20190458 Ver 1_Shoreline Stabilization_20190411

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
Division of Water Resources 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 'p $ PAIL)
1617 Mail Service Center
Raleigh, NC 27699-1617
201 90458
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information I -I
Name: �ranL�S f, cJlnerr,(� l-�r1-on
Mailing Address: _I 60B ver -j %dae. Ln.
�a-�es v L P. islC a R 10'7'7
Telephone Number: 70cl - 5d�q i a Fax Number:
E-mail Address: �nuddsher-O I�ftsaLA1i _
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.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
�Y+ O [fr;
Telephone Number: 'loti - Utin - S I 1 1 Fax Number: '70W - Lo Lo 0 - Sgcoq
E-mail Address: c[ocSeauia.lis�_')u�',rid S]r-Pam.ne-+-
Person to receive the Certification Approval: 711n i c e- E3 4,Q
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: Zrede.11 Nearest Town: 644-4ESv'�lIe
Subdivision name or site address (include phase/lot number): i po ;yr_r udoP
LJ
ij�c�-�esu 1� e ,IVIG ;18G 7'7 I "Je-'r j�� l�S EfiL4es Ln+ � -
Directions to site - please include road names and numbers, landmarks, etc.:
See, 0_AA_nr In e d
Latitude (in decimal degrees) 3.~_ In Sb 3 S 1 Longitude (decimal degrees) " �(�_ q (c 8 7M
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): R. *,n-- ;;0-1
6. Property size (acres): . IaBLi
7. Lake/ river/ ocean adjacent to property: h6r-ma n
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): gi p_ av%AS[�— I nska.l l mri4-% r5
an(A 0_,1aSs l r-� n r4
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:
3' Le-lnu.3 L 150 Si n� Iro ac)
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool take level/ Normal Water Level and 50 feet land -ward in
square feet or acres: I ' nlnnve_
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): Q rciss 6yJ�er,
Own r/Agent's Signature' [15A 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/
Normal Water Level
Sho
reli'ne o'
wide
aCce55
+brou9 h
ne 3hbor 5
Trod cr}y
La ke
(At Full Pond/ Normal Water Level)
3' Le-Iow
I iA%ov2..
SU I I en3-'k
F
Vrare%s and Sher61l ho
I(,0 (' ,rer -1 %%3e. Ln.
S+o.+r-s\j" I If -I a6(aII
No +reeb re.r Roved
rn n,i rna.l ci iS�u r6c4-nc e
+o bu FFer
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
FORM: SSGP 10-2013 Page 3 of 3

2/26/2019 1-77, MooresNlle, NC to 160 River Ridge Ln, Statesulle, NC 28677- Google Maps
Go ogle Maps 1-77, Mooresville, NC to 160 River Ridge Ln, Drive 18.7 miles, 26 min
Statesville, NC 28677
1-77
Mooresville, NC
Follow 1-77 N and NC -115 N/US-21 N/Hwy 21 Byp N to Old
Mountain Rd in Troutman
14 min (10.5 mi)
t 1. Head north on 1-77 N
6.4 mi
e 2. Take exit 42 for US-21/NC-1 15 toward Troutman
0.2 mi
41 3. Use the left 2 lanes to turn left onto NC -115 N/US-
21 N/Hwy 21 Byp N (signs for 1-77 S)
0 Pass by Fifth Third Bank & ATM (on the left in 3.1 mi)
3.9 mi
Follow Old Mountain Rd, Buffalo Shoals Rd and Laurel Cove
Rd to River Ridge Ln
41 4. Turn left onto Old Mountain Rd
41 5. Turn left onto Buffalo Shoals Rd
41 6. Turn left onto Laurel Cove Rd
'1 7. Turn left onto Island Terace Rd
14 min (8.2 mi)
3.2 mi
3.0 mi
1.5 mi
0.2 mi
t 8. Continue straight onto Island Terrace Rd
243 ft
t 9. Continue straight onto Island Terace Rd
0.1 mi
"1 10. Slight left onto River Ridge Ln
0 Destination will be on the right
0.2 mi
160 River Ridge Ln
Statesville, NC 28677
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.
https://www.google.corWmaps/dir/1-77,+Mooresville,+NC/160+River+Ridge+Ln,+Statesvilie,+NC+28677/@35.6779313,-80.9830775,29057rrVarrF=ttdata=!3ni2! 1... 1/2

