20180622 Ver 1_Shoreline Stabilization_20180508

2 0 1 8 0 6 2 2 RR State of North Carolina
Department En onrnl and Natural Resources
DWR Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
DAC
_#Cw copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting UnitrMAY
I&%A%164* Mail Service CenterRaleigh, NC 27699-1650 0 8 2018
1
Applicant Information [ISA NCAC 02H .OS02(a)]
Owner I
Name:
Mailing
Telephone Number: Fax Number: RIA
E-mail Address: o l_
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/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation: PA C < 1-�2CUi
Mailing Address: LD 3
17%D 6 /c'e-5 IZ4 P� J/V� r
Telephone Number: %d 9(_61ee) _5111 Fax Number: %b�•�p�p0
E-mail Address: rn he 5ea aJa_1L5�® `T
Person to receive the Certification Approval: 3 bbbi.e_ Z,5ii s?n
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: S..h<7l� U) Nearest Town: � r'l� ` I /
Subdivision name or site address (include phase/lot number): ?ev 71-dinTu.C.%�e. j
Directions to site - please include road names and numbers, landmarks, etc.:
tx� 343G -9,0 Li.�C S� �v ,Ui�� /S7� le -A4 4;X A le Z S er- �s / J 126t
Latitude (in decimal degrees) 35 . _5Z0213 2 Longitude (decimal degrees) 'O V . 9 (3 03
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): �i1 tlE.e n b
6. Property size (acres): , 1- %
7. Lake/ river/ ocean adjacent to property: IvO s-i'Y 66tH
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): `5 S' Ap
9. Will work be conducted from land? 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:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the norma
square feet or acres: i
lake level/ Normal Water Level and 50 feet land -ward in
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
' /l
feet landward to be impacted (number of trees, for instance):
Owner/Agent's fgnature* Printed Name " Date
[15A NCAC 02H .0502(f)]
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal Water Level
Shoreline
1A, bdVe
Lake
(At Full Pond/ Normal Water Level)
I
l .3 Li
i i i i i
Vaean� Lo+- dVo Tees -�
be removec�
Please approximately sketch the following infdrrrfa 10 is pla provide dimensions for each
item, such as 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
3. 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
T-e-.rr e, I Ij N C-,
-P() r ecps t e-- Le- 4cje,—
FORM: SSGP 10-2013 F —4+" ,erJ Page 3 of 3

Project
towner: - `- i
Pri
Contractor/agent:
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Terre
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, I el Q0I reby state that I have been informed of the Catawba
Riparian Bu r 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) Y Date: b
llap
State of North Carolina ! Environmental Qualitv ! Water Resources
512 N. Salisbury Street ! 1611 Mail Service Center I Raleigh. NC 27699-1611
919.707 9000

�4•
----------------
PATTERSON CLAND-(SURVEYING,�,�Psaao4ls
P.O. Box 5010, Mooresville,
I Joel H. P actual
on n!• certify
under mat 'y supervistonpiat was rown(deed escripUon andla
under my SupervI210"
from an octad survey 1098 That the boundaries not surveyed are clenriy
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Indicated as dravrn from Irtlom+otion as shown on survey: that Ne ratio
of precision as calculated Is 1. 10,000+ plot this pial as prepared
in
accordance with O.S. 89-C as amended. Witness rnY •Pgi A.O. t'S. ,
registrotlon number and seal this= � day Of
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8620 Daybreak Bay Dr - Google Maps
8620 Daybreak
Bay Drive
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I give
CBC Stone and ycle, LLC./Natural Green
Scapes, LLC authorization to obtain the
necessary information for stabilization and
dredge permits.
Date:

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Barry & Julie Suddreth
8620 Daybreak Bay Drive
Terrell
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Barry & Julie Suddreth
8620 Daybreak •y Drive
Terrell, NC 28682
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Thomas & Rachel Wiggins
8610 Daybreak Bay Drive
Terrell, NC 28682

May 1, 2018
To Whom it May Concern,
Our neighbors, Julie and Barry Suddreth, at 8620 Daybreak Bay Dr. in Terrell, N.C. have applied
for a permit to replace their shoreline retaining wall. CBC Stone will be performing the work.
This letter is to give permission for CBC Stone to cross the side of our yard at 8610 Daybreak
Bay Drive on the garage side to access the Suddreth's property.
Rachel D. Wiggins
8610 Daybreak Bay Dr.
Terrell, N.C. 28682