20190571 Ver 1_Shoreline Stabilization_20190426

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State of North Carolina
Department of Environment and Natural Resources
�3 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 shuld'be sett®
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)l
2019057
V-te
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to
1. Owner Information �1
Name:-��n��.�n4-�;r nt �3nPr'S A1;Sc)0 kaki ����<<�n �b ✓ nCt�h(�
Mailing Address: 1 I C1J" _Pi nP-, I�) r
Telephone Number: '10q- Lose -0gS(Q Fax Number:
E-mail Address: Sc_62,rr�C�c�rmc��� rnw�
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.mif/Portals/59/docs/regulatory/reLdocs/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: ' otA - UCDn- Sl I i Fax Number: 7dq- b - 5glog
E-mail Address: ClxLe 0Ck_k" Lh ewrn , (\e;�-
Person to receive the Certification Approval: Z_C'n; -_P,
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: Y1 Nearest Town: ryl�-.
Subdivision name or site address (include phase/lot number):
33
a ( b) r.
i 86141 LG+ toy
Directions to site - please includeroadnames and numb s, landmarks, etc.:
qP p -i _L'
Latitude (in decimal degrees)_ 35. 3y1S(o'7 Longitude (decimal degrees) $Q, q LP .56R
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): ae5 kd ct omrrti� n Ar n �'�„� Commo r%;
6. Property size (acres): of . 110 Q0 -res I J
7. Lake/ river/ ocean adjacent to property:
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
--- ►1 S �r�1 r rr��LC
9. Will work be conducted from land? ® From water?1
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 ' rho � s� C 30C� 1 S� of ► m 1
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:
vP
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):
Owner/Agent' Signature;�N�CAC..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
Shoreline
La ke
(At Full Pond/Normal Water Level)
3'
Ioelow
I oo' I C. Y)5 -h
Access
I s � � � �
Ro -*ree5 re -Moved
'fel 1 n; mal 61 S+o r ba nce.
-% 6aer
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft 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
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
Phillip Abernathey
Stonewater Owners Association
233 Whiterock Dr.
Mt. Holly, NC 28120
FORM: SSGP 10-2013
Page 3 of 3

6242Dtq M - 411e, Dr, Mt Hdly NC 28128. Daople Maps
Go gle Maps Mooresville, NC to 233 Whiterock Dr, Mt Holly, Drive 29.8 miles, 38 min
NC 28120
Mooresville
North Carolina
Get on 1-77 S in Davidson from N Academy St, W Wilson Ave
and NC-1100/Brawley School Rd
9 min (3.4 mi)
t 1. Head southwest on N Main St
0.1 mi
r' 2. Turn right onto W Iredell Ave
0.1 mi
'1 3. Turn left at the 2nd cross street onto N Academy
St
0.6 mi
FO 4. Turn right onto W Wilson Ave
1 2 mi
t 5. Continue onto NC-1100/Brawley School Rd
1.0 mi
6. Turn left to merge onto 1-77 S
0.3 mi
4234019 MevwAe, NC b233N1wa Dr,Mt11dly NC 78120 -Google Mepe
Follow 1-77 S and 1-485 Outer to NC -16 N/Brookshire Blvd in
Charlotte. Take exit 16 from 1-485 Outer
20 min (21.5 mi)
7. Merge onto I-77 S
14.5 mi
r 8. Use the right 2 lanes to take exit 1 9B -A toward) -85
S/Pineville
9. Merge onto 1-485 Outer
5.5 mi
N 10. Take exft 16 for NC-16/Brookshire Blvd toward
Newton
04mi
Continue on NC -16 N. Take Horseshoe Bend Beach Rd to
Whiterock Or in Mount Holly
9 min (4.9 mi)
N 11. Turn right onto NC -16 N/Brookshire Blvd (signs
for Newton)
e Continue to follow NC -16 N
3.0 mi
1" 12. Turn right onto Horseshoe Bend Beach Rd
1.0 mi
h1JMAvxa.goo9le.cadn�drlMaoreeMlle,+NC/Ida+NTllerocMDr,+M1+Hdly*NC*7B12(V .2851918; 91.009209, 111ertv1tl 14 11 Gn1311r 11111a1DB951565�7r SODS 42D0Wee,151621 an ld- 1fJ fAgelMxw.googly.cartlfi�el6rrMaoraeMlle,+NC/133'WNbacMD�+Mt+HtlIysNCa�12Y�35C54916; 81.WB20B,i1LxrvVdale=lNnlNdm1311rtd11m111e08&515971ffiO 06742096b7eetl5C8217m2 Id 213
0.43"N19 M, -Lille, NC to 233 N tW-Dr, Mt Hdly NC 28120- G.,!,l, Mope
F* 13. Turn right onto Stonewater Bay
0.4 mi
11 14. Turn left onto Woodwinds Dr
0.1 mi
11 15. Turn left onto Whiterock Dr
0.3 mi
233 Whiterock Dr
Mt Holly, NC 28120
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause condHions 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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https:Hg i s.g astong ovcom/Reports/Pri ntM ap.aspx
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Printed On: 4/23/2019
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Disclaimer: The information provided is not to be considered as a Legal Document or Description.
The Map 8 Parcel Data is believed to be accurate, but Gaston County does not guarantee its accuracy. Values shown are as of January 1, 2019.
https://g is.g astongovcom/Reports/Pri ntMap.aspx 1h

4/23/2019
Ga.gle Maps 233 Whiterock Dr
233 Whiterock Dr - Google Maps
Imagery @2019 Google, Map data @2019 Google 50 ft
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4/23/2019
Go gie Maps
233 Whiterock Dr
233 Whiterock Dr - Google Maps
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1233 Whiterock i
Map data @2019 Google 100 ft
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Phillip Abernathey
Stonewater Owners Association
233 Whiterock Dr.
Mt. Holly, NC 28120

Phillip Abernathey
Stonewater Owners Association
233 Whiterock Dr.
Mt. Holly, NC 28120

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Stonewater Owners Association lit.
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Mt. Holly, NC 28120
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
&6newat er 3a�
Project Name/address: 0133 L..)I,;+rX0tw _ir. CY)�. 14,1181 0_ ;P X0 County: _Cna6 nn
Owner: _S%oneuuai er
Print
Contractor/agent: _
Print
Signature T
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($)]
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 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
NW'A1,-f/ hereby state that I have been informed of the Catawba
Riparian duffer Rule. Any wok 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.
4 Signature (owner): Date: I z—'
State oPNorth Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 1 1611 Mail Service Center I Raleigh, NC 27699-1611
919.707.9000