20190076 Ver 1_Shoreline Stabilization_20190114

State of North Carolina
DWRDepartment 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 PAI
I• Applicant Information [15A NCAC 02H 0502(x)]
1. Owner Information
Name: — "
2 0 1 90 0 7 6
Mailing Address: y 7 -7 U j S Exit)
V c 21-7
Telephone Numb e�:33 X37 - 3S� Fax Number:
E-mail Address: vvl-hA rn.,n ,.,,71„ in i i r1 nA L- J
2. Agent/ Contact Person Information
oCC�C�OMC�{
JAN 1 4-2019
E EQ -WATER S
401 & BUFFER P
IAiG
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
ORIZATION FORM Pdf) must be attached if the Agent has signed
Name: ('.In✓. -" "-"" ,1 !
Company Affiliation:
Mailing Address:
T,
application form.
Telephone Number.{
E-mail Address:
Person to receive the Certification Approval: �M Y v�
J—
II. Project Information [15A NCAC 02H 0502(a)& (b}]
I. 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: 55GP 10-2013
Page 1 of 3

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.
Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etc.)
Location of the property (where work is to be conducted)
County: Nearest Town: __L)C!J Llt°17 Ni
Subdivision name or site address (include phase/lot numh,-rl• J rt—r+i- L1
Directions to site - please include road names and numbers, landmarks, etc.:
S'� E ���
Le'- nwC
Latitude (in decimal degreesJ S.t57,U
7cl Longitude (decimal degrees)_�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): -2- 1 r-iT�'I
6. Property size (acres): 7$
2-
7. Lake/ river/ ocean adjacent to property: AA I ( 13A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): l /\
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 normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: I� . �I
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):
1 11
1 c
� 1
caner/Agent's Signature* [15A N 0 H .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

La ke
(At Full Pond/Normal WaterLevel)
7-1
Full Pond/
Normal Watzffer :27Level
Shoreline
ND ( -L --S IZ( AgCIQ)
Ni.Z�n%i �'y� L_ DiS7uP .t3�n,
�T ►3 a ���;�
item, such as 1 oft x 100 ft
Please approximately sketch the following information on this Ian
J *: ►' (provide dimensions fore ch
I. 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 elev
4. Location of any proposed structures such as buildings, retaining walls, docks, etc. anon
5• Location of any excavation or dredging below the Full Pond/ Normal Water Level
6. Location of construction access corridors elevation
FORM: SSGP 10-2013
Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 477 b ' 2c� ty: �� �%
Owner:
Contract
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
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 Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner): //'/c 71 /
Date:

GIVE
CTC GRADING LLC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
I AGREE:, X ) ft'%
DATE: t

Lir L4
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(� 363z39W-4763' 4 Nwmaa LAKE NORMAN
S I7 z 39'E -62.26'
S 72z02'W-30.64' ep .OTE: DUKE POWER C r.. ^uveae MAP OF
LAND 6 TIMBER CORP DEED BOON 475, RECREATION LOTS
PAGE 300, MAY 1, 1969. SECTION 36
LOTS 3 — 15
CRESCENT LAND B TIMBER CORP. 1O CATAWBA SPRINPS TOWNSHIP
( POLLY R. HELMS) j eJ 0 LINCOLN COUNTY N. C. 400
U.M.I.-327 TR.2 [. a
t 0O SCALE. 1". 100' SCALE IN FEET FEBRUARY 14, 1975
�O / O MISC., BOON N0. 276 DWG. NO C. F. 36-A.

Fre Tamara Hager [e-mail]
Subjeco., Gannaway pics
Date. Jan 7, 2019 at 3=53=21 PM
To: [e-mail]
P I Cs

4 �� a. Tamara Hager [e-mail]
Subject: Gannaway
Date: Jan 7, 2019 at 3:57:53 PM
To: [e-mail]
Thank You
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ml�topo
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4:776 Trails End Rd
3D

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Details
Tax Parcel ID: 31296
PIN:
4615072113
Address:
4776 TRAILS END RD
Sub or Condo: CRESCENT LAND & TIMBER CORP
Township:
CATAWBA SPRINGS
Plat Book-
E-46 (http://72.15.246.181/lincolnncnw/application.asp?
Page:
cmd=image_link&image_link_book=E&image_link_page=
Deed Book-
2319-420 (hftp://72.15.246.181/lincolnncnw/application.a,,
Page:
cmd=image_link&image_link_book=2319&image_link_pa
Historical
Acres:
View
Deed(s):
$408,013
Tax District:
DENVER
Legal
#4 SEC 36 CRESCENT
Description:
Lots:
4
Neighborhood: 0515D
Previous
Parcel ID:
Buffer
N
Map Scale__l.inch = 5Ufdet
Long: -80.982 Lat: 35.5319
Long: 80°58'56" Lat: 35432'21"
GANNAWAY MICHAEL T
Owner(s)
GANNAWAY SUSAN A
Mailing
281 GLADE VIEW CT
Address:
Mailing City,
WINSTON SALEM NC 27101
State Zip:
Acres:
0.753
Land Value:
$408,013
Improved
�IZRI)Q I 111
Buffer
N
Map Scale__l.inch = 5Ufdet
Long: -80.982 Lat: 35.5319
Long: 80°58'56" Lat: 35432'21"

Google Maps Marshall Steam Station to 4776 Trails End Drive 11.5 miles, 20 min
Rd, Denver, NC 28037
s 6•�
Marshall Steam Station
. Olivers
Crossroads
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23 min
13. S rn ks
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it
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> • 4776 Trails End Road
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Google 1.
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Map data ©2019 Google 1 mi
Marshall Steam Station
8320 NC -150, Sherrills Ford, NC 28673
t 1. Head south toward NC -150 E
59 s (0.2 mi)
Take Slanting Bridge Rd and Campground Rd to Webbs Rd
in Catawba Springs
13 min (8.3 mi)
r 2. Turn right onto NC -150 W
41 left
1.7 mi
:
3. Turn onto Slanting Bridge Rd
2.3 mi
t 4. Continue onto Campground Rd
~1
2.6 mi
-7
5. Turn left onto NC -16 Business S
1.8 mi
�fjVy-/ �G
Continue on Webbs Rd. Drive to Trails End Rd
6 min (2.9 mi)
41 6. Turn left onto Webbs Rd
1.7 mi

♦1 7. Turn left onto Burton Ln
0.8 mi
*1 8. Turn left onto Trails End Rd
0.4 mi
4776 Trails End Rd
Denver, NC 28037
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.