20180382 Ver 1_Shoreline Stabilization_20180315

s �
201 80382
Nf
, State of North Carolina
Department of Environment and Natural Resources
0- Division of Water Resources
Water Resources 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form A'
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR - 401 & Buffer Permitting Branch DWR - 401 & Buffer Permitti V
1617 Mail Service Center 512 N. Salisbury Street F9 �/
Raleigh, NC 27699-1617 Raleigh, NC 27604
FMAR"15 2018
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information � I P I r
Name: r �-L
Mailing Address: 1 74 15 7_4
N C 23037
Telephone Number: 2,,%- 5DPj - (p8Fax Number:
E-mail Address: S n20 (4 of 1+lnfivi . rovy)
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:
htto://www.saw.usace.armv.mil/Portals/59/docs/reaulatory/readocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)—
Name: I �DY1nrk -i t1 r Y) I')
Company Affiliation:
Mailing Address:
Telephone Number: Fax [p1 (pj Q) (o Fax Number: "%04. 5ZP3117)
E-mail Address: r4nlnnn _ 1rlvirn,+P,-dnr arY7,7i f . rtvY7
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.
FORM: SSGP 02-2017 Page 1 of 3

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 VI Cn In Nearest Town: �) eay e -r
Lake/ river/ ocean adjacent to property: llnr aian
Property size (acres): A 04 cte' 'e5
Subdivision name or site address (include phase/lot number): L04- _ikZ3
W ehbei Lha}2[On-,ie,
Directions to site - please include road names and numbers, landmarks, etc.: Vrom ML-IiGN8
Ron 5gyM
0;.1+ Zeschuech X1 hbn
-NC.-Ilo30b 5B Lef+o nio Webbs
o►- v�ood Hom ►son lef+ 7�
Lati u e (in decimal degrees) 5.5 Longitude (decimal degrees)
S. Describe the existing land use orcgori
Aition of the site at the time of this application
(residential, undeveloped, etc.): Id en-�
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary)
7. Will work be conducted from land? ❑ From water? El�
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,skquare feet:
Temporary impacts in square feet: P
C/ J
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excav_pjion, 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):
11. Signature y�
09
1/0 �_E_
Owner/Agent's Signature A NCAC 02H .0502 f Date
f
Agent's signature is valid my if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

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
Full Pond/ Noormwall�Wate revel
Shoreline
Plan View
FORM: SSGP 02-2017
La ke
(At Full Pond/ Normal Water Level)
IR \-,j
"�v -��
Lake
(At Full Pond/ Normal Water Level) Existing Dock
111111"A
3Itx150ft
Below full pond/ N WL
Full Pond/ Normal Water Level
�mt orellne4ftx150ft
bove full pond/ NWL
2 ft.x150dditk.
aional clearing
If necessary
:•�tLti � IIID
FAM P E
Page 3 of 4
Plan View

Lake
(At Fu I Pond/ Normal Water Level)
0
Side View
10 ft. bank
height
Side View
Nn a��i+iav�a (cle�►�� ►�
Wolrt� a=✓Yy i56ed
l 00 4
I I abo je�llpood \Aa4e�r leve I
I ` b61)W - LdI p✓t d .N0-4-eI- Iev e I
0
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
if necessary
FORM: SSGP 02-2017 Page 4 of 4

LAKE
NORMAN
/
I J
NOTES:
/
• PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
/ 1
NOT OBSERVED.
' OWNER TO VERIFY ALL SETBACKS AND ZONING
/ 1
REGULATIONS PRIOR TO ANY PLANNING OR
CONSTRUCTION.
/ 1
• ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES
UNLESS OTHERWISE NOTED.
/
• ALL AREAS SHOWN HEREON WERE DETERMINED BY
COORDINATE COMPUTATION.
/
LAKE
NORMAN
``1fUlll,
SEAL DRAWN BY: PAH
N / HOUSE LOCATION PLAN FOR
{i DRAWING
FILE NAME:14116.WCC23
$� °z PROJECT NO: 14116 HARRIS LAND SURVEYING, PLLC
PROPERTY ADDRESS: FIRM LICENSE t. P-1295
�
TALLW00D OR 4.080 DAMS RD DENVER OR
28037 CATAWBA SPRINGS TOWNSHIP, UNCOIN COUNTY, NC MAIDEN, NC 28650
`j�S�i P•'`'` DATE: DECEMBER 31, 2014 LOT 23 OF WEBBS CHAPEL COVE, MAP 4 AS REVISED 704-400-6800
SCALE. 1'-40' REFERENCES: DB: 2235-871 4 PB: 13-230
/
I J
LINE TABLE
/
LINE BEARIN D/STANCE
/
$I
Ll S 5907J3 1J79
L2 S 72'41'37-E 1 50.07
/
zI
LJ S 31 J4 22 E I 58.49
L4 5 177839E
L5 S 28'40 38 E
LOT 24"'
/
o°
/
LOT 23
41.30
ACRES
e
/
Ao
/ \
/
PCRCH
1
/
LOT
22
`YOOp
p� C2 Cl
SQ.
\
0 4080
.O�p/`
\
9TF
CURVE TABLE
_
CURVE ILENGTHI RADIUS BEARING CHORD
Ci 2J.89 50.00' S 7154 JS 23.66
I
C2 1 21.02 5 8279 07 W 20.41
``1fUlll,
SEAL DRAWN BY: PAH
N / HOUSE LOCATION PLAN FOR
{i DRAWING
FILE NAME:14116.WCC23
$� °z PROJECT NO: 14116 HARRIS LAND SURVEYING, PLLC
PROPERTY ADDRESS: FIRM LICENSE t. P-1295
�
TALLW00D OR 4.080 DAMS RD DENVER OR
28037 CATAWBA SPRINGS TOWNSHIP, UNCOIN COUNTY, NC MAIDEN, NC 28650
`j�S�i P•'`'` DATE: DECEMBER 31, 2014 LOT 23 OF WEBBS CHAPEL COVE, MAP 4 AS REVISED 704-400-6800
SCALE. 1'-40' REFERENCES: DB: 2235-871 4 PB: 13-230

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7310
N V 1
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731
7son
407
7435 743 5
7397
7421
7445
raLLWppQ 7455
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March 12, 2018
Esrt, Inc., Lincoln County, NC
0 100 200 Feet
I I I I I
1 inch = 122 feet

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: I'TJJ 1Lt1IWLVC1
I cel Iwo =1 v�v er,NC-,
Owner: r
Print 1L !g
Contractor/agent: � r r l o CC1S y- r(
Print s�
'l,ve— ` County: n
1037 / rte..
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, 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, La f y 4 y2 hereby state that I have been informed of the Catawba
Riparian BuffJ 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: IZ-19 " l 7