20190541 Ver 1_Shoreline Stabilization_20190424

Z1_
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
Three copies of the application (including attachments) and the application fee should b n! A I
If sending via US Postal Service If sending via delivery service (UPS, -
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604 2 4 1 90 54
A. Applicant Information [15A NCAC 02H .0502(a)1 \ � F— % J
1. Owner Information
Name:
Mailing Address: k\ S 5j�
Telephone Number: VoAS Fax Number:
E-mail Address: c�as�oR�e�1� 1�-E1nin:c�Lr�e •, _:
2. Agent/ Contact Person Information
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:
http://www.saw.usace.army.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: _T 0ACI1110_c
Company Affiliation: c...
Mailing Address: .31
Telephone Number: 18 55- Fax Number:
E-mail Address: V\ -t' eow"
B. Project Information [15A NCAC 02H .0502(a) & (b)1
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, 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.
FORM: SSGP 02-2017 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: �L,eNA Nearest Town:
Subdivision name or site address (include phase/lot number): 7�),p eAz,
Directions to site - please include road names and numbers, landmarks, etc.: s%) X11
UA t. "V%4s{ TA -Ee 16 VV%ko .�u�i�. -:hah .biw.:. --r,&*.,n,oh�e s..�1u�e1e4s� wt ;g �;.►►.7e�o al
telex. <r.w.e a: a ovc� C.a�� AYa -uhf e
M-. or:x. •1"3Zi
l4Pl. \&tA1 010 V11,- \6.R 0i" )ar". %k CAA .4d-1�t.11p�i�AJeIP�Rd
"�a�- \`+'� ado-Zlrvar. • Lo w.- Sctt,.y 'CMe..v.. 'Y w.:le� To l.o i' � Slo
Latitude (in decimal degrees) 3 !� • q 9q Longitude (decimal degrees)
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property size (acres): 1 , \\_3 Q
7. Lake/ river/ ocean adjacent to property:�oci�n; ss
8. Describe proposed work (include discussion as to how hardening of 0oreline has been
avoided, or why it is necessary):
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/ ormal Water Level in square feet or acres:
/a0b SF a/ov F_ (( o' 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: ') G 4 () . S r,-
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (number /ofltrees, for instance): _ TUU c(P c( p; ¢ t
0 4t' o Q ,; �� J �- i m �cci'�• �I
Owner/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

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project
Owner. _ ��, -%3 \
Print
Contractor/agent. —7 �
Print
Signature
_County:
/ "",/_ ./i
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. [LSA 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)l
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)]
Ackriowledgement of Notification
I, -�'`s - �� hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffier, 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:

12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
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 I e"e1
La ke
(At Full Pond/ Normal Water Level)
j vJ"'
Full Pond/ -
oreline
"V ` •� sT
G
�{� ✓ L�rfG h y C I'" LLt%�
&6 SF
Plan View
Full Pond/ Normal Water L
r —1horerine — r
2 h.x 150 h.
additional clearing
if necessary
Plan View
Lake
(At Full Pond/ Normal Water Leel)
Riprap
Existing Dock
/30hx 7h
3hx M11
0elow full porw NWL
ft 47�5
15
A'o full pond/NWL
FORM: SSGP 02-2017 Page 3 of 4

���s�. Pcrh4lc�
t
Lake
At Full P Id/ Normal j pater Lev
PnjI r, C-
V)
Side View
U-
3 ft. below full pond water level
Existing bank
10 ft. bank
4 ft. above full pond water level
2 ft. additional clearing
`if necessary
? VI
" !
Ii Side Vi �`f 3��
a VP --%M
FORM: SSGP 02-2017
Page 4 of 4

