20190165 Ver 1_Shoreline Stabilization_20190206

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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500— Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form 2 0 1 go 16 5
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Karen Higgins
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins
DWR-401 & Buffer Permitting Branch
512 N. Salisbury Street A I
Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Joe Persinger
Mailing Address: 4864 Webbs Chapel Church Rd.
Denver, NC 28037
Telephone Number: 423-400-8901 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
FEB 0 6 2019
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
htto://www.saw.usace.armv.mil/Portals/59/docs/reeulatory/reedocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: C . M (LLFYL- %. O� Ere—
Company Affiliation: LILt3 h 6 ILI-6 i /tel AAL I&�E
Mailing Address: 1-15 '� (_4tC SS 1_,qI► J1
t,AW tf! -5 V1 LLE n1 C— X 1 17
Telephone Number: (10�� S %3`���� Fax Number:
E-mail Address: =ha/VLGre, ti?a4eLL)u0 . e 6 M
B. Project Information [15A NCAC 02H .0502(a) & (b
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, buildings, retaining walls, docks, impervious surfaces, 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.)
FORM: SSGP 02-2017 Page 1 of 3

4. Location of the property (where work is to be conducted)
County: Lincol
Nearest Town: Denver
Lake/ river/ ocean adjacent to property: Lake Norman
Property size (acres):
Subdivision name or site address (include phase/lot number): Back Bay Lot 5
VI(( V= FDE�-Y StIQIViSI ( ) N / (iAj"A 'SJ?e ItJ6SS
Directions to site - please include road names and numbers, landmarks, etc.: S on Hwy 16
Business. Left on Webbs Rd.. Left on Burton Rd., Right on Webbs Chapel Church Rd., 1s'
driveway past Rabbit Circle on Right. See'A-r Ctw]-) A -"b
Latitude (in decimal degrees) 35.538433 Longitude (decimal degrees) -80.971244
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Repair of existing rip -rap 110 r(- (di �612
7. Will work be conducted from land? From water? M 46UAG� CKuVO*2'
9 BAiz-67'::
8. Total amount of impacts below the normal pool lake level/ Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
- 0.L) t , LA b N C) L,>N( e- t-+- L-_ AI -NA -n u2 (-W C'Oe G C
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level/ Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, riprap, retaining walls, etc.) in square feet:
�Y1 l�(�p� 2�- i� S �I'V 2,4 6-7
Temporary impacts (temporary clearing, construction corridor) in square feet:
t,,; 0 lE - u,S L& N62 P-Cyk-JH � & W 6
10. 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): No vegetation impact expected
since this a repair only to existing rip -rap. :K4 �KA1?�Cn C-
11. Signature
or
Owner/A ent's Signatur [15 NCAC 02H .0502 Date
Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
FORM: SSGP 02-2017 Page 2 of 4

a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/ Normal Water Level)
4
n A I\ f f". r
Full Pond/ Normal Water Level
Shor
■M I�eline a'''
Plan View
Full Pond/ Normal Water Lev
a "Ihorerine — —
2 h. a 150 ft.
additional clearing
if necessary
7�cr�
Lake
)At Full Pond/ No -W Vater level) Existing Dock
/30 ha7ft
aha Mft
Selow full pond/ NWL
_ 4hx350h
Above full pond/ NWL
EXAMPLE
Plan View
s',Lgo' Bamo-) FvL AAA
EK�15Ti+J6 �iP TIP
g'xg0` AT10 2
FORM: SSGP 02-2017 Page 3 of 4

'6-el'ao iowD AS9vLE do�jfl
AQftY t1 e (go Y" No AWL
�/ r e(,L,- Y.A iZr N 6 1
Side ViewCL
10 ft. bank
Side Vi
FORM: SSGP 02-2017
3 ft, below fu'I pond water revel 4 ft. above full pond water level 2 ft. additional clearing
"if necessary
Existing bank
Page 4 of 4

I 5 pFV3)t 6?a , GIVE
LAKE NORMAN DREDGING INC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
I AGREE: X
DATE: I/2j ) I

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 2SI I�C� [JZ "Li VJC61`116 , oin t : h
Owner: -I) C E VJ4 �t�?Si ti
Print S(natu
Contractor/agent: L06 _Y- X� ► 1, Nll'r%�) l _
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 026.0243 (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,M (;SEP[-{ + E 1 K� , 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): Date:

