20240220 Ver 1_More Info Received_20240224 (2)

Project
Owner:
The approval is for the
application is a violation,
02H .0506 and 15A NCAC
Trees are not allowed to
approved. Exception, tho
Minimal shaping and slot
Benching, grading in the
3
Signature
Signature
,ose and design described in your application. Impacts not indicated in the
Buffer Rule. Site specific work should be provided in the application. [15A NCAC
.0243(8)]
wed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
that are severely undermined along the immediate shoreline can be removed.
ig the immediate shoreline is allowed. [15A NCAC 028.0243(6)]
not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)]
Beaches, impervious patios, mpervious walkways,etc. are not allowed in the buffer unless specifically approved
by the Division. There are Ili nitation on size for decks. [35A 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 then tural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive ve cities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Not& lion
r / OU hereby state that I have been informed of the Catawba
Riparian
Buffer Rule. Any wo k conducted in the buffer, not specifically stated in the application and approved
taken such that the construct on the Division of Water Resources (DWRu is a violation and subject to enforcement. Due diligence will be
Quality Certification and Buffr Rules, t
ta, t built within substantial compliance and intent of the 401 Water
materials. ,.(1 r - willhe approved plan(s) and specification(,), and other supporting
Signature (owner): / (.L(/j..6(iy /Ta y
Date: b2 Z D

U la _ L _ ..., Pv //
r � adOv�- rUq p//q (gz!J(t`d8/
a
�6
�tgaa k sf f
eP(�l� ga k
�
Lake
(At Full Pond/ Normal
5
Water Level
W
AL
Side View
NOM Cmhne Cepvfinem o(Emisonmanal poeliry I Diriaion ofWn Neo-ssces
512 Nonh Salisbury Sneer 11617 M.] S—m C�., I Raleigh, NMh Cv ina 276"-1612
W]0]WW

Plan View
Lake
(At Full Pond/ Normal Water Level)
17t<6yt$j
�o�l"i
1-13py
q 0006 06 006r 77
Pond/ Normal Water Level zpQ1� 'Q7.p 0
BpwGo 0 o -0d/ OcGJ
����
Shoreline
ExIaLTlg Dock
m n
Oormal wets Level wewwxwi
fliGnP uiwWervx
E AMP E
View
avK
u�
Iwrwlbwxu,.y.wml„yl
Nohh Caroline Cepammentof Envimnmmlel Qusliry Uviuon ofWem Resoump
512 Nuili Salisbury Sheet 1617Mail gmice Center Raleigh, NMh Catdim 2]659-161]
mv.]azv000

8.
9.
10.
11.
12. F
Describe the exi
ing land use or condition of the site at the time of his applica ion (residential,
undeveloped, etc.):
�ak CX/`5�/��S� C//r�fp'��p,p/f�y`j
Describe proposc
d work (Include discussion as to how hardening of sho/reline has been avoided,
why it Is necessary):
S h d rS — rh ( Q//,JDea r 4Q n P e, P : ,14 f
Will work be con
ucted from land? � From water? ❑
Total amount of i
npacts below the normal pool lake level / Normal Water Level
Permanent impa
s (Including all excavation, backfill, rip rap,^etaining walls, etc.) in square feet:
f r d- 2
Temporarylimp
s in square feet:
2
Total amount of li
Ipacts above the normal pool lake level / Normal Water Level and 50 feet land-
ward
Permanent i ac
(v
s (includif>ng j k fill, excavation, rip rap, retaining walls, etc.) in square feet:
J' -
f
Temporary impaci
s emporary clean construction corridor) in square feet:
S
Please describe tit
a vegetation above the normal pool lake level/ Normal Water Level and 50 feet
landward to be i
acted (numbe oftrees, for instance): C- q �
C el
'// Bn e iih
Signature
By signing below, 1,
as the project proponent, certify to the following:
• The project proponent
hereby certifies that all information contained herein is true, accurate,
and complete
o the best of my knowledge and belief
• The project Proponent
hereby requests that the certifying authority review and take action on
this CWA 401 c
ertification request within the applicable reasonable period of time
'
Owner/Agent's Signature*
'Agent's
115A NCAC 02H 0502ff11 Date
signature
is valid only if an authorization letter from the owner is provided.
'lease approxima[
ly sketch the following information on this plan and provide dimensfansfor
arh item:
a. All proposed
vegetation clearing
b. Location of ril,
rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of ril
P rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of ar
y proposed structures such as buildings, retaining walls, docks, etc.
e. Location of a r
V excavation or dredging below the Full Pond/ Normal Water Level elevation
D
w^ NglhCwhisbuWS mtat EnrironmenKlPmhn Oi,ivon. Wa
`V1'`•S]Lp 313 Natlh Salisbury Srcee116I]MtllSmice Cenrcrl
C—Ifio.ces
Neleigh.NmN Carolina E]69u161]
919,70I9000
klo;11'