HomeMy WebLinkAbout20190641 Ver 1_Shoreline Stabilization_20190513State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Dlvlslon 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 fel sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Estate LLC
20190641
Mailing Address: 18033 Mollypop Lane `
Cornelius, NC 28031
Telephone Number: 804/543-1395 Fax Number:
E-mail Address: wendalpeyton@gmail.com
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.armV.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Beth Mosteller
Company Affiliation: Dale & Beth Lake Use Permit Service
Mailing Address: 988 Clear Creek Circle
Lincolnton, NC 28092
Telephone Number: 704-996-3245 Fax Number:
E-mail Address: sbmosteller@icloud.com
Person to receive the Certification Approval: Beth Mosteller
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: Meckenburg Nearest Town: Cornelius
Subdivision name or site address (include phase/lot number): Lot 65 & 66
Directions to site - please include road names and numbers, landmarks, etc.:
see attached
Latitude (in decimal degrees) 35.455294 Longitude (decimal degrees) -80.937592
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): residential
6. Property size (acres): 2.805
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Due to heave wave action, bank is falling into lake
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:
412.66' along shoreline
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: 412.66' along shoreline of existing rip -rapped will be
repaired. Access for small skid steer and track hoe in very limited places — stone will be off
loaded on right side of property on an existing boat ramp for use in stabilization project.
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): grass -fescue
41XU_nn:x� Beth Mosteller 5-9-11
Owner/Agent's Signature* Printed Name Date
FORM: SSGP 10-2013 Page 2 of 3
[15A NCAC 02H 0502(f)]
'Agent's signature is valid only if an authorization letter from the owner is provided.
Full Pond/
Norma revel
Shoreline
La ke
(At Full Pond/ Normal Water Level)
0000000000000000000000000000000000000000
0000000000000000000000000000000000000000
0000000000000000000000000000000000000000
0000000000000000000000000000000000000000
I 0000000000000000000000000�oo op000o000000 1
Rip -Rap will be placed: 412.66' to
follow contour of shoreline,
one foot above full pond,
and 3-4 feet below full pond
Won One Real Estate LLC
18033 Mollypop Lane
Cornelius, NC
Lots 65 & 66
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
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
33
Project Name/address: 1801-41Mollvpop Lane, Cornelius, NC 28031 County: Meckenburg
Owner:
Contract
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 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)]
Acknowledgement of Notification
I, Won One Real Estate LLC , hereby state that I have been informed of the Catawba Riparian
Buffer Rule. Any work 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 apploved p1p4s) and specific ion(s), and other supporting materials.
Signature (owner): U Date:9
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 65 & 66 PLAN NO. PARCEL ID: 00131259
STREET ADDRESS: 180k1Mo11Mop Lane, Cornelius, NC 28031
Please print:
Property Owner: Won One Real Estate, LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Beth Mosteller , of Dale & Beth's Lake Use Permit Service
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
same as above
Telephone: 804/543-1395 Wendal Pe&ton
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:
Authorized Signature
Date: S-'8-1 q
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Won One Real Estate LLC
18033 Mollypop Lane, Cornelius NC 28031
Lots 65 & 66
phot F ROJECYION UNE_,
10' BUFFER _-
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FOR MILES MALCOLM BRUCE
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DB 27139 PG 166
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LOT 66
78,862 SQ. FT. \g,
1.810 ACRES
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LOT 65
43,338 SQ. FT.
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DB 25509 PG 72
UNE TABLE
LINE LENGTHI BEARING
L1 17.51 S54'0336"E
L2 15.05 N0943'1 7"W
L3 22.13 N55'52'17"W
Won One Real Estate LLC
18033 Mollypop Lane, Cornelius NC 28031
Lots 65 & 66
LINE TABLE
15.05
LINE
LENGTH
BEARING
L1
17.51
S54'03'3.6"E
L2
15.05
N09®43'170W
L3
22.13
N55'52'17"W
L4
10.25
N53609'1612W
L5
29.61
N69'17'17"W
L6
45.40
N51'3817"W
L7
27.61
N56'00'17"W
L8
8.06
N00'29'17"W
L9
50.67
N2218'17"W
L10
19.19
N29'42'31 "W
L11
61.00
N15'20'55"YJ
L12
40.27
N04'14'55"W
L13
65.76
N04'27'05"E
L14
17.66
NO2'17'05"E
L2
15.05
L3
22.13
L4
10.25
L5
29.61
L6
45.40
L7
27.61
L8
I 8.06
L9
50.67
L10
19.19
L11
L12
_61.00
40.27
L13
65.76
L14
, 17.66
j 412.66)
Won One Real Estate LLC
18033 Mollypop Lane, Cornelius NC 28031
Lots 65 & 66
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