20190637 Ver 1_Shoreline Stabilization_20190510

State of North Carolina
Department 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
Three copies of the application (including attachments) and the application fee should be seht
to:
Division of Water Resources
401 & Buffer Permitting Unit 2 0 1 9 0 6 3 7
1617 Mail Service Center
Raleigh, NC 27699-1617 -� � C ' C,
ICJ
I. Applicant Information [15A NCAC 02H .0502(a)]
I. Owner Information
Mailing Address: .. ..
Telephone Number: 1044-6131-(4,331 Fax Number:
E-mail Address: 0-11 r -is L o n _S t -% r nm
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:
Telephone Number: '"104 - is . b- S l I I Fax Number: 10y - lo(, n - SGloq
E-mail Address: e
Person to receive the Certification Approval:
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.
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: Nearest Town: CV10'rlciAt—
Subdivision name or site a dress (include phase/lot number): a1a� icy wno,4h Ln
/11_ _ I 1 1_ n n A 1% 1 1 1 I , '1'i� r -1 J � JA kJ
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) 35, 3360'15 Longitude (decimal degrees) 80, Q53 -33Q
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): _Res►den+%cL(
6. Property size (acres): _ . 6 LA t Q.e res
7. Lake/ river/ ocean adjacent to property: Mi T S lcLnci
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 7rn, a de l; _ W W 1, Q+ area. olr g orol,r%A,
U Me -r nea& Ski -�'n do IEi �Clo.{Ze 1�e r� }Tl n Slat L6uld er rip ra is an kh SIRES
9. Will work be conducted from land? ❑ From water? V of UM -11 am
LPJI n sik4 16 P rap at bo -se. o lr
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) wc-11.
below the normal pool lake level/ Normal Water Level in square feet or acres:
40' 6181LN y0 s4 r�nonct' 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: 3 abh.re_ r.,, ,,. „ 4 a 1,:,,►-, _lea. 121. 1, .._ __ u
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): C jn5S ���r.
6e. added 6- end ux-11 and o-6ovfe r,? ro.t-.)
9 V /agh9
Owner/Agent's Sig Lure' 15A NCAC 02H .0502(f)1 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)
E 6u lde.v- -'i ? rCL?
? 5' l "th y0' t enSj-h -15'Jery{-h boulder r i ? rale
r Red*. WOCAIN 6 p ra P
r 'i� �
bdvlder O ' l en3-i h 1zvut dtr5
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
Chris Crawford
2724 Highworth Ln.
Charlotte, NC 28214
FORM: SSGP 10-2013 Page 3 of 3

53x2018 Mooreeville, NC to 2724 Highw llri Ln, Charlotte, NC 28214- Google Maps
Go gle Maps Mooresville, NC to 2724 Highworth Ln, Charlotte, NC 28214 Drive 27.3 miles, 38 min
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
r' 2. Turn right onto W Iredell Ave
01 mi
11 3. Turn left at the 2nd cross street onto N Academy
St
0.6 mi
r' 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
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)
A 7. Merge onto I-77 S
145mi
N 8. Use the right 2 lanes to take exit 196-A toward 1-85
S/Pineville
1.1 mi
E 9. Merge onto 1-485 Outer
5.5 mi
hUM:Ilmw.gomle.OmYrleWcirlMoores,Alle,+NC2724+HIgtmorth+Ln,+Charlotte,+NC+28214/®35.4849225;81.0173239,llz/e tideta 14rr1414ml311m511m11/s0>e851555W"aWM-,01874200867sed546212n.. 12
532019 Mooresville, NC to 2724 Hlgtmurth Ln, Chedotte, NC 28214- Google Maps
1' 10. Take exit 16 for NC-16/Brookshire Blvd toward
Newton
0.4 mi
Continue on NC -16 N/Brookshire Blvd. Drive to Highworth
Ln in 12, Paw Creek
5 min (2.4 mi)
r' 11. Turn right onto NC -16 N/Brookshire Blvd (signs
for Newton)
1.6 mi
r 12. Turn right onto Nance Cove Rd
0.6 mi
r' 13. Turn right onto Highworth Ln
9 Destination will be on the left
0.2 mi
2724 Highworth Ln
Charlotte, NC 28214
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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----- 1) THIS PLAT PREVIOUSLY RECORDED IN MB: 41-921
--------------- AND 11 M8:44-141. AND IN MB: ,8-381
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SHEET TITLE
RECORD PLAT — REVISION OFJN.C.--
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47 & PRESERVATION POINTE PRESERVATION POINTEAA CREEK TOWNSHIP, MECKLENBURG CO.,

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Date Printed: 5/3/2019 11:23:47 AM
r nis map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its ma
responsibility for the information contained herein. rg tY Aping contractors assume no legal

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Wlndstream Webmaii
Windstream Webrnail
[e-mail]
@ ndstream.net
Rei Permission Letter
From : Phillip Abernathy
<[e-mail] >
Subject.,, Re: Permission Letter
To o:[e-mail]
Cc o demarcofamilyl
<demarcofamilyl@bellsouth.
net>
Thu, Apr 18, 2019 02:24 PM
I confirm that you can use the staging area for the other
applicants...
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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
&6newa-Ver
Project Name/address:_ 0133 L� 5h; i�er k �r m� �-�„I �t�
County:
Owner: /"\.. 49, "- A
Print Signature
Contractor/agent: _ C f3C Sinn,, d Z?.�.1, 1 �— , 1
Print f_ `'
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
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.02 approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
43(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. 115A 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 0213.0243(5), (6)]
Acknowledgement of Notification
hereby state that 1 have been informed of the Catawba
Riparian uffer Rule. Any wo k conductedin 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.
Signature (owner):
Date:
State of North CaroUna I Environmental Quality 1 Water Resources
512 K Salisbury Street 1 1611 Mail Service Center I Raleigh, NC 27699-1611
919.707.9000