area
Owner Information:
Owner: SIGMON SHARON H LIVING TRUST
Owner2:
Address: 7784 KEISTLERS STORE RD
Address2:
City: SHERRILLS FORD
State/Zip: NC 28673-9209
School Information:
School District: COUNTY
Elementary School: SHERRILLS FORD
Middle School: MILL CREEK
High School: BANDYS
School Map
Zoning Information:
Zoning District: COUNTY
Zoningl: R-30
Zoning2:
Zoning3:
Zoning Overlay: CRC-O,WP-O,FPM-O
Small Area: SHERRILLS FORD
Split Zoning Districts: /
Zoning Agency Phone Numbers
Firm Panel Date: 2007-09-05
Firm Panel #: 3710460600J
2010 Census Block: 4999
2010 Census Tract: 011504
Agricultural District:
http:f/gis.catawbacounty nc.govjnomap/ parcel_report. php?key=460604834020&typ=P 1118/24, 11:16 PM
Page 1 of 2

Voter Precinct: P41/ Voting Map
Parcel Report Data Descriptions
List all Owners Deed History Report Assessment Report
This map/report product was prepared from the Catawba County. NC Geospatial Information Services. Catawba County has made substantial efforts to ensure
the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends the independent
verification of any data contained on this map/report product by the uses The County of Catawba, Its employees, agents, and personnel, disclaim, and shall not
be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which apses or may arise from this maptreport product or the use
thereof by any Person or entity.
© 2024, Catawba County Government, North Carolina. All rights reserved.
http:llgis.catawbacountync.gov/nomap/parcel_report.php?key=460604834020&typ=P 1118/24, 11:16 PM
Page 2 of 2

.„ri„6. M. „rrr,. information Services
catawba county Real Estate Search
\ / \ 17.73
288.3,5
1.42A
5
1136 _ /
--�— 233.60
19.52
6 35
323i
1.41A
g6 �
4020
16,E 19 "o
�i
4
I& 119.66
13y01 ��9y
may43.90
�o
� . /
0
phi
30.50
Nn xn
w I E
IIIS
Parcel: 460604834020, 7784 KEISTLERS STORE RD SHERRILLS FORD, 28673
Owners: SIGMON SHARON H LIVING TRUST,
Owner Address: 7784 KEISTLERS STORE RD
Values - Building(s): $730,800, Land: $566,100, Total: $1,296,900
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
01l19/2024

Go gle Maps
7784 Keistlers Store Road
hy S
Imagery ©2024 Airbus, CNES / Airbus, Maxar Technologies, Orbis Inc, Map data 02024 Google 50 h
7784 Keistlers Store Road
Building
Directions
Save
Nearby
Send to
Share
phone
0 7784 Keistlers Store Road, Sherrills Ford, NC
28673

Go gle Maps 7784 Keistlers Store Road �5
T
Map data ©2024 Google 2000 ft
7784 Keistlers Store Road
Building
Directions
Save
Nearby
Send to
Share
phone
Q 7784 Keistlers Store Road, Sherrills Ford, NC
28673

111 3323-0311
NORTH CAROLINA
NON -WARRANTY DEED
FILED Cattabs County
on Dec 29, 2015 at 05:04:00 pm
EYCIae Tar $0-00 fMr_l
INST. x 21913
DONNA MCKS SPENCER.
Ragalet of 080na
ex 03323 P90311-0313
Excise Tax: $ 0.00 Recording Time, Book and Page
Tax Map No.
Parcel Identifier No. 0018761
/ Mail after recording to: Sanford Law Firm, PC, PO Box 2424, Matthews, NC 28106 5060
This instrument was prepared by: Thomas R. Sanford II, Attorney at Law
THIS DEED made this 15th day of December, 2015 by and between
GRANTOR
Sharon H. Sigmon
Mailing Address:
7784 Keistlers Store Road Sherrills Ford, NC 28673
GRANTEE
Sharon H. Sigmon, Trustee, or her successors in interest, of the
Sharon H. Sigmon Living Trust Dated December 8, 2015
Mailing Address:
7784 Keistlers Store Road Sherrills Ford, NC 28673
Property Address: 7784 Keistlers Store Road Sherrills Ford, NC 28673
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.
WIINESSETH, 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 or parcel of land situated in the Mountian Creek Township,
Catawba County, North Carolina, and more particularly described as follows:
****** SEE ATTACHED EXHIBIT A
3

