20191025 Ver 1_Shoreline Stabilization_20190729

State of North Carolina
Department of Environment and Natugl Resources
DWR
Division of Wa4r Res"dt s
Division of Water Resources
15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilirition
�.-
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
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address: `� qas o 1 iy e r Ed.
j�ocKwel I , t,1L a S i3R
c
Telephone Number: JOLT - 'iq o - (aq(,SFax Number:
E-mail Address: t- "e-Sa (�r'i i- d-) gn-la" [ _ 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/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: 7og- (oloO - 511 1 Fax Number: ''1014 - (oLpO - Ski Loq
E-mail Address: C%Csenunllsc�u.�'� nris+rec�_m . ne-4-
Person to receive the Certification Approval: C e K-sA-.e n
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: TfrAe_tI Nearest Town: M001ce'541Ite=
Subdivision name or site address (include phase/lot number): 1 WO JUrIP SIA---L06
-
IM (le .NC 9811'7 1 -al ## 88 Cmnoodore-Rn,knsy
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees)�3 85 . SLI.(o 5 ga Longitude (decimal degrees) — 80. Sq 1665-
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): les►cltn- ka,l
6. Property size (acres): C . 3a alres
7. Lake/ river/ ocean adjacent to property: l"1ormCL"
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): J ns 4 a.11 �� nev,) ►AI �c l�,�oci;
9. Will work be conducted from land? wr 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.'S' beln(
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: 0.)00", e-
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): UQ rn.s5 ko F �-er
- I - -- - -- . - -1 - , , i -V - i ► - - - 1 1 _ �r _ -1 1 • -
aeces5 Loiil loe +- hough ar+cod ne 3► 16or'5 � rope,,r q
See a4aQhed �erm►Ssion�
(e+1-er
-1/aalig
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)
'3, 5 ' � e(ow
1 1 0-60,j t
-70' 1 en3ih
■�����
�Ao -�ree5 re -moved
f YA -, n ', ,rn al d I SA -U r 6o nC e-
Rol
-�o �00�'FCr
NeIn60r'5
j?ro?er+n
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
Bobby M. Safrit II
140 Surfside Ln.
Mooresville, NC 28117
FORM: SSGP 10-2013 Page 3 of 3

7/25'2019 610 East Cer4er A—e, Mooresville, NC to 140 Surfside Rd, Mooresville, NC 218117- Google Maps
Go gle Maps 610 East Center Avenue, Drive 8.5 miles, 20 min
Mooresville, NC to 140 Surfside Rd, Mooresville,
NC 28117
610 E Center Ave
Mooresville, NC 28115
t 1. Head south on Evergreen St toward E Center Ave
14 s (197 ft)
Take NC-1100/Brawley School Rd to Stutts Rd in Davidson
15 min (6.5 mi)
10 2. Turn right onto E Center Ave
0.5 mi
'1 I Turn left onto S Church St
f 4. Turn right onto E Wilson Ave
t 5. Continue onto NC-1100/Brawley School Rd
Continue on Stutts Rd. Drive to Surfside Rd
«1 6. Turn left onto Stutts Rd
41 7. Turn left onto Commodore Loop
r' 8. Turn right onto Surfside Rd
e Destination will be on the right
0.4 mi
1.5 mi
4.1 mi
4 min (1.9 mi)
1.5 mi
0.2 mi
0.2 mi
7/252019 610 East Cerger Awm, Mooresville, NC to 140 Surfside Rd Mooresville, NC 28117- Google Maps
140 Surfside Rd
Mooresville, NC 28117
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.
https/MA .,googIe.corfVmapslcir/610+East+Center+A�,+Mcoresville,+NC/140+Surfside+Rd,+Mooresville,+NC+28117/@35.5708722,-80.8703606,7Z74rN... 1/2 Mys:!/wv ,google.corNrteps/dir/610+East+Cerner+A�,+Mooresville,+NC/140+Sufside+Rd,+Mm%r lle,+NC+28117/@35.5708722,-80.87036D6,7274nV 2/2

DON ALLEN & ASSOCIATES, P..&,
ENGINEERING SURVEYING PLANNING
***�•���`///___ 111 I ---y O.`i v'e - Moormmville N.C. 2871:3
AS
[phone] [phone] Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book_ 630---, page_ 531 __, and/or
plat book ---L___, poge-3A ___, that the ratio of precision is 1': t this map
was prepared in accordance .with the General Statutes of North Co
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my hand and seal on the ---LO--, day of _DECEMBER
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.p 760' CONTOUR UNE PER
O I ACTUAL FIELD SURVEY. /
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761' CONTOUR LINE PER VICINITY MAP NO SCALE
In ACTUAL FIELD SURVEY. \
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LOT 87
JO CAROL JOYNER LOT 88
1072/100 0.32 AC. LOT 89 ai
N W DAVID EUGENE STUBBS
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SURFSIDE DRIVE
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NOTES
,j THIS PROPERTY MAY BE SUBJECT TOf LEGEND
ANY EASEMENT AND/OR RIGHTS-OF-WAY r(j)- P.P. a POWER POLE
OF RECORD. SCALE IN FEET
2) AREA COMPUTED BY THE COORDINATE [3DUKE POWER TRANS
3) EXISTING 760' k 761' CONTOUR ELEV_ PIER PROJECTION SURVEY E.I.P. =EXISTING IRON FOUND
ATION BASED ON LAKE NORMAN LAKE I.P.S. + 84 REBAR SET
LEVEL AT COWAN'S FORD DAM (READING OF R/W - RIGHT-OF-WAY
ON 8/26/98) ELEVATION: 756.4
4) UNDERGROUND POWER LOT 88 COMMODORE PENINSULA ® WELL
SCALE _ _ _ 40_— DAVIDSON TWSP., IREDELL CO., N.C. FIELD BOOK:
FILE: 5062808
ACQUIRED BY: BOBBY M. & FAYE D. SAFRIT TAX NAP N0: 4635-79-2171

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7/25/2019
140 Surfside Rd - Google Maps
gie Maps 140 Surfside Rd
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Map data @2019 50 ft
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I, David Stubbs, residing at 134 Surfside Ln. Mooresville,
NC give CBC Stone and Recycling, LLC permission to
access my property to transport the necessary
equipment and materials for repair/construction of a
seawall on the shoreline of my neighbors, Faye Safrit and
Bobby Safrit, residing at 140 Surf Side L. Mooresville, NC.
I understand that CBC Stone and Recycling, LLC will not
be held responsible for any damage to our landscaping,
trees etc. during the transport of materials/equipment to
the shoreline.
Sincerely, Date:
X

Bobby M. Safrit 11
140 Surfside Ln.
Mooresville, NC 28117

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
agltl
Project Name/address: 1 `JO ISurg5 ►dP_—I:�J. &)resUlAL-INC_ County: Tredel l
Owner:
Contrac
The apl
applicat
02H .0506 and 15A NCAC 02B.0243(8)]
ie
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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
hereby state that I have been informed of the Catawba
Riparian Buff 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.
Signature (owner . Date:
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 1 1611 Mail Service Center I Raleigh. NC 27699-1611
919.707.9000