20180478 Ver 1_Shoreline Stabilization_20180403

N
Y 201 80478
aMate of North Carolina
Departme f Er nd Natural Resources
q 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
Three copies of the application (including attachments) and the application fee should be sent to:
Ifsending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address:
�o�fe�.. � e • o'ZR bL3
Telephone Number: 8aIQ 443_1q(b Fax Number:
E-mail Address:-SvJe-��S10vt�sex.ina c,�oo.
2.Agent ontact Person Information
A signed an copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http:/Iwww.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORI
ZATION FORM.pdf)
Name: o \Q S
Company Affiliation: aaaw..o.
Mailing Address:
Telephone Number: 8._�X 4q5 -,3J4'
"-3o Fax Number:
E-mail Address: W\Qk-u.Q."16
Co�•—
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: 55GP 02-2017
Page 1 of 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: e�a±q,J\aa. Nearest Town:
Lake/ river/ ocean adjacent to property: Lq_krc j� o
Property size (acres): • V a.1 9.R 'e -e-
Su(b�division name``
Wor site address (include phase/lot number): a
-Q__ a8 b %3 — QQ;_►.4I `_�Z usw�
Directions to site - please include road names and numbers, lana?'�arks, etc.: Fiuft t4t kil +4
_re C`vV6' rw\.\A Rd �4 . IOQ�w�ea aloe k.�. tie. qp bra:. -kL�.a a iei
Gw A.1c.I►2. CLaR 'J'eJa(ilnu�e�¢e. M� (1�,�-l.
Latitude (in decimal degrees) 3S. 964tk;)- Longitude (decimal degrees) - I1. aa -3 q`f5�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Describe proposed work (include discussion as to how hardening of shore``li�Ine fhas
been avoided,
'or/why it is necessary): // e� 2 /S Gri e,��; �� n tom: _l' AJ �
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:
Temporary impacts in square feet:
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: &a& r 4 �-o .S( -
Temporary impacts (temporary clearing, construction corridor) in square feet:
5 Oct 5111-
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): Nu �eeS,
6-9-0. 5S
11. Signature
FORM: SSGP 02-2017 Page 2 of 3

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
Full Pond/ Normal Water i
Shoreline
J
Lake 0
(At Full Pond/ Normal Water Level)
c
F
16-
O O
Z Z5
Lake
RG`J ou�-R
4t 4 U
Seal wC( (
ASS-�
` . , FSII RIJ
L I
Side View-
L
Lake
(At Full Pond/ Normal Water level)
Existing Dock
30 Ftx7�
3ftx 1% ft
Full Pond/ Normal Water Level
Below full pond/ NWL
•_ I oreon-_—
^
Riprap
— sax 150
Above full pond/ NWL
2 ft.x 150 ft.
additional cleadng
' If necessary
E
AMPLE
FORM: SSGP 02-2017
Plan View
Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address:1�,;L30 County:g�.sba._
Owner:" K�
Print/, Signature
Contractor/agent: ©h
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 0213.0243 (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, , hereby state that I have been informed of the Catawba
Riparian Auffer 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: :3 17A 8

