20191027 Ver 1_Shoreline Stabilization_20190729

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
One copy of the application (including attachments) and the application fee should be sent to:
Division of Water Resources 2 0
401 & Buffer Permitting Unit -P 9 1 0,2 7
1617 Mail Service Center ��
Raleigh, NC 27699-1617 ��L1
1. Applicant Information [15A NCAC 02H .0502(a)] _� C)ryll
1. Owner Information
Name:
Mailing
�- i •Palo
Telephone Number: qoa - S 81 - OS-ipFax Number:
E-mail Address:
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/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: 7o,4 • C LpC) - 5 11 1 Fax Number: -10 14 - 1.1oh - 591n9
E-mail Address: C_ 6 c- -, e- CA m o-1ISc6 w'�nci,5+rQci_rn,ne4-
Person to receive the Certification Approval: Tani Ce 'C_SA:en
11. 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: 0n4z L, ,,6a Nearest Town: IF4%e,rr'► 1 IS
Subdivisionnameor site address (include phase/lot number): 9aai{
�-16n,►r �i.k�r.
-r6liS t'ord,1�1C 2,503 �' # g3 Igor-Fh�tl e_ Hotr"kir
Directions to site - please include road names and numbers, landmarks, etc.:
See o.4arin cA
Latitude (in decimal degrees)„35.69Lq 5 a Q Longitude (decimal degrees) 1 &U. "!� �
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): des %6e,nA-lo_ t
6. Property size (acres): I . 03
7. Lake/ river/ ocean adjacent to property: No r rY ax:j
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): S� e. } S�o��e_ i ns�o I I rina-4 i re
0- nd c)oIcAQ r r'►T� ren
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:
3 bels (� I"Z s� OC impac+;
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
1�
square feet or acres: 1 ahoJe.
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):
no �r-ree removed. m'► n', mcx l rl i �+ or hnncP_ �-o
7Ar /
Owner/ nt's Si ature* [15A NCAC 9H.0502(f Date
=Agent' ignoture is valid only if an authorization le er 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)
a
WAD£.
Ar -Ce SS
3' I e-1oL�-)
(' a6Ove
hu�se.
No gees ce.mo\j epi
- -o 60�vc-r
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
Kevin and Mary Young
9224 Fair Oak Dr.
Sherrills Ford, NC 28673
FORM: SSGP 10-2013 Page 3 of 3

7/2412019 610 East Center A.srwe, Moores0e, NC to 9724 Fair Oak or, Sherrills Fad, NC 26673- Gaogle Maps
Go gle Maps 610 East Center Drive 16.7 miles, 30 min
Avenue, Mooresville, NC to 9224 Fair Oak 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 Island Point Rd in Sherrills Ford
25 min (13.8 mi)
r' 2. Turn right onto E Center Ave
0.2 mi
r' 3. Turn right onto N Maple St
0.2 mi
'1 4. Turn left onto E Iredell Ave
1.1 mi
41 5. Turn left onto NC -150 WE Plaza Dr
e Continue to follow NC -150 W
r' 6. Turn right onto Sherrills Ford Rd
9.8 mi
2.4 mi
Continue on Island Point Rd. Drive to Fair Oak Dr in Lake
Norman of Catawba
5 min (2.9 mi)
r' 7. Turn right onto Island Point Rd
2.2 mi
41 8. Turn left onto Northview Harbour Dr
0.5 mi
7/24/2019 610 East Center A�, Mooresville. NC to 9224 Far Oak Dr, Sherrills Fad, NC 26673- Google Maps
r' 9. Turn right onto Fair Oak Dr
0.2 mi
9224 Fair Oak 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.
MgsJt—.google.comlmapsldr/610+East+Center+A,enie,+Mww,Alie,+NC/9224+Far+OeMDr.+Shwrills+Fad,+NC+28UN@35.6049756,-80.9002606,1... 1/2 ht":/A..google.caNmaps/dir/610+East+Cerrter+A�,+Mooresille,+NC/9224+Far+Oak.Dr,+Sherrills+Fad,+NC+28673/@35.6049756,-60.9302606,1... 222

