20190280 Ver 1_Shoreline Stabilization_20190304

State of North Carolina
. Dccr�6rtment of Environment and Natural Resources
D -WR 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
20 1 9280
$ }.
Name: AA kVJ r �1,, 65 M-C)\/rU
Mailing Address: _i 2
Telephone NumberTAL-1 LI(.cL rt55Q--`7 Fax Number: —
E-mail Address: MC, i-I� , C' • I� 6 C K' M C�✓vtu , I , C6 k,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: r a,- IC" 4NUY (40gAAf=A HAJCQ
Company Affiliation: CIL A q t4 U -1 �t/�G
Mailing Address: inn s iPr,S5 Lti
r'Sci,lL - tiC -2t//-7
Telephone Numbe('7 5 PT d Fax Number:
E-mail Address:
Person to receive the Certification Approval: X21. M( ✓G. (� CAd
II. Project Information [15A NCAC 02H .0502(a)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: 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: LI N C©L N Nearest Town: Dr n ore_ C,
Subdivision name or site address (include phase/lot number): $ ) 3
lam/
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degreesi35. 53 4 7 !r Longitude (decimal degrees) — ?) D- q & 0 -7 7 2-
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): ZTTA2
6. Property size (acres): _ , :967 ,/Yc
7. Lake/ river/ ocean adjacent to property: I -)f M A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): _p �I--� h 17- r7
9. Will work be conducted from land? From water? 4�7[ ,- LGyU��
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.g
below the normal pool lake level/ Normal Water Level in square feet or acres:
- of )­ i'UL""-
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: wotsir - '�� 1 � g, L-
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):
Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

hi
ormr
S
La ke
(At Full Pond/ Normal Water Level)
Full Pond/
AW K- L . f ��, 6)V L ---i2
90L41 �A (-CO(Vor (( Zt Q
Please approximately sketch the followinginform�n Lz his Ian L 3o 6-1 7
item, such as 10 ft x 100 ft) *: p (Provide dimensions for each
1. 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 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
L106q)
�TLrP-%3/�rtc
J

CAT MBA RIPARIAN BUFFER NOTIFICATION FORM
Project N
Owner:
Print
Contractor/agent:
Print
0
C ie s 4iY_ —qDy
!fin �, nJ G jL6 6 3 7
_.County: LI' Il Ce Lt�
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
Minimal shaping and sloping along the immediate shoreline
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
is allowed. [15A NCAC 02B .0243(6)1
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
M 6y 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 a
ppro
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be ved
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.
Date:

m py K , GIVE
CTC GRADING LLC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
DATE: a"I q 19

GO gle Maps Marshall Steam Station to 8042 McConnell Drive 11.8 miles, 20 min
Rd, Denver, NC 28037
mo
tmAWl
OLvers _i'4 ie ,w (]-R) �=
Lake N
of Ca
ms us
s w
J
tsv
,m 9 Q 20 nen
as ,est
.F
`J
'0n_ F-
tm 8042 McConnell Road 4
tm
_ Go gle
Map data 02019 Google 1 mill
Marshall Steam Station
8320 NC -150, Sherrills Ford, NC 28673
t 1. Head south toward NC -150 E
59s(0.2mi)
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
'4'1 3. Turn left onto Slanting Bridge Rd
2.3 mi
t 4. Continue onto Campground Rd
2.6 mi
41 5. Turn left onto NC -1 6 Business S
1.8 mi
Continue on Webbs Rd. Drive to McConnell Rd
6 min (3.2 mi)
41 6. Turn left onto Webbs Rd
1.7 mi

11 7. Turn left onto Burton Ln
0.4 mi
r' 8. Turn right onto Webbs Chapel Church Rd
0.4 mi
r' 9. Turn right onto McConnell Rd
aDestination will be on the right
0.7 mi
8042 McConnell 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.

..r1
44
M�topo
A TRIMBLE COMPANY
Search by Place or Address
8042 McConnell Road, Denver, NC, USA OO US O Canada
Step 1: Find the center of your map
Slide the map, zoom in or out, and change the map
type to identify the area you would like on the
center of your map.
Proceed to Step 2 to finish designing your map,
which will involve selecting the base map type
(topo, aerial, satellite) and map scale.
Continue to Step 2
N
_Go gle
More ways to find maps
Find Maps and USGS Ouads by State
Find a GMU. Huntina Area, or WMA/State Park Mao
Search by GPS Coordinate
Upload a GPX File
Other maps: Backpacker Magazine Pro Maps I Beartooth Mountain Wall MaD
rJ
♦
MyTopO © 2019 MVTopo, A Trimble Company
One South Broadway
Billings, MT 59101
AboUt U
Partner Program
Contact Us
Privacy Policy
Return Policy
[e-mail]
877.587.9004
406.294.9411

Go gle Maps
8042 McConnell Rd
8042 onn ll Road
�Aoy
$c,H 2-
v --e
vC-
Go gle
Map data ©2019 Google 100 ft
O
=
c�
per
- D
Olt-,
8042 McConnell Rd
8042 onn ll Road
�Aoy
$c,H 2-
v --e
vC-
Go gle
Map data ©2019 Google 100 ft

MTN. IS. DWG. NO. 274
IU. M. 1. 711
ACCONNELL
)WG. NO 743.6
656,000
1
TO CRESCENT /
DEED BOON 475,
i9.
603,000
IMBER CORP.
AN
LOTS
37
MM. 4 W. L �y -- - ----
3110-114
' CATAWBA SPRINGS TOWNSHIP
•��"' " "' `"�` 0 0LINCOLN COUNTY, N C 400
_ SCALE ''"= 100' SCALE W FEET FEBRUARY 10, 1975
W' 0006" [Ayn fiyl. R 1 �- . MISC. BOON NO 276 DWG. NO. C. F 37' D

From, TAMARA HAGER [e-mail]
Subject: Moyer pics
Date.- Feb 18, 2019 at 2:31:27 PM
To: TAMARA HAGER Hager@la�Kepermit.com

Thank You
LaKe PeRmiT LLC
[e-mail]
Tamara Hager
704-575-2227

County Home Page (https://www.lincolncounty.org/) I Data Download (haps://v ww.lincol
Lincoln County GIS
Search Results Layers
Results List
Details
Tax Parcel ID: 32390
PIN:
4615657305
Address:
8042 MCCONNELL RD
Sub or Condo: CRESCENT LAND & TIMBER CORP
Township:
CATAWBA SPRINGS
Plat Book-
E-54 (hftp://72.1 5.246.181 /lincol nncnw/a ppl ication. asp?
Page:
cmd=image_link&image_link_book=E&image_link_page=
Deed Book-
2472-342 (hftp://72.15.246.181/lincolnncnw/application.a.,
Page:
cmd=image_link&image_link_book=2472&image_link_pa
Historical
View
Deed(s):
Tax District:
DENVER
Legal
#113 SEC 37 CRESCENT
Description:
Lots:
113
Neighborhood: 0515F
Previous
Parcel ID:
Owner(s)
MOYER MARK CHARLES
Mailing
8042 MCCONNELL RD
Address:
Mailing City,
DENVER NC 28037
State Zip:
Acres:
0.807
Land Value:
$386,031
Improved
$318,749
Value:
Buffer
>■w a
L
w� , eGC,�NN��
A/ 3\j n2