CALDWELL COUNTY, NORTH CAROLINA
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2 records found
Maximum number records is 2500
WEBB CHRISTOPHER ROBERT
2709 VILLA WOODS
GRANITE FALLS NC 28630
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NCPIN: 27669285960
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Account#: 123802
Parcel -id: 0838 1 56
Land Units: 160 (FF)
Property Address: 2709 VILLA WOODS
Property Record Card
(http://gis.caldwellcountync.org/ITSNet/AppraisalCard.aspx?
parce1=08 38 1 56)
Zoom Details
WEBB CHRISTOPHER
WEBB JANINE
1185TH AVE NW
HICKORY NC 28601
NCPIN: 2775703154
Account#: 163678
Parcel -id: 08149 4180
Land Units: 195 (FF)
Property Address: BROADWATER LANDING PH 4 LT 180
Property Record Card
(http://gis.caldwellcountync.org/ITSNet/AppraisaiCard.aspx?
parcel=08149 4180)
Zoom Details
Details
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Owner WEBB CHRISTOPHER Deferred Val $
WEBBJANINE Assessed Val $180,000 Caldwell County
118 5TH AVE NW
HICKORY, NC 28601 Calc Acreage 1.1151 1:799
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Acct Number 163678
Land Units 195 (FF) it , I,I�_ I I , I
Parcel ID 08149 4180 Legal Desc BK 1941 PG 529 YR 18 ST 178.00 PLAT 340/100 Mb 0.02 0.04 km
NCPIN 2775703154 Plat Ref 34/100 January 31, 2019
Property Addr BROADWATER LANDING PH 4 LT 180

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YOUR TRIP TO. -
O:[56
(56- 781 Broadwater Dr, 131 5d
21 MIN I 11.1 MI R
Est. fuel cost: $0.96
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Trip time based on traffic conditions as of 3:42 PM on January 31, law 1 Print a full health report of your car with HUM
2019. Current Traffic: Light V vehicle diagnostics [phone]
{� 1. Start out going southwest on Shiloh Church Rd toward Rosenbalm Ln.
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Then 0.05 miles
0.05 total miles
,r 2. Stay straight to go onto Hubbard Rd,
Then 0.62 miles
0.67 total miles
r+ 3. Tum right to stay on Hubbard Rd.
Hubbard Rd is just past Cook Ln.
If you are on Cemetery Loop and reach Doberman Ln you've gone a little too far.
Then 1.38 miles
2.04 total miles
T4. Hubbard Rd becomes Icard Dam Rd
Then 1.38 miles
3.42 total miles
5. Turn left onto Petra Mill Rd.
Then 0.88 miles
4.30 total miles
6. Turn right onto Rocky Mount Rd.
Then 0.02 miles
4.32 total miles
a 7. Turn right onto Grace Chapel Rd.
-
Then 1.32 miles
5.64 total miles
8. Turn left onto Falls Ave.
Falls Ave is 0.1 miles past Hurricane Hill Rd.
Grace Chapel United Mthdst Chris on the comer.
If you are on Grace Chapel Rd and reach Ike Starnes Rd you've gone about 0.5
miles too far.
Then 3.58 miles
9.22 total miles
9. Turn left onto S Main St/US-321 Alt S.
S Main St is just past Dudley Aly.
If you are on Madison Ave and reach Midway St You've gone a little too far.
Then 0.10 miles
9.32 total miles
10. Take the 1st right onto Duke St.
If you reach Stirling St you've gone about 0.1 miles too far.
Then 0.94 miles
10.26 total miles
11. Turn right onto Duke Power Rd.
Duke Power Rd is 0.1 miles past Everett Dr.
If you reach Moss Ln you've gone a little too far.
Then 0.39 miles
10.65 total miles
r* 12. Take the 1st right onto Broadwater Dr.
Broadwater Dr is 0.3 miles past Bumgarner Rd.
If you reach Ferguson St you've gone about 0.1 miles too far.
Then 0.20 miles
10.85 total miles
I+ 13. Turn right to stay on Broadwater Dr.
Then 0.26 miles
11.12 total miles
14. [56 - 781 BROADWATE 18
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Cedar Rock
18
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1.1151 ACRES TOTAL
LOTS IND k 101, NROeOW11£R IANOING. —E I
—T B00% 21, RpOE 392
A RECOMBINATION SURVEY FOR:
.�.tF1,
CHRISTOPHER D. & JANICE C. WEBB
BROAD Ff ORN£..—E FELLS. —3O
BN. 1516. RG. 61O 8 1]22-)6f2 EOUND WON: •
B%. 21, RG, 392 SET IRON O
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�DSHAW SURVEYING COMPANY�
00% 2861. NIG—. N.C. 28603-Ol..
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