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.1173 Shiloh Church Rd, Hickory, NC 28601-7855 to 6230 Monford Dr Directions - Map... Page 1 of 2
YOUR TRIP TO: MCMD3W
6230 Monford Dr
18 MIN 1 110.011111
Est. fuel cost: $1.00
Trip time based on traffic conditions as of 3:00 PM on January Printa full heatth report of your car with
24, 2018. Current Traffic: Light HUM vehicle diagnostics [phone]
(I�} 1. Start out going northeast on Shiloh Church Rd toward NC Highway 127/NC-
I/ 127.
Then 0.16 miles 0.16 total miles
a 2. Turn right onto NC Highway 1271NC-127. Continue to follow NC -127.
1 - Then 1.86 miles 2.02 total miles
3. Turn left onto Cloninger Mill Rd NE.
Cloninger Mill Rd NE is 0.5 miles past 48th Ave NE.
If you reach 1st Street Pt NE you've gone a little too far.
Then 1.15 miles 3.17 total miles
,r 4. Cloninger Mill Rd NE becomes Kool Park Rd NE.
Then 2.07 miles 5.23 total miles
5. Turn left onto Springs Rd NE.
if you are on Springs Rd NE and reach Wesiby Rd you've gone about 0.1 miles too
far.
Then 3.76 miles 9.00 total miles
6. Turn slight left onto St Peters Church Rd.
St Peters Church Rd is 0.2 miles past Birch St.
Then 0.14 miles 9.13 total miles
7. Take the 1 st left onto Monford Dr.
If you reach Lee Cline Rd you've gone about 0.3 miles too far.
Then 0.83 miles 9.96 total miles
yR 8. 6230 Monford Dr, Conover, NC 28613-8703, 6230 MONFORD DR is on the
left.
Your destination is 0.1 miles past Long Pine Ln.
If you reach Ruffin Ln you've gone a little too far.
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CATAWBA Geospatial
Information Services
Real Estate Search
N
W +E
s
Parcel: 374513047977, 6230 MONFORD DR CONOVER, 28613
Owners: CARSWELL STEPHEN ERIC, CARSWELL CHRISTY PRICE
Owner Address: 6230 MONFORD DR
1 in=800ft
Values - Building(s): $155,400, Land: $66,300, Total: $221,700 Q.0 4 a� -�o 4'e-�-a�.y,
Jta. ' P' I.".,A- G . 0
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
01/24/2018

CATAWBA Geospatial
"""�..r•�!� Information Services
Real Estate Search
N
w + E
s
Parcel: 374513047977, 6230 MONFORD DR CONOVER, 28613
Owners: CARSWELL STEPHEN ERIC, CARSWELL CHRISTY PRICE
Owner Address: 6230 MONFORD DR
Values - Building(s): $155,400, Land: $66,300, Total: $221,700
1 in=150ft
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
01/24/2018

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79 RINK DAM ROAD KMND . Ili s�AS S O C IATE S PH: 828-495-7377
P.030X 6184 " ' FAX: [phone]$
HICKORY, N.C. 28603 SURA c` .`�$. NO kschlogg0col.com
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I Kevin D. Hefner certify that this pkrt was draw ie �fyim 44:actuai survey made under my supervision (deed
description recorded in gook 2967 Page 70 ).3+at a not are indicated as dashed tines from information
that the t: 000 in accordance with the Standards
as noted. ratio of precision as calculated n �t .plotlas prepared
of Practice for Land Surveying in North Carolino. Yl ers n t»o 114 s`i—gn ration number, and seal on Jan. 12, 2018 .
PLS — 3045 ..+,.., - C — 1928
Registered Land Su ► / #Aistratkw Number
P/f!?L9�'44
PROPERTY IS SUBJECT TO ANY AND ALL EASEMENTS, RIGHTS OF WAY.
{XINENWS, RESTRICTIONS. CONDITIONS & RESERVATIONS OF RECORD RUFFIN LN
AFFECTING SND PREMISES.
AREA SHOWN DETERMINED BY COORDINATE COMPUTATIONS. LAKE
INFORMATION SHOWN WAS TAKEN FROM EXISIM RECORDS AC1TON �-
SITE
MONFORD Da
ORIENTED TO DEED
BOOK 2967 PAGE 70 VICINITY MAP
----=. LAKE
HICKORY
Bobby L.. Shook
0.823 AC.
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Betsy L. Baker
1
100 0 100 200 300
GRAPHIC SCALE — FEET
PROPERTY DESC: 0.823 ACRE TRACT IN CLINES TOWNSHIP OF CATAWBA COUNTY, N.C.
SURVEY FOR: ERIC S. CARSWELL & CHRISTY P. CARSWELL
TAX MAP: gap — 62G
SURVEY TWE-- DEED PLOT
RECORDED PLAT BK. PG,
PIN NO: 3745-1'3-04-7977
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