20191086 Ver 1_Shoreline Stabilization_20190813

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: ��� 3 A Zra�L_C� 1"tiC 1 �p13 County:
Owner: -H ZC'� 1 e 0
Print
&I
Signature
Contractor/agent: ` 0 J
Print Signature 86
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 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 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.
�1 Signature (owner): `�cu,�� �,/%p Date:
State oPNorthCarolina Environmental Quality , Water Resources
5t2 N. Salisbury Street : 1611 Mail Service Center ! Raleigh. NC 27699-1611
419.7029000

The following is an abbreviated application form for those applying for a 401 mater Quality
Certirucation to impact FERC (Federal Energy Regulatory Commission) regulated
bottom under the US. Army Carps of Engineers permit GP30. This Application cannot be used
for wetland or stream impacts. Please provide five (5) copies of this
information as well as anon -refundable application fee to the Divislortin
n of Water Qna1iapplication d an ty $240.0
for impacts to lake bottom of Hess than I acre and $570.00 for impacts to lake bottom of greater or
Q
equal to 1 acre.
App0c2tions should be sent to-.
Division of Water Quality ef}1 Oversight/Express Review Permitting
1650 Mail Service Center
Raleigh, NC 29699-1650
L Applicant Information
Owner/Applicant Information
Name: �5z.
Mailing Address:
orn
Telephone Number. ��(�-- I qs� �`� ?�?�
Fax Number:
E-mail Address:
�V_g
�o r
TO 88A (9L -q+
2 Agent Information (A signed and dated copy of the Agent Authorization
if the Agent has signatory authority for the owner/applicant.) letter must be attached
Name:
Company Affiliation:
!Mailing Address:
Telephone Number:
Fax Number:
E-mail Address:
H. Project Imformation
Attach a vicinity map clearly showing the location of the property with respect to local landmarks such
as towns, rivers, and roads. Also provide a detailed site plan showing
development plans in relation to surrounding P b property boundaries and
hand sketch of your project. Also, see the example below for guidance. Both You may use the grathem below
map make a
plan must include a scale and north arrow. The footprints of all buildings, impervious sutyrfaces or to
facilities must be included. other

1. Location
County: Nearest Town: 1P Cl I �S
Subdivision name or site address (include phase/lot number): 4 Flo - �q 73 �� fl R -2 803
Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate
en I
vicinity map is included):
2. Describe the existing land use or condition of the site at the time of this application:
3. Property size (acres): - __1 O C)
4. Nearest body of water (stream/river/sound/ocean/lake):
5. Describe the purpose of the proposed work:
6. List the type of equipment to be used to construct the project: 56 ' —' -I-�r, � t,'
7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the
normal pool Iake level in square feet or acres: o?
8.a.
Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
above the normal pool lake level and 50 feet land -ward in square feet or acres:
u tee, nL
8.b. Please describe vegetation above the normal pool lake level and 50 feet landward to be impacted
(number of trees for instance):
Applicant/Agent's a// i afore Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

vd-

V bing n ap,
A Mooresville, NC 49 min ,15.9 mi
B 8973 Azalea Rd, Sherrills Ford, NC 28673 Heavy traffic (21 min delay)
Via NC -150, Sherrills Ford Rd
Local roads
A Mooresville, NC
B 8973 Azalea Rd, Sherrills Ford, NC 28673
These directions are subject to the Microsoft R Service Agreement and are for informational purposes only. No guarantee is made regarding their completeness or accuracy.
Construction projects, traffic, or other events may cause actual conditions to differ from these results. Map and traffic data c' 2019 HERE-
_1
'('
1
Depart W McLelland Ave toward S Academy St
0.9 mi
Bear left onto NC -1S0
9.0
2.
mi
i
Pass Shell in 5.1 mi
3
Turn right onto Sherrills Ford Rd
3.0 mi
I
&
4
Turn right onto Mollys Backbone Rd
1.3 mi
j
S
Bear right onto Azalea Rd
1.7 mi
j
Arrive at Azalea Rd
6.
The last intersection is Oakwood Circle
B 8973 Azalea Rd, Sherrills Ford, NC 28673
These directions are subject to the Microsoft R Service Agreement and are for informational purposes only. No guarantee is made regarding their completeness or accuracy.
Construction projects, traffic, or other events may cause actual conditions to differ from these results. Map and traffic data c' 2019 HERE-

