20190527 Ver 1_Shoreline Stabilization_20190423

State of
Carolina
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Department of Environment and N to altR sources
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AM 14M 7"
Division of Water Resources
Division of Water Resources ISA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application Should be (including attachments) and the application fee sh
to: sent
Division of Water Resources
401 & Buffer Permitting Unit 1617 Mail Service Center$.PPA1V
(
Raleigh, NC 27699-1617
0 PC
I• Applicant Information 15A NCAC 02H .0502a
1• Owner Information ()1
Name:_ OL
Mailing Address: t -
L
Telephone Number:�L_ l� , Fax Number:
E-mail Address: CI LL
2. Agent/ Contact Person Information CC ✓� / r
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htt www.saw.usace.arm .mil Portals 59 docs re ulato re docs Permits SAMPLE AGENT AUTH
ORIZATION FORM. df) must be attached if the Agent has signed this application form.
Name: i LL
Company Affiliation L Iv
7 A2, C&/l<
Mailing Address:
s LANE -
Telephone Numb r:77S - �,� -�
�•---- Fax Number: •--'�
E-mail Address:
Person to receive the Certification Approval: �`C�Mcflc'.
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 wi
respect to local landmarks surh nc +�,._ -!. p y th
� Vers, and roads.
2. Provide a detailed site plan showing
prorty
vegetation clearing, structures (buildingspretaining owallssdo kproposed locations of
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: C A-rA Lv;�;4 Nearest Town: S HtL-2 E21 LL S � (�
Subdivision name or site address (include phas /lot number): L CTIL Z
3 ! c � L-17 ✓:
Directions to site - please include road names and numbers, landmarks, etc.:
S� i-ti-`�,�
Latitude (in decimal degrees)_15. L.-,) LL i)' f Longitude (decimal degrees) —y L) , !
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):12Si ar—t17�'1
6. Property size (acres): A" i2•C
7. Lake/ river/ ocean adjacent to property: W L-)f-bl A AL\1 Z CA:_ J3 A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):? i n Z,4n kx✓rC P1' ,, C2rnt S
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:
bAi
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: upaj, — *n ­i� kjLc, c
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/Ag�nt'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 Lev
� .. el
Shoreline
Lake
(At Full Pond/Normal Water Level)
i
TEW "'f
Ij
IQ
�vD -ELS 2�;nitcv�
N\.T'N i �-'!y L D 671uP Lint
�S i Zj LON (-? IZ Erb E -
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

Project Name/address: e, Z -e
Owner: lJL �t'✓ L-eN Pournty:
Na
Print
Contractor/agent: ( — Si atur
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 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 026.0243 (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
hereby
Riparian Buffer Rule. Any work conducted in thebuffer, not specifi ally s ated'in the application Catawba
na
pproved
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 (owne l
Date:

GIVE
LAKE NORMAN DREDGING INC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
AGREE: )
DATE: 3 I �� I I Cl

From: TAMARA HAGER *lager lakepermit.com
Subject.- Neill pics
Date Mar 29, 2019 at 8=32=51 AM
Tc7 TAMARA HAGER agei'4_ idkepermit.com
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LaKe PeRmiT LLC
hag-e—[e-mail]
Tamara Hager
704-575-2227