NOTES:
• PROPERTY MAY BE SUBJECT TO RECORDED OR Curve Radius Length Chord Chord Boor.
UNRECORDED RIGHTS OF WAYS OR EASEMENTS C 1 50.00 27.33 B.99 N 1 ord 07 W
NOT OBSERVED
• OWNER TO VERIFY ALLSETBACKS AND ZONING
REGULATIONS PRIOR 1D ANY PLANNING OR
CONSTRUCTION.
•
DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THIS PLAT SHOULD NOT BE SCALED OR RELIED
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION OF ALL DtMENSKNS.
• WrIAL COPIES Of 7165 FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DESIGN WORK.
• ALL UNDERGROUND UTILITIES ARE NOT DOWN HEREON.
• A PORTION OF INS PROPERTY IS LOCATED N A 100 YEAR FLOOD PLAN
AS DESIGNATED 8Y FRIM PANEL 0 3710462800K
EFFECTIVE DATE. 3-18-2008
• NO PORTION OF THE RESIDENTIAL STRUCTURE IS N A FLOOD ZONE
82
/// ll�q- ��,
W.A. FOX JR
REVOCABLE TRUST
3234-0876
49-67 /
FAIR OAK DRIVE
50' R/W
I 1
APPROX. 760' CONTOUR
40 0 40 80 120
GRAPHIC SCALE —FEET
D. BOWER
3001-999
49--67
LEGEND.
- S
9ANITARY SIEWER LINE
-- NATURAL GAS LRIE
UNDERGROUND POWER
� r UNDERGROUND TELEPHONE
-3 FFEENNCE (TYPE NOTED)
CP - COMPUTED POINT (UNMARKED)
R/W - RIGHT--OF-WAY
E/P . EDGE OF PAVEMENT
CA CQ(IEA m
d - UTILITY POLE
-LAKE
"NORMAN =
./wRYODDDOM. MISOR0MR:
�E TUE r n1110�11 TT6lj!
�awK.^1w^
I
PHYSICAL SURVEY
FOR
KEVIN & MARY
YOUNG
9224 FAIR OAK DRIVE, SHERRILS FORD NC 28873
LOT 193 OF-NORTHVIEW HARBOUR-
AOUNTAIN CREEK TOWNSHIP - CATAWBA COUNTY
SCALE. I * - 40'
DEDMON SURVEYS
CHUCK POOVEY, PLS /3762
ROBERT DEDMON, PLS /3899
3704 NC HIGHWAY #16 NORTH
P.O. BOX 494 - DENVER, NC 28037
PHONE: [phone]
FAX: [phone]
f
t- ra
�Q
,, •Y�,/tiiilAl•L�V V
L DAVID C. POOVEY. CERTIFY THAT THIS PIAT WAS
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
SUP r?Vl,SW (DB 2208 . PG 489 )(PB 42 .PO 83
• TENT TME RATA OF P DN !L� CA LUTATTD
EXCEEDS 1:10000; TINT THIS PLAT WAS PREPARED
N ACCORDANCE WITH GS 47-30 AS AMENDED.
WITNESS MY ORIGINAL 90ATURE. REGtMTTON
NUMBER AND SEAL THIS 28 DAY OF MAY, AD
201-
L-3762
NO SUIPOETUR LICENSE NO.
I SURV DY: NL I DRAWN: JR I JOB# FMO224 1
I VICINITY MAP 1
ISLAND PT.
SITE
x
u< DR.
DR.

Catawba county =all Real Estate Search
Lquor
HARING. t1YING. tiTTEI.on Services`s
N
W+E 1 in=80ft
S
Parcel: 462801291676, 9224 FAIR OAK DR SHERRILLS FORD, 28673
Owners: YOUNG KEVIN C, YOUNG MARY C
Owner Address: 9224 FAIR OAK DR
Values - Building(s): $878,800, Land: $368,200, Total: $1,247,000
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
n�iaai�n�o

7/18/2019
Google Maps 9224 Fair Oak Dr
9224 Fair Oak Dr - Google Maps
Imagery©2019 Google, Map data©2019 50 ft
W4sJAmwv.90091e.CwVmapslp!ac&kM4+Fair+Oak+Dr,+Sherrill s+Ford,+NC+28673/@35.6295068,-80.9454015,227rTVdata=! 3m1 ! 1 e3! 4m13! 1 m7! 3m6! 1 s0)8851524d65e569fb:0)62f276adf580027d! 2s9224+Fair+... 112

7/18/2019
Google Maps 9224 Fair Oak Dr
a
2�
9224 Fair Oak Dr - Google Maps
Go gle
Map data ©2019 100 ft %_,..._ _. ,.Y , 9
haps:/Mwv google.corrVmaps/place/9224+Fair+Oak+Dr,+Sherrills+Ford,+NC+273/@35.6293352,-80.9458596,1 Sz/data=! 4m13! 1m7! 3m6! 1s0)0851524d65e569fb:W2f276adf580027d! 2s9224+Fair+Oak+Dr,+Sh... 112

7/23/2019
gle Maps 9224 Fair Oak Dr
9224 Fair Oak Dr - Google Maps
Imagery ©2019 Google, Map data ©2019 50 ft
Access
hUp:/AmAw.google.corrVmaps/place'224+Fair+Oak+Dr,+Sherrills+Ford,+NC+28673/(4135.629264; 80.9445587,230a,35y270h/data=l3m1I1e314m513m411s0)8851524d65e569fb:0)62r276adf580027d18m213d35.6293... 1/2

i Me �1■! a •
yT Y y! V
V -A
te
47
w
41
x
Y
...a Ir F ?

Project I
Owner:
Contrac
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
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 0213.0243 (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 0213.0243 (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 Buffer Rule. A 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 Rul , th appr v plan(s) and specification(s), and other supporting
materials.
Signature (owner)• ` Date: 7 11,e //,: 9
State of North Carolina Environmental Quality ! Water kesource�
512 N. Salisbury Street 1611 Mail Service Center Raleigh. NC 27699-161
919.707900('