20190606 Ver 1_Shoreline Stabilization_20190506

CATAWBA.RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: ^11'LNC_2_bJJ0 County: CAC! d=a_
Owner:
Print
Contractor/agent: _
Print
Sig -nature I
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 I 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
I �' I
hereby state that I have been informed of the Catawba
Win th�,
Riparian uffer Rule. Any wo k conducted in the b"ffar nnt c pe;V. 11
V ca y ated in Lhe 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: 1-21-1 1
State of North Carolina I Environmental Quality I Water ResourcLs
512 N.Sallsbury Street 1 1611 Mail Service Center I RaleigkNC27699-1611
1)19.707.9000

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Rel,I, Permission Letter
From Phillip Abernathy
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Subject Re: Permission Letter
To so [e-mail]
Cc[,,] demarcofamilyl
<demarcofamilyl@bellsouth.
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Thu,, Apr 18,, 2019 02:24 PM
I confirm that you can use the staging area for the other
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4rzw9 Mmmille, NC to 442DSol� Pairt U� CWOUB, NC 28216- Google Maps
Go� gle Maps Mooresville, NC to Drive 26.4 miles, 34 min
4420 Solemn Point Ln, Charlotte, NC 28216
Mooresville
North Carolina
Get on 1-77 S in Davidson from IN Academy St, W Wilson Ave
and NC -1 1 00/13rawley 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
11 3. Turn left at the 2nd cross street onto N Academy
St
0.6 mi
4. Turn right onto W Wilson Ave
1.2 mi
t 5. Continue onto NC -1 1 OO/Brawley School Rd
1.0 mt
6. Turn left to merge onto 1-77 S
0.3 mi
Continue on 1-77 S to 11, Long Creek. Take the Oakdale Rd
exit from 1-485 Outer
19 min (19.6 mi)
7. Merge onto 1-77 S
14.5 mi
8. Use the right 2 lanes to take exit 1913-A toward 1-85
S/Pineville
1.1 mi
4/2Y2019 MooresNille, NC 104420 Sol� Pairt LA ChWIM9, NC 2W6- C*MleMms
9. Merge onto 1-485 Outer
3.7 mi
10. Take the Oakdale Rd exit
0.2 mi
Follow Mt Holly-Huntersville Rd and Overlook Mountain Dr
to Solemn Point Ln in Charlotte
7 min (3.3 mi)
11. At the traffic circle, take the 1 st exit onto Oakdale
Rd
0.2 mi
12. At the traffic circle, take the 2nd exit onto Mt
Holly-Huntersville Rd
1.6 mi
r0I 13. Turn right onto Overlook Mountain Dr
1.5 mi
r" 14. Turn right onto Solemn Point Ln
325 ft
4420 Solemn Point Ln
Charlotte. NC 28216
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.
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Full Pond/
Normal Water Level
S7or'elin'e ' ' =4
La ke
(At Ful I Pond/ Normal Water Level)
1 1 Yq 6o \.je-
80' Itn3+k
3ruce and Cindy Barkley
4420 Solemn Pointe Ln.
Charlotte, NC 28216
I � � � � �
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re- Move CA
N. d's4ur6oLnce-
-t-C) V30ek-C
Please approximately sketch the following information on this plan (provide dimensionsfor each
item, such as 10 ft x 1 oo 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
FORM: SSGP 10-2013 Page 3 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.
I 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: MIPeAle-n1burn Nearest Town:
Subdivision name or site address (include phase/lot number): qi4an Shhernn b,n:kI-h
-0-6I,duAP--NL 1831to Lzi-9339 -QVe-rIo0KJr%T5)ojr-I LaReSAd;visior
Directions to site - please include road names and numbers, landmarks, etc. -
Cee O-Aao�led
Latitude (in decimal degrees) -3.5L3 -q5-022_ Longitude (decimal degrees)_IBLq5_L21a
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
R_e s i de n-bia.l
6. Property size (acres):_ .83D. acre -B
7. Lake/ river/ ocean adjacent to property: .1004, = 5 IC
)�_nCl
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): anci i Wvi4f, nn
9. Will work be conducted from land? 0 From water? 1'71
IAJ
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:
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: - a-10c)V42_
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): -9 ras S �0")Ue y-
() 0 +V ces, remo'i no 01 +0 60FCeV-. Cal len -�re-e no+
io �Oe- re-rno',le-d
[15A NCAC 02H .0502(f)l
Date
'Agent's signature is valid only if an authorization letterfrom the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

—.11 State of North Carolina
Oh P 6"t of Environment and Natural Resources
DWR 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
2 0 0 6 0 6
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
T401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing
121 Ta a M 10,11
Telephone Number: q Ick - Lo'a3 - 1351 Fax Number:
E-mail Address: brL)C'-e6 M
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/­52Zdocs/regulatorylregdocs/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: riog- Lotto -sit I FaxNumber: qot4-tUQ-Lt-5QUq
E-mail Address: C -60-,5e �.iNaA 1,5 ;D inn nt+
Person to receive the Certification Approval: 71y),kre-
III. 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