20190173 Ver 1_Shoreline Stabilization_20190206

a-_ _
State of North Carolina
Department of Environment and Natural Resources
DW'� 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 2 0 1 90 1 7 3
401 & Buffer Permitting Unit $ PAID
1617 Mail Service Center
Raleigh, NC 27699-1617Dff@
FEB 0
I. Applicant Information [15A NCAC 02H .0502(a)] 6 2019
1. Owner Information
DEO-WATER RESOUP
�"
Name: �•rsEf r ,- C(QICLLAE,i7) 401 & 8UFEER2LR91_J
Mailing Address: I'c'y 17
L I k;y TLYA! VA 22Z 1 G
Telephone Number: _7bl S92 -gSlo g> Fax Number:
E-mail Address: SI'1� 1 I u S� ►' G�� `i ��� \/,'LlG i L . (` �l-4
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: S14 Z _
Company Affiliation: r C -4-
Mailing Address: I')1. 66J .SS "f-liL-55—
AAG& iL i!ILL_ C- rJ C_ �� 1 i�Z
Telephone Numbe(7C' S- Fax Number:
E-mail Address: k (,l 0.
Person to receive the Certification Approval: J .—j-F�t�C��� h C C�,� �jL L/�. Ci'
II. Project Information [15A NCAC 02H .0502(a) & (b)1
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:�'!j/>r Nearest Town:
Subdivision name or site address (include phase/lot number): .jDS '7SE—T
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees)3. l Longitude (decimal degrees)
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property size (acres): 7
7. Lake/ river/ ocean adjacent to property: ti(13
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):�n
9. Will work be conducted from land?JI-
From water? [
ems:
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:
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):
2_Lt3C H E't AVA
C2.
k
c
Owner/Agent's S -nature* 115A NCAC 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

Full Pond/
Water L
Shoreline
Lake
(At Full Pond/Normal Water
cS'L—GP
z
ND �t"L=5 jZ�,nito,�
a CLGVv�
Please approximately sketch the following information on this plan (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
VC I (' K, LA-,TJD
,qpp&y I Wiz) d?A P R -6e Ac- &m- VRA-
FORM: ssGP 10-2013 S44AL61.1/d&---
Page 3 of 3

Lake,
(At Full Pond/ Normal Water Lei rel)
Side View
pogo
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
`if necessary
Existing bank
10 ft. bank
height h�a
�O
Side Vi WQC - -
FORM: SSGP 02-2017�Page 4 of 4

�(eIC LL Aid .GIVE
CTC GRADING LLC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
DATE: t 1 2,0) )q

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
, Z�7t R GProject Name/address:S S STE
ounty:
Owner: C E I A-\
Print -
Contractor/agent: A ignatur _
Print
3ignacure
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
Sze 1 C 1( nk >7 hereby state that 1 have been informed of the Cata
wb
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and aa
oved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence willbe
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 (owne
' 3 Date: l� jL, c

Go. gle MapS 3751 Fords St
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Map data ©2019 Google 1000 ft k. -
Marshall Steam Station
8320 NC -150, Sherrills Ford, NC 28673
t 1. Head south toward NC -150 E
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0.5 mi
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3751 Fords St
Terrell, NC 28682l9Z�Z
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.

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Parcel: 462701250313, 3751 FORDS ST TERRELL, 28682
Owners: STRICKLAND ROBERT J, STRICKLAND SHELLY C
Owner Address: PO BOX 101373
Values - Building(s): $425,500, Land: $395,800, Total: $821,300
1 in=100ft
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
01/30/2019

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NOTE:
ALL STREET CORNER RADII ARE 20 FEET.
PROPERTY LINE DISTANCES ARE COMPUTED TO
POINT OF INTERSECTION AT STREET CORNERS.
DUKE POWER COMPANY TO CRESCENT LAND a TIMBER
CORP. DEED BOOK 947, PAGE 632. MAY I, 1969.
BUILDING SETBACK LINES ARE 30 FT. FROM ROAD
RIGHTOF WAY LIMIT, 50 FT. FROM CONTOUR ELEV.
760 U. S.G.S. SEA LEVEL DATUM AND 15FT. FROM
SIDE LOT LINE.
CRESCENT LAND B TIMBER CORP.
yy
LAKE NORMAN
MAP OF
RECREATION LOTS
SECTION 30
LOTS 54-60, 62, 64, d 65
MOUNTAIN CREEK TOWNSHIP
CATAWBA COUNTY, N.C.
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SCALE: I"-100' AUGUST 13, 1975
MISC. BOOK NO. 298 DWG. NO. C. F. 30-8
0 IOD 200 300 400
_ SCALE IN FEET 71 .4 /L' ��

From: Tamara Hager t;[e-mail]
Subject: Strickland pics
Date: Jan 31, 2019 at 12:58:50 PM
Tc [e-mail]
PI C'S
Sie t V.LA-Y�Jb

Thank You
LaKe PeRmiTs LLC
Tamara Hager
704-575-2227

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Parcel Report - Catawba County NC
Parcel Information:
Parcel ID: 462701260313
Parcel Address: 3751 FORDS ST
City: TERRELL, 28682
LRK(REID): 9104
Deed Book/Page: 3470/0159
Subdivision: CRESCENT LAND AND TIMBER
CORP
Lots/Block: 55/
Last Sale: $765,000 on 2018-08-30
Plat Book/Page: 16/11
Legal: LOT 55 SEC 30 PL 16-11
Calculated Acreage: .760
Tax Map: 009 X 30055
Township: MOUNTAIN CREEK
State Road #: 1962
Tax/Value Information: Tax Rates(pdf)
City Tax District: All in County
County Fire District: SHERRILLS FORD
Building(s) Value: $425,500
Land Value: $395,800
Assessed Total Value: $821,300
Year Built/Remodeled: 1976/
Current Tax Bill
Miscellaneous:
Building Permits for this parcel.
Building Details
WaterShed: WS -IV Critical Area
Voter Precinct: P41
Parcel Report Data Descriptions
List all Owners Deed History Report
Owner Information:
Owner: STRICKLAND ROBERT J
Owner2: STRICKLAND SHELLY C
Address: PO BOX 101373
Address2:
City: ARLINGTON
State/Zip: VA 22210-4373
School Information:
School District: COUNTY
Elementary School: SHERRILLS FORD
Middle School: MILL CREEK
High School: BANDYS
School Map
Zoning Information:
Zoning District: COUNTY
Zoning1: R-30
Zoning2:
Zoning3:
Zoning Overlay: CRC-O,WP-O,FPM-O
Small Area: SHERRILLS FORD
Split Zoning Districts: /
Zoning Agency Phone Numbers
Firm Panel Date: 2008-03-18
Firm Panel #: 3710462700K
2010 Census Block: 5048
2010 Census Tract: 011504
Agricultural District:
Assessment Report
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.
© 2019, Catawba County Government, North Carolina. All rights reserved.