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POINT OF INTERSECTION AT STREET CORNERS. LUTHER COWANS SHERRILL,ETAL. SUBDIVISION
DUKE POWER COMPANY TO CRESCENT LAND 8 TIMBER
CORP. DEED BOOK 947, PAGE 632, MAY 1, 1969. BK. N0, 12, PAGE 102
BUILDING SETBACK LINES ARE 30 FT. FROM ROAD
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RIGHT OF WAY LIMIT, 50 FT, FROM CONTOUR ELEV. x°i
760 U,S.G.S, SEA LEVEL DATUM AND IS FT. FROM v
...-, -., SIDE LOT LINE.
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CRESCENT LAND 8 TIMBER CORP.
LAKE NORMAN
MAP OF
RECREATION LOTS
SECTION 27
LOTS 18, 24, 2 5, 28 a 29
MOUNTAIN CREEK TOWNSHIP
CATAW13A COUNTY, N. C.
SCALE: I"=100' AUGUST 20, 1975
MISC. BOOK NO. 298 Owe. NO. C. F 27-A
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Catawba county Geospatial Real Estate Search
MAKING. LIVING. BITTER. Information Services
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W+E
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Parcel: 462802567806, 2637 SOUTHERN BREEZE SHERRILLS FORD, 28673
Owners: NEILL ROLFE,
Owner Address: 641 LLEWELLYN PL
Values - Building(s): $211,600, Land: $302,900, Total: $514,500
1 in=80ft
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
03/27/2019

Parcel Report - Catawba County NC
Parcel Information:
Parcel ID: 462802667866
Parcel Address: 2637 SOUTHERN BREEZE
City: SHERRILLS FORD, 28673
LRK(REID): 8056
Deed Book/Page: 1377/0423
Subdivision: CRESCENT LAND AND TIMBER
CORP
Lots/Block: 18/
Last Sale:
Plat Book/Page: 16/9
Legal: LOT 18 SECT 27 LT18 PL 16-9 PL 16-9
Calculated Acreage: .680
Tax Map: 008 X 27018
Township: MOUNTAIN CREEK
State Road #:
Tax/Value Information: Tax Rates(pdo
City Tax District: All in County
County Fire District: SHERRILLS FORD
Building(s) Value: $211,600
Land Value: $302,900
Assessed Total Value: $514,500
Year Built/Remodeled: 1978/2001
Current Tax Bill
Miscellaneous:
Building Permits for this parcel.
Building Details
WaterShed: WS -IV Critical Area
Voter Precinct: P31
Parcel Report Data Descriptions
List all Owners Deed History Report
Owner Information:
Owner: NEILL ROLFE
Owner2:
Address:, 641 LLEWELLYN PL
Address2:
City: CHARLOTTE
State/Zip: NC 28207-2327
School Information:
School District: COUNTY
Elementary School: SHERRILLS FORD
Middle School: MILL CREEK
High School: BANDYS
School Map
Zoning Information:
Zoning District: COUNTY
Zoningl: 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 #: 3710462800K
2010 Census Block: 2998
2010 Census Tract: 011503
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 or 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.
0 2019, Catawba County Government, North Carolina. All rights reserved.

Go gie Maps Marshall Steam Station to 2637 Southern
Drive 6.9 miles, 11 min
Breeze
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Map data ©2019 Google 2000 ft ;— -
Marshall Steam Station
8320 NC-150, Sherrills Ford, NC 28673
t 1. Head south toward NC-150 E
0.2 mi
r . 2. Turn right onto NC-150 W
3. Turn
0.8 mi
C-f-(-
He, �j
r+ right onto Sherrills Ford Rd
I�le1
r► 4. Turn right onto Island Point Rd
2.4 mi
3.3 mi
41 5. Turn left onto Riviera Dr
0.2 mi
#1 6. Turn left onto Southern Breeze
299 ft
2637 Southern Breeze
Sherrills Ford, NC 28673
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to

M�topo
A TRIMBLE COMPANY
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2637 Southem Breeze, Sherrills Ford, NC, USA
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GPS Coordinate of Mouse: 35.6218615, -80.923384 1 Chance mar
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GPS Coordinate of Mouse: 35.6218615, -80.923384 1 Chance mar
Print from your computer: Landscape I portrait
Link to this map'
Browse and view FREE US Geological Survey, US Forest Service, and NRCan topo maps for the US and Canada.
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Billings, MT 59101
2019 MyTopo A Trimble Company
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877.587.9004
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getLatLong.net
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Latitude: 35 37 18.7824
Longitude: ® 55 57.2116
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