20180426 Ver 1_Shoreline Stabilization_20180321

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM; 55GP 10-2013
Shoreline Stabilization Application Form ry
copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources 2 0 1 8 0 4 2 6
401 & Buffer Permitting Unit
16447IEft Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information 15A NCAC 02H .0502(a)] RECEIVED
1. Owner Information MAR 21 2018
Name: Barringer & Smith Properties, LLC DENR-
Mailing Address: 112 S. Tryon Street, Suite 1600 RMWATER PERMITTING
Charlotte, NC 28284
Telephone Number: 704-208-4251 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mil/Portal docs re ulator regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Jenna DuBois/Nest Homes, LLC
Company Affiliation: Office Manager
Mailing Address: P.O. Box 3965
Mooresville, NC 28117
Telephone Number: 980-500-1239
Fax Number:
E-mail Address: [e-mail]
Person to receive the Certification Approval: Jenna DuBois
II. 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, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10-2013 Page 1 of 4

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: Catawba Nearest Town: Terrell
Subdivision name or site address (include phase/lot number): Osprey Cove lot 3
Directions to site - please include road names and numbers, landmarks, etc.:
NC 150 W towards steam plant, left onto Greenwood Road, left onto Osprey Court
Latitude (in decimal degrees) 35.596471 Longitude (decimal degrees) -80.948081
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): vacant lot
6. Property size (acres): .900 acre
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): stabilization of severly eroded bank with rip rap
9. Will work be conducted from land? n From water? ❑
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
roughly 933 sq. ft
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc_) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: 1,333 sq. ft
12. 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): natural grassed and
wooded buffer
Jenna DuBois 3/14/18
Owner/Agent's Signature Printed Name Date
(15A NCAC 02H .0502(f)1
'Agent's signature is valid only if on authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal Water Level
SI
Lake
(At Full Pond/ Normal Water Level)
Please approximately sketch the following information on this plan (provide dimensions for each
item, such os 10 ft x 100 ft) *:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
I Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Osprey Cove lot 3 County: Catawba
tow ner: Barringer & Smith Properties, LLC
Print Signature
Contractor/agent: Nest Homes, LLC
Print Signature
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 026.0243 (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
1, David Smith , 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 Buff Rules, thea roved plan(s) and specification(s), and other supporting
materials.
Signature (owner): Date: 3/14/18
State of North Carolina I Environmental Quality ! Water Resources
512 N Salisbury Street 1 1611 Mail Service Center I Raleigh, NC 276991611
919.7079000

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 3
PLAN NO. PARCEL ID: y69e7el,_ o7q (a
STREET ADDRESS: 3532 Cisprens
_
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
`Plnci. ��.5 of N �cS'r R�P.0 . �...�
(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): �/�
i j 2 S •Tiry on S -. LSui a --e. LL W %,o, r �o ` l V� o t� q
Telephone: �'ZQ�{ 0V0 T�
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
ti �2r
Authorized Signature Authorized Signature
Date: �3 //q1l 8 Date:

CATAWBA Geospatial
Information Services
Real Estate Search
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GREENWOOD RD
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Parcel: 462705079631, 3532 OSPREY CT TERRELL, 28682 R^�
Owners: BARRINGER & SMITH PROPERTIES LLC, *4,f
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Owner Address: 112 S TRYON ST STE 1600 S IFN R j
Values - Building(s): $0, Land: $247,900, Total: $247,900 r�RM4 �NpQ� 18
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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 2014 Catawba County NC
03/14/2018

3/14/2018
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