20190064 Ver 1_Shoreline Stabilization_20190109

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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: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)1
1. Owner Information
201 90 064
Name: M kkS Jt W i G I i -r
Mailing Address: ?. 'R ) _o
Telephone Numbe :-7L'1q&l I y Fax Number:
E-mail Address: , V 11 J . C t,+ 0 �1 Cep -Ft's it -�-
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.armV.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:�i�Amllt(f�N
Company Affiliation:Mailing Address:
11-7
Telephone Numbe(j yf)'3 5 Fax Number:
E-mail Address: +10' ✓btC^,,-G- tA aU'-"O yC_L-,b 1 D '6 A4,_
Person to receive the Certification Approval: "1`AMA60C/4 _ NA�_L�_V
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 3

etc.), 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.
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: t"J(a-Al Nearest Town: D�� v '/
� �.
Subdivision name or site address (include phase/lot number): LU( 1 PIW : y 1PA-30035 q
e 3 S N E L}� I[ -L fZ �i�nlV G .� Q3 `?
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees)_ c15 . ` 1 q.3 gg 7 Longitude (decimal degrees) — O .7�7,_L S Z
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 2 t5l Qj::�7'A-
6. Property size (acres): I . 3 A -C Y
7. Lake/ river/ ocean adjacent to property: W L3 C bi-A &Dj f %,,� 33 A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): I h �EA-ELL L-l2.GD ED A2:L S
121-T ft .950 _rZ" <, C LASS T3 21 P �� 4 G Q FAI SO Jr PL i 4A3 i- L
9. Will work be conducted from land? ❑ From water? ZJ BA'YC-,L= 4- UN(_) � t
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:
N b NG - _12)y T3AIZCC
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: wour — sl '&L(f
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):
W FAV V G- 13 q Lr
� , ( L_ i,)-/ Lv /)e
Owner/Agent's Signature* [15A AC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Lake
(At Full Pond/ Normal Water Level)
Full Pond/
Normal Water Level
ffm no am MW
Shoreline
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A__TjV l kAA L DISTUP-& r�4
Ta 13u 4F t
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Please approximately sketch the following information on this plan (provide dimensions foreach
item, such as 10 ft x 100 ft)*:
I. 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
FORM: SSGP 10-2013 Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
� �� X037
Project Name/address: E)r� 2 t ins r (A K �yP 6 jar✓ I Vr`12
� ` County:
r," IyL� cvL�L
Owner: iA Q��ai N1 r (_LL_: AAA- All. A C i ►) 4 l
Print
Contractor/agent: 5 H,4rkJn I n Al AA u s
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 0213.0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
bythe Division. There are limitation on size for decks. [15A NCACO2B .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 028.0243 (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)]
AcknowleVemept of Notificat+ipn
i 1 hereby state that I have been informed of the Catawba
Riparian Bu er Rule. Anycon cted 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: [ Z

LAKE NORMAN DREDGING INC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
I AGREE:
DATE: l d'I b [,B

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YOUR TRIP TO:
Marshall Steam Station
29MIN I 14.8M1 )�
Est. fuel cost: $1.34
Trip time Dasad on traffic conditions as of 3'38 PM on Decembers, Print a fuLl health report of your car with HUM
2018. Current Traffic: Light vehicle diagnostics [phone]
S 1. Start out going southwest on Pine Lake Rd toward Backwoods Tri.
Then 0.98 miles 0.98 total miles
r+ 2. Turn right onto Unity Church Rd.
Then 0.65 miles - 1.63 total miles
3. Turn sharp right onto N NC 16 Bussiness Hwy/NC-16 Bus.
PA N NC 16 Bussiness Hwy is 0.2 miles past Graham Rd.
If you are on Triangle Cir and reach Huntsman Ln you've gone about 0.2 miles too
far.
Than 4.56 miles 6.19 total miles
4. Tum right onto Will Proctor St.
14rill Proctor St is 0.1 miles past Bryn Mar Ln.
If you reach Forney Hill Rd you've gone a little too far.
Then 0.53 miles 6.72 total miles
r* S. Turn right onto Campground Rd.
Then 2.08 miles 8.80 total miles
ar 6. Campground Rd becomes Slanting Bridge Rd.
Then 2.32 miles 11.11 total miles
T. Turn right onto NC Highway 150/NC-150.
NC Highway 150 is 0.2 miles past Mocassin Dr. !�
If you reach Arbor Way you've gone about 0.2 miles too far.
Then 2.19 miles 13.30 total miles
T 8. Turn slight right onto Greenwood Rd.
It you reach Harvel Rd you've gone about 0.2 miles too far.
Then 024 miles 13.54 total miles
9. Take the 1st left onto Stutts St. `
If you reach Clement Cir you've gone a little too far. ^ ,
Then 0.24 miles 13.78 total miles
10. Take the 1 st left to stay on Stutts St. r.
Then 0.04 miles 13.82 total miles \\V�
11. Take the 1 st right to stay on Stutts St.
If you reach the end of Stuffs St you've gone about 0.1 miles too for.
Then 0.01 miles 13.83 total miles
r* 12. Turn right onto Clement Cir.
Then 0.19 miles 14.01 total miles
r+ 13. Turn right onto Greenwood Rd.
Then 0.31 miles 14.32 total miles
14. Tum slight left onto NC Highway 150/NC-150.
NC Highway 150 is 0.2 miles past Malice Dr.
Then 0.43 miles 14.75 total miles
15. Marsh-" c.e...., c....:..., a-ri Mr u.,.r......,, s cn c T-11 av a-ri ate,
HIGHWAY 1 f
Your destint
If you reach ® e- Balis cross Roads
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150
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Norman
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Westport
Book a hotel tonight and Car trouble mid -trip?
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Froi G Tamara Hager [e-mail]
Subject: Wight pics
Date, Dec 6, 2018 at 4=53=30 PM
To: TS Hager [e-mail]
Thank You
LaKe PeRmiTs LLC
T.Shaye Hager
704-575-2227
LS G C-
7 ,0�
(L Li
S

Frog- Tamara Hager [e-mail]
Subject: Wight pics
Date: Dec 6, 2018 at 4:54:36 PM
To TS Hager tamarahagerC)me.com
Thank You
LaKe PeRmiTs LLC
T.Shaye Hager
704-575-2227

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8535 Pine Lake Rd
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Details
Tax Parcel ID: 33143
PIN:
4614300359
Address:
8535 PINE LAKE RD
Sub or Condo: WILLIAM B MCGUIRE SURVEY
Township:
CATAWBA SPRINGS
Plat Book-
F-147 (http://72.15.246.181/lincolnncnw/application. asp?
Page:
cmd=image_link&image_link_book=F&image_link_page=
Deed Book-
1714-483 (http://72.15.246.181/lincolnncnw/application.ac
Page:
cmd=image_link&image_link_book=1714&image_link_pa
Historical
WIGHT KAREN E
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Deed(s):
Tax District:
EAST LINCOLN
Legal
CRESCENT PT 99 SEC38
Description:
Lots:
1
Neighborhood: 0514H
Previous
Parcel ID:
WIGHT MARSHALL A
Owner(s)
WIGHT KAREN E
Mailing
8535 PINE LAKE RD
Address:
Mailing City,
DENVER NC 28037-8815
State Zip:
Acres:
1.23
Land Value:
$486,713
Improved
R79Q AAA
Buffer
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8533
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8 1 161
"!tAap-Scale: inch = 100 feet
Long: -80.971 at: 35.494
Long: 80°58'14 Lat:35°29'38"