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RAW PLAT
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DAM T. BRAPY1pRD AO%MrZM0t7N REG SVRU, L-1777
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PEED REFERENCE• 5110-24-A
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SURVEY WAS DONE UNDER MY S: PERV1S;ON OF T -E PRCCEFTY S-iOVIN HE9EON. THIS "..4P IS NOT ;NTENDED
TO MEET GS 37.3J RECOR0!N3 FECUIRELIENTS.
SIGN_C � _(_K'
Bishop
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Bishop Land Sury ying
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Suite 20
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' H_n.tersv;J1e N.C. 28076
Phone 1704± 987-3080
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SCALE V-50' Catawba Springs Twsp.. Lincoln County, N.C.
T. PROPERTY CP Ron and wile, Ann Mullet
fAAP R= -CORD= -'-).N PLA- BOOK G —A7 PAGE 344 DEED RECORCED W BOOK PAGE
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Map data @2018 Google 1000 ft

° CIO. SN'Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division
Lincoln County and its mapping contractors assume no legal responsibility for
y the information contained on this map. This map is not to be used for land
° ! conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
Date: 1/28/2019
Parcel ID 70717 Owner PERSINGER JOSEPH S JR
PERSINGER LEEANN M
Map 4615 Mailing 4864 WEBBS CHAPEL CH RD
Account 0269478 Address DENVER, NC 28037
Deed 2770 985 Last Transaction Date 09/20/2018 Sale Price $797,000
Plat G 344 Subdivision BACK BAY Lot 5
Land Value $249,481 Improvement Value $267,931 Total Value $517,412
Previous Parcel 70707
-----All values for Tax Year 2018 -----
Description #5 BACK BAY SUBDIVISION Deed Acres 0.88
Address 4864 WEBBS CHAPEL CHURCH RD Tax Acres 0.833
Township CATAWBA SPRINGS Tax/Fire District DENVER
Main Improvement CUSTOM HOME Value $253,211
Main Sq Feet 2047 Stories 1 Year Built 1998
Zoning District Calc Acres Voting Precinct Calc Acres
R -SF 0.83 DN29 0.83
Watershed Sewer District
0.83 0.83
Census County Tract Block
109 071203 1001 0.83
Flood Zone Description Panel
AE SPECIAL FLOOD HAZARD AREA BASE ELEVATION 3710461500 0.08
DETERMINED - 100 YEAR
X NO FLOOD HAZARD 3710461500 0.76
-0y-- S1 t"' 4

Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division
Lincoln County and its mapping contractors assume no legal responsibility for
the information contained on this map. This map is not to be used for land
conveyance. The map is base
U4:406,a#j� d on NC State Plane Coordinate System 1983 NAD.
Date: 1/28/2019
�& 4940 '
I=
0
17
A
Parcel ID 70717 Owner PERSINGER JOSEPH S JR
PERSINGERLEEANN M
Map 4615 Mailing 4864 WEBBS CHAPEL CH RD
Account 0269478 Address DENVER, NC 28037
Deed 2770 985 Last Transaction Date 09/20/2018 Sale Price $797,000
Plat G 344 Subdivision BACK BAY Lot 5
Land Value $249,481 Improvement Value $267,931 Total Value $517,412
Previous Parcel 70707
-----All values for Tax Year 2018 -----
Description #5 BACK BAY SUBDIVISION Deed Acres 0.88
Address 4864 WEBBS CHAPEL CHURCH RD Tax Acres 0.833
Township CATAWBA SPRINGS Tax/Fire District DENVER
Main Improvement CUSTOM HOME Value $253,211
Main Sq Feet 2047 Stories 1 Year Built 1998
Zoning District Calc Acres Voting Precinct Calc Acres
R -SF 0.83 DN29 0.83
Watershed Sewer District
0.83 0.83
Census County Tract Block
109 071203 1001 0.83
Flood Zone Description Panel
AE SPECIAL FLOOD HAZARD AREA BASE ELEVATION 3710461500 0.08
DETERMINED - 100 YEAR
X NO FLOOD HAZARD 3710461500 0.76

Go .ogle ps
Marshall Steam Station to 4864 Webbs
Chapel Church Rd
Oliver.
Crossroads
s C
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F 115!
75-7
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Go:,
1 7E
Marshall Steam Station
8320 NC -150, Sherrills Ford, NC 28673
t 1. Head south toward NC -150 E
Drive 11.5 miles, 18 min
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
1.7 mi
41 1 Turn left onto Slanting Bridge Rd
2.3 mi
t 4. Continue onto Campground Rd
2.6 mi
41 5. Turn left onto NC -16 Business S
1.8 mi
Continue on Webbs Rd. Drive to Webbs Chapel Church Rd
5 min (3.0 mi)
''1 6. Turn left onto Webbs Rd
1.7 mi
Map data ©2019 Google 1 Mill

'1 7. Turn left onto Burton Ln
0.4 mi
r' 8. Turn right onto Webbs Chapel Church Rd
BDestination will be on the right
0.8 mi
4864 Webbs Chapel Church 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.
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