20190637 Ver 1_More Info Received_20190520

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: Nearest Town:
Subdivision name or site a dress (include phase/lot number): Q?2JL4_ - c.
4btj 8,14h Ln,
n1 1 i. ..- n. _..1 i . '!*,.-. i _ 1J_ 1 _
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) 35. 3 31BC)] 5_ Longitude (decimal degrees) - 84), g5333Q
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 1e.S1C1en+%cd
6. Property size (acres): res
7. Lake/ river/ ocean adjacent to property: rn+ ri.Q(A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Tn- jg tl a, iffier; - -Rigc p, wo_I1 a:� atrec, o� Shoref rna,
uMe_,ry%eo& %r.Va J,, der -!A . bape. s� + InbAp,ll 6nukdes'_ 6p ra- 0ais4n Sides
9. Will work be conducted from land? From water?�( of U_wk °�
nsinJ i r t r rap o V base ori
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) wcLk,,
below the normal pool lake level/ Normal Water Level in square feet or acres:
y 0 s1�. nk `
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' Wob-4e. etp nix, . q 4 h�Qh ed-, ocl+k Luc, -11
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):
6p. added )oeh A ux Al and o_ govt, r i ? r", (n4eriml breoghk 'in
by land, wort% done. by berry-
Owner/Agent's Sig ture 15A NCAC 02H .0502(f)j 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
■rI�MI�
Shoreline
La ke
(At Full Pond/Normal Water Level)
U, Wow
� �~�ti�
W-
�• � 2i
• . i
...
. • ,.
• i
�Drou3h4 In
w • r .
i en3th
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1
Please approximately sketch the following information on this plan (provide dimensions for each
item, .such as loft x 1(10 ft) *:
I. 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
Chris Crawford
2724 Highworth Ln.
Charlotte, NC 28214
FORM: SSCP 10-2013
Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: al D,Lo.
198al14
County:gtj
Owner: Christopher Crawford
Print
Contractor/agent: _C
Tint
Signatu
u re
by:
u
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. f 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)j
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 Christopher Crawford 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 approved plan(s) and specification (s), and other supporting
materials.
DocuSigned by:
Signature (owner): p y tAlh! Date: 5/20/2019
G224886386AD460...
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 1 1611 Mail Service center I Raleigh, NC 27699-1611
4!9,707.9000