CERTIFICATE OF SURVEY k ACCURACY: STATE OF NORTH CAROLINA
STATE OF NORTH CAROLINA .t- '_ COUNTY COUNTY
�OF�YCA�T�A�WB�A
1. ROBERT J. DEDMON, CERTIFY THAT THIS M* WAS (DRAWN I, CIYJ(L rA6 P•. REVIEW OFFICER OF
BY TIE) (DRAWN UNDER MY SOPERNSpN) FROM (AN ACTUAL CATAWBA COUNTY. COMFY THAT THE
SURVEY MADE BY ME) (AN ACTUAL SINYfY' WIDE UNDER MY MAP OR PUT TO WHICH THIS CERTIFICATION
SUPT T�) O 01 DESCRIPTION RECdIOED M BOQN • AFFIXED MEETS ALL STATUTORY) E
PACE BOOK u77 PAGE LL12, BOON �- PACE __ ;) FOR RECORDING
THAT M PATIO a NN;EG901/ AS cxcLAATED BY LAIRUDES
AND SURVEYED
E H WN iA (TINT THE BOUNDARIES
MDf SIIRVfl'ED ARE SHOWN AS BItONEN UIfS PLOTTED iRM GATE
RI EW DICKER
INFORMATION FOUND N BOOK =_ PALE _): THAT
THIS
MAP WAS PREPARED N ACCORDANCE WITH C.S. 47-30. AS 'IABP••.
WITNESS NY ORIGINAL SIONNT RE AND SFX THIS
THE _ ar of jn.�., A0. 1889. s•,I� .elli nWW.
PROR$SIOrYLAND SURVEYOR +bai a�siL ib
LICENSE NUMBER
wealWWN s.WY ieP 2cr� 114
I RATTIER COMFYTHAT THIS SURVEY IS OF ANOTHER
CATEGORY., SUCH AS RD OF EXISTING
PCG-,ACOURT ORDERED SURVEY OR OMR EXCEPTION h
TO THE Xu`(\
DEFINITION OF A SUBDIVISION. , • •wM. b M rmr tAAn,
NATES: SAY �IWAgT. M
I) THIS PROPERTY MAY BE SUBACT TO RECORDED f.4P 41 STS
ON UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED. Ar 6p[•--��
2) PORTIONS OF THIS PROPERTY 00 UE wRINN A /O4T� �/
SPECIAL FLOOD HAZARD AREA AS DETERMINED 6Y� % , ,
M FEDERAL EMERGENCY MANAGEMENT ACENLI. ,
3) r= DIPOBWATTOR:
tar. Awn F nI11414Rr M,M I
AM .LIAR. 3,Isn6r E.30S i
mW.AA
4) NO NCGS OR USGS MONUMENTS kNOM TO I I
EXIST WITHIN 2=' OF PROPERTY.
M PARCELS OF LAND AS SHOWN ON THIS PUT TAKE NV�M I f I �--
S) ARE LOCATED IN M WS -N G WATERSHED.
6) NOTE: I OWNER TO VERIFY KL SETBACK
A ZONING RE NSTRU PON. TO ANY 7 )
RAMMING OR CONSTRUCTION. \\ •�
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PROPERTY NOTE'S:
OWNERS: SHERI A. GOWN
A ETHEL ANN DELLA20PPA
ADDRESS: TIM AZALEA RD
SNER"'A'S FORD. NC 26673
PHONE /: 626-11766-29p9�7� �6p6 67
PARCEL A /'S: !9 H199-0192-()0715
OWNERS: KAIZEN SAW
III ETHEL ANN OEUAZOPPA
ADDRESS: 2219