20190683 Ver 1_Shoreline Stabilization_20190524

State of North Carolina
�,�ID Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Wat giVIity Certification, Shoreline Stabilization
Division of Water Resources `W FORM: SSGP 10-2013
fi
Shoreline Stabilization Application Form
One copy of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(aJ
1. Owner Information
Name: ena.a+ �owatr{
Mailing Address: 4yd5 Tslr�nci eve Ln.
Charin�,, r��. a�a►c�
Telephone Number
E-mail Address:
104-1fl5(- 1o2,$ Fax Number:
rna;t+hou,arndhyac a7 gmu61 _ c 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/PoLtals 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: r1b?J - &UQ -5(I l Fax Number: Jo4-Cn(b059(0c1
E-mail Address: Ceo_wa.11sa�w,n3b�cecxm.ne-+
Person to receive the Certification Approval: Jan-kcet A -en
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

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: tc_ydenkora Nearest Town: ChQrl
Subdivision name or site address (include phase/lot number): LILJ'A Ja M enVlp
Chn�rlo*e', NC 189,lu Lo-+ 3 -ILP overlook, cel OQo on%r ,n TSlnr,rl Lake
Directions to site - please include road names and numbers, landmarks, etc.:
Se
Latitude (in decimal degrees)_ 3, _ 3 LIS 9 o I Longitude (decimal degrees) — J36, q 5y 7,1 S
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Iii es i cle n� a l
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: -004, T5land
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Shy, sl__T ins+ II mail-� nn and ��l�er
r rn P _ A h v Q U bas w'. 116e ire rr ak I��+I am � c� min ; m i A m o+ -+o
9. Will work be conducted from land? Q From water? Z 60Fpe.r
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below thenormalpool lake level/ rNormal Water Level in square feet or acres:
q 1 b e.)ou i 1 GS ?/,.)(" F 'C "_ )
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
I
square feet or acres: IJoLoovf_
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): arasS �Jf�er
w'i I ( be C reaieC a� �,i-bm of bon+o m i n m i z e rr� Ixic� tc, bo F r
i'YI I s ka bp brbu9ih F i n by I and , worts +o b-_ do n e b J hogz .
OwVntgtent's�$ignaturie` [15A NCAC 02H .0502(f)] 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)
(.o' Iq 6ove.
130' I en3- -h
10'
) t O l✓
O aEss
T
�or '(�aare.rialS
Heavy base LU-. ► i
be C rea7ve6 -E'V.er
fY1'i r i rYl �� Z 2.. ► m'��}
M � � � � �
140 free5 removed
(Q I n "nxt.� � i S+Ur bance-
Am 60F�Crl ffja-�e.r �a.`
b roo�n-� n bj l ar�d
u.1ocV, --o be Clone bc�
bar3e.
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
Matt Howard
4425 Island Cove Ln.
Charlotte, NC 28216
FORM: SSGP 10-2013 Page 3 of 3

5202019 610 East Carter Awrrle, M=ffiWlle, NC to 4425Island Caw Ln, Chedatte, NC 28216- Google Maps
Google Maps 610 East Center Avenue, Mooresville, NC to 4425 Drive 25.3 miles, 35 min
Island Cove Ln, Charlotte, NC 28216
610 E Center Ave
Mooresville, NC 28115
Get on 1-77 S/US-21 S in Davidson from S Main St, NC -115 S
and Langtree Rd
13 min (5.7 mi)
t 1. Head south on Evergreen St toward E Center Ave
197 ft
r• 2. Turn right onto E Center Ave
0.5 mi
41 3. Turn left onto S Church St
0.5 mi
r' 4. Turn right onto College St
0.1 mi
41 5. Turn left onto S Main St
1.2 mi
t 6. Continue onto NC -115 S
2,1 mi
r' 7. Turn right onto Langtree Rd
1.1 mi
8. Usethe left 2lanes to turn left onto the Interstate
77 S/US 21 S ramp
0.2 mi
Continue on 1-77 S to 11, Long Creek. Take the Oakdale Rd
exit from 1-485 Outer
15 min (16.2 mi)
9. Merge onto 1-77 S/US-21 S
0 Continue to follow 1-77 S
11.1 mi
(" 10. Usetheright 2lanestotakeexit19B-Atowardl-
85 S/Pineville
1.1 mi
A 11. Merge onto 1-485 Outer
3.7 mi
M 12. Take the Oakdale Rd exit
0.2 mi
Follow Mt Holly-Huntersville Rd and Overlook Mountain Dr
to Island Cove Ln in Charlotte
7 min (3.4 mi)
https:/M, google.c=Ayq s/dm819+East+Certer+Averue,+Moores4ile,+NC/4425+IWwxt+Coxe+Ln,+Charlotte,+NC+28218/(§35.4667769; K9799619,llz/... 12
5202019 610 East Cater Awrua, MoorwWlle, NC to 4425 Wand Cas Ln, Charlotte, NC 28216- Google Maps
4 13. At thetraffic circle, takethe 1 st exit onto Oakdale
Rd
0.2 mi
0 14. At thetraffic circle, takethe 2nd exit onto Mt
Holly-Huntersville Rd
1.6 mi
10 15. Turn right onto Overlook Mountain Dr
1.7 mi
r' 16. Turn right onto Island Cove Ln
240 ft
4425 Island Cove 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.
Mps:lAvww,google.co T*re)s/dnBlg+Fast+Center+Avenue+MooresWlle,+NC/4425+Is1arW Cae«Ln.+Charlotte,+NC+282161@35.4587788,-90.9798819,11z1.,. 212

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Polaris 3G Map — Mecklenburg County, North Carolina
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This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats tax maps, surveys, planimetnc 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. Mecldenburg County and its mapping contractors assume no legal
responsibility for the information contained herein.

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/a(ddress: C County:
Owner: li { -/ dc) L„/ C/ --C
Print Signature
Contractor/agent:
Print 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
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, hereby state that I have been informed of the Catawba
Riparian uffer 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. 1-11,17 aA ------ 7 1/ e
Signature (owner): ��iUf' l�y `---� Date:
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 1 1611 Mail Service Center I Raleigh, NC 2 76 9 9-1 611
919.707.9000