20190670 Ver 1_Shoreline Stabilization_20190520

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
One copy of the application (including attachments) and the application fee should be ;kt�i�g;.
Division of Water Resources P U
401 & Buffer Permitting Unit
1617 Mail Service Center '-D AO�i ,Q 2 0 1 90 g
Raleigh, NC 27699-1617 ��// U\' 1(J�
I
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address: y565 l►. p-Wor6 Or.
Sherr' ([
Telephone Number: spy - 5-1 A - 737y Fax Number:
E-mail Address: IQ 5to00 LOA _ Com
2. Agent/ Contact Person Informat
70
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: boy- WOO - 5H I Fax Number: 7Qy - CnisO- 541 c1
E-mail Address: r-60-, ls
Person to receive the Certification Approval: fn flire V:Sk,p
It
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,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10-2013 Page 1 of 3

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: 0Q.4CLI, .L1mt, Nearest Town: She_rr�I�S Nord
Subdivision name or site address (include phase/lot number): 145t,5 11[e.(%^rn 17c.
•?hecr:� 11s Vnrd _ NC_ 29,6!131 1,14 aay Cresceni Lad F7m6ir Corp.
Directions to site - please include road names and numbers, landmarks, etc.:
See 0.+6che 6
Latitude (in decimal degrees) 35. 5LOCI L, 14 Longitude (decimal degrees) — F30, q A1-45( e
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. 38 o-ere.
7. Lake/ river/ ocean adjacent to property: 1A0_n=
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):�J�f_ 'B1olpe m5AtLl1 mai1nf4
0'n8 Blass " 13" r4) ran
9. Will work be conducted from land? 1Q� 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:
51 be,1eu0 (L bb L
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the norma pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: le -
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):
5/g/a
Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

Lake
(At Full Pond/ Normal Water Level)
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Full Pond/
Normal Water Level
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Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ftx 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
Larry and Linda Sloop
4565 Welborn Dr.
Sherrills Ford, NC 28637
FORM: SSGP 10-2013 Page 3 of 3

5/132019 610 East Center A%enue, MooresHlle, NC to 4565 Welborn Dr, Sherrills Ford, NC 28673- Google Maps
Go gle Maps 610 East Center Avenue, Mooresville, NC to 4565 Drive 12.7 miles, 27 min
Welborn Dr, Sherrills Ford, NC 28673
610 E Center Ave
Mooresville, NC 28115
t 1. Head south on Evergreen St toward E Center Ave
14 s (197 ft)
Take NC -150 W to Drena Rd in Lake Norman of Catawba
24 min (12.0 mi)
N 2. Turn right onto E Center Ave
0.5 mi
'1 1 Turn left onto S Church St
397 ft
F* 4. Turn right onto E McLelland Ave
1.1 mi
'1 5. Use any lane to turn left onto NC -150 W/E Plaza Dr
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Pass by Zaxby's Chicken Fingers & Buffalo Wings (on
the right in 1.3 mi)
9.9 mi
'1 6. Turn left onto Slanting Bridge Rd
Take Giles Ave to Welborn Dr
'1 7. Turn left onto Drena Rd
r' 8. Slight right onto Giles Ave
F* 9. Turn right onto Welborn Dr
e Destination will be on the right
4565 Welborn Dr
Sherrills Ford, NC 28673
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.
0.4 mi
2 min (0.7 mi)
0.2 mi
0.4 mi
0.1 mi
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catawba county Geospatial Real Estate Search
MAKING. LIVING. BETTER. Information Services
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Parcel: 461601088241, 4565 WELBORN DR SHERRILLS FORD, 28673
Owners: SLOOP LARRY A, SLOOP LINDA S
Owner Address: 4587 WELBORN DR
Values - Building(s): $92,000, Land: $250,400, Total: $342,400
1 in=80ft
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
05/13/2019

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Project F
Owner:
Contract
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
C.
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
1, L "^�" , hereby state that I have been informed of the Catawba
Riparian Btjffer Rule. Any wo— rk 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.
Signature (owner):
Date:
State of North Carolina 1 Environmental Quality I Water Resources
511 N. Salisbury SU'cet 1 1611 Mail Service Center I Raleigh. NC 27699-1611
919.707.9000