20190135 Ver 1_Shoreline Stabilization_20190130

State of North Carolina
Department of Environment 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
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. Owner Information
Name:
Mailing
Z0 1 90 1 3 5
Telephone Number: rJO4 -'79I - I 160 Fax Number:
E-mail Address: e 15 re41re.eJ a� Q MaL. rn 10Q
Ili
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htt www.saw.usace.army.mil/Portals/59/docs/reRulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: '76q- loinO -fill I Fax Number: '70LI - LQ(o0 - 5q(o9
E-mail Address: C"0_1_:;en LKia.l (S 61) to', nds1reQxn . ne+
Person to receive the Certification Approval: T[>,ankC2
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: Ca.T aw ba, Nearest Town: —1 er re.l 1
Subdivision name or site address (include phase/lot number): 31a5 lKFexA-eryicc.LJ Ln.
Directions to site - please include road names and numbers, landmarks, etc.: 7 K -I-
epi% 1M.0 -Me- onto NC -lin I�rn r►a hl on}o 5k JamcS �un h Rd.
+111-n IC4 o►Ao NC- I10 Bu5i ness, lural rtahk aA 1!rnngnSUi% id. Gnbinve on;o 5"' C5�ricl e, 12
Tu, -r% r%S 4• onto NC• 156F- eig4on4o Ctreengwd RJOTu1-n 64.ft�oLeeraed Dr. Bsoh� onto WxlerVievzD
Latitude (in decimal degrees) _35, 59a `i 31 Longitude (decimal degrees) - Be), 939 '1 a�
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 3Re.sIden-�i _L
6. Property size (acres): , Li $�
7. Lake/ river/ ocean adjacent to property: rl� o r marl
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Sh ne __ S (��i r)SA-01 I mn fi-i Y
c-LnA 1nnuldex- r', 1--:) CQ
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:
3t Leje)u.)
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: ( , -
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):
141,1j
firy" P V� Owner/Agent's gnature` [15A NCAC 02H
Date
`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 ''
Lake
(At Full Pond/ Normal Water Level)
wIdt
access
31 �'t.w
I' cL.bov e-
3 68' Le -+h
605e.
N�����
Ko - "re�e5 removed ,
Mini Inrux,l d t 5+u r ancz
+o b o�Ve r
Garland i Crn-1ly Jane -5
31x5 UJO� Cr \(ieuo Ln.
Te.r,r6 l , qC. )BUB A
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10ftx 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
FORM: SSGP 10-2013 Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 3725 ".der V11e.Lo Ln 1e.,rine,<I J"AG,R,1 County: 4 0.laawInct-
Owner:
nt
Contractor/agent:
Signature .
Print / ISiRnature
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,aw-tand JLJ J0 neS hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any ork 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): 0' ate:
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 1 1611 Mail Service Center I Raleigh. NC 27699-1611
919.707.9000

1/21/2019
Go�,19le Maps 3725 Water View Ln
3725 Water View Ln - Google Maps
Imagery ©2019 Google, Map data ©2019 Google 50 ft
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BEARINGS AND DISTANCES FOR LOTS ON CONTOUR ELEVATION 760
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LAKE NORMAN 501
NOTE:
ALL STREET CORNER RADII ARE 90 FEET.
PROPERTY LINE DISTANCES ARE COMPUTED TO
POINT OF INTERSECTION AT STREET CDRMER5.
DUKE POWER COMPANY TO CRESCENT LANDS TIMBER
CORP. DEED BOOK 847, PAGE 632. MAY 1, KM.
BUILDING SETBACK LINES ARE 30 FT. FROM ROAD
RIGHT OF WAY LIMIT, BO FT. FROM CONTOUR ELEV.
760 U.3.0. S. SEA LEVEL DATUM AND 15 FT. FROM
SIDE. LOT UNE.
CRESCENT LAND B TIMBER CORP.
LAKE NORMAN
MAP OF
RECREATION LOTS
SECTION 30
LOTS 69, 71-73, 75-80, 82, 13 84-97
MOUNTAIN CREEK TOWNSHIP
CATAWBA COUNTY, N. C.
SCALE: 1".100' AM/ST IS, 1975
MISC. 0" NO. 299 Oft. MO. C.F. 30-C
0 100 200 300 400
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Catawba county Geospatial Real Estate Search
MAKING. uviMc. tErrfw,Information Services
N/�
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Parcel: 462701364187, 3725 WATERVIEW LN TERRELL, 28682
Owners: JONES GARLAND L,
Owner Address: 9730 DAVIDSON HWY
Values - Building(s): $213,600, Land: $350,400, Total: $564,000
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. Caatawba, its employees, agents, and
tawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of C
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
01/21/2019

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necessary in
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Date:
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