3323-0312
0312
The property hereinabove described was acquired by Grantor by instrument recorded in Book 2825,
Page 1273.
A map showing the above described property is recorded in Plat Book Page
The above described property does include the primary residence of the Grantor.*
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.
Grantor makes no warranty, express or implied, as to the title to the property hereinabove described.
IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals, or, if corporate, has
caused this Deed to be executed by its duly authorized officers and its seal to be hereunto affixed, the
day and year first above written. ,,((pp 4 (SEAL)
Sharon H. Sigmon, Gr9tor
NORTH CAROLINA MECKLENBURG COUNTY
1, certify that the following person(s) personally appeared before me this day, each acknowledging to
me that he or she voluntarily signed the foregoing document for the purpose stated therein and in the
capacity indicated: Sharon H. Sigmon, Gmntor(s). Witness my hand and official stamp or seal, this
the 15th day of December, 2015. _
My Commission Expires: June 3, 2018.
Notary Public
Print Notary Name: THOMAS R. SANFORD Il
HMAS R. SANFORD If
f7'-MV0..k-Isflbur9
rPblie, North Carolina
County
My Commission Expires
June 03. 2018

3323-0313
EXHIBIT A
Being all that certain parcel of land located in Mountain Creek Township, Catawba County, North
Carolina bounded on the North by Howard J. Heda, on the East and South by Lake Norman and on the
West by William L. Sigmon, Jr. and being more particularly described as follows:
BEGINNING at an old iron in the northern margin of a 30 foot right-of-way, said beginning point
being North 63" 26' 58" East 337.00 feet from a bent pin, and South 53" 25' 00" East 228.57 feet from
a 2" pin in the es m margin of Slanting Bridge Road, and runs thence with Heda property North 63°
26' 58" East 96.0 feet to a point; thence continuing North 63° 26' 58" East 227.13 fat to an old iron;
thence continuing North 63° 26' 58" East 9.07 fat to a point on the shoreline of Lake Norman; thence
along and with the shoreline of fake Norman, the following courses and distances: (1) South 47° 38'
00" East 77.10 feet; (2) South 09° 00' 00" East 37.35 feet; (3) South 90 00' 00" East 20.95 feet; (4)
South 25° 35' 00" West 62.00 feet; (5) South 53° 05' 00" West 63.90 feet; (6) South 35° 50' 00" West
50.05 feet; (7) South 81 ° 03' 0 1 " West 119.86 fat; (9) South 01 * 25' 00" West 43.90 feet; (10) South
320 24' 00" West 65.30 feet to a new #4 pin; thence a new line in the William L. Sigmon, Jr. property,
North 48" 19' 5 1 " West 71.65 feet to a new #4 pin; thence continuing with Sigmon, North 380 21' 34"
East 68.95 feet to a new #4 pin; thence North 39" 05' 00" West 144.15 feet to the point and plea of
BEGINNING, containing 1.420 acres, more or less, according to a plat and survey thereof made by
Ronnie Dedmon, Surveyors, P.A. dated June 27, 1999.
ALSO CONVEYED herein is a right to use as a means of ingress and egress to the above -described
property a 30 foot Right -of -Way described as follows and shown on a survey entitled "Survey of 30-
foot Right -of -Way for Sharon H. Sigmon", prepared by Ronnie Dedmon Surveyors, P.A. dated
November 17.2006:
BEGINNING at a point in the centerline of Keistler Sore Road (State Road 1815) said begiming
point being the Southeast comer of William Lee Sigmon, Jr. (Deed Book 1724, Page 022) and running
thence with William Lee Sigmon, Jr. North 44' 55' 20" East 157.89 feet; thence continuing with
Sigmon, North 480 31' 22" East 145.27 feet to an existing bent rod; thence with Joel W. Joseph, North
630 25' 36" East 336.66 to an existing one inch pipe; thence with the Southern margin of the above -
described property, South 390 47' 49" East 30.82 feet; thence South 63" 25' 36" West 339.79 feet;
thane South 48" 31' 22" West 140.00 feet, thence South 44" 55' 20" West 157.17 feet to a point in
the centerline of Keisder Sore Road; thence with Keisder Sore Road, North 440 39' 06" West 30.00
feet to the point of BEGINNING.
By conveyance and acceptance of the above -described right-of-way, the forma right-of-way running
from Slanting Bridge Road in a southerly direction to the northern boundary of the above described
right-of-way as shown in Deed recorded in Book 2193, Page 400 is hereby abandoned. The
abandoned portion of said right-of-way is shown on the above -described survey prepared by Ronnie
Dedmon.
0313

�,�-
--�..- ` z`_ �.-.�.--� _ _ _ _
Y

+Lf
�—
r r
Sx,
w
V �
n

.. .
_<y
f
� �_
.-. ,� � .:
'y- 1
J
r �` �%
� �' � `'
° ,:
�; , , - --
_.
�'
i�
_ \ �.
��
j � _ _—
� _ -.
f � � � \�
I -: F
,�� i �
..I•/ .i � s� ... ��
� � i. �
��� � �' '" r � 8 l T ^��� — — - � '.
/ ��u