ra r• Tri: tiro r GFrtt... rt�w. trrP7;h..3Rv 4
cit S -r „+o„,ry rq +Ii.y t•u �. +J i? Pt.r �...�
��`` �"�E w,, SreSWh z.ft@- % Pitt
�V
\ P t f;"!. sty
146
e04 '
OF
A
gloo
RiVER HILLS 557A76 -s'
s
TAX PA,—,,Z . 3L- •A-1
. 1✓A9+ `-tECORCEIC, f.N EjOOK _—A, P�\GE �Z OEEO �EGJADCO IN BC3'JK AGF
ZoT
33

?IZ6J2019 Ire"I.CormectGIS
&CONNECTGIS _ .
ll County
1:46 i Feet
111

3/18/2019 160 River Ridge Ln - Google Maps
G g[,, � Maps 160 River Ridge Ln
H"Woly" AC`
Map data @2019 Google 100 ft-
https:/AmmN.goog!e.com/maps/p!ace/l60+River+Ridge+Ln,+Statesville,+NC+28677/@35.680792,-80.9684981,18z/data=14m5!3m4lls0)S85151eba6b06881:O)M49c9e75104614!8m2!3d35.6810339!4d-80.96806?hl=en 1/2
s
Ca
?o
H"Woly" AC`
Map data @2019 Google 100 ft-
https:/AmmN.goog!e.com/maps/p!ace/l60+River+Ridge+Ln,+Statesville,+NC+28677/@35.680792,-80.9684981,18z/data=14m5!3m4lls0)S85151eba6b06881:O)M49c9e75104614!8m2!3d35.6810339!4d-80.96806?hl=en 1/2

3/18/2019
160 River Ridge Ln
160 Ri\er Ridge Ln - Google Maps
Imagery ©2019 Google, Map data ©2019 Google 100 ft
httpsJ/wmv.g oog!e.corrJmaps/piace/160+Riker+Ridge+Ln,+Statesvi Ile,+NC+28677/@35.680512,-80.9687958,330rrUdata=! 3m1! 1 e3! 4m5! 3m4! 1 s0k85151 eba6b06881:0x98f49c9e75104614! 8n-2! 3d35.6810339! 4d-8... 1/2

3/18/2019
MyTopo Map Print
sj
1 )
'----'"�.-~' ==-�E' � • 8171 - ` i� i L e6
tC'
C5 Ok,
0 0.5 Mi
0 3000 Ft Map provided by MyTopo.com
httpJ/map-pass.mytopo.corrimaps/print r ytopo.asp7print=20&scale=2.58Jayer=DRG&layer=HILLSHADE&Iat=35.680918011403115&Ion=-80.96791495000002&orient=1&res=144 1/1

m'
all,
f y

a i 11 .liT3'fo7 +�
I �'°?4`•.r� ••��� x` �!Z', ,t�t� :1'k, 11�g� � f � j �'� I I � �F�i
( ,\
Statesville, NC
28677
3,
�
x '
Statesville, NC
28677

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
f Or --On
Project Name/address:
Ta. rQ rte a 3 S -T. J14 ort So
Owner:
Print
Contractor/agent: (
Print
Signature
ignature
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 0213 .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
1, _yrane.�-' E ��terr'11� t Lr- con 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 RUJ.s, the approved plan(s) and specification(s), and other supporting
materials. A/ )
Signature (owner): Date: a
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 11611 Mail Service Center I Raleigh. NC 27699-1611
919.707.9000

t
51 -one cmd'Rec-yde, --------
I I � urchl Greei-,
3capes, LLC -authorization to ob-l-ain t1he
I
ecessary infoiratmatiorz
for s-l-abilimc-Non cind,
dred
doe permits,
agree:
fag
Olve

CBC Stone and Recycling, LLC
638 Oakridge Farm Hwy
Mooresville, NC 28115
Sherry Frino
2500 Woodbine Road
Winston Salem, NC 27104
336-231-3011
[e-mail]
This letter gives approval for CBC Stone and Recycling, LLC to use our driveway at 163
River Ridge Lane, Statesville 28677-2434 to access the shoreline of Buddy and Sherrill
Horton.
Sincerely,
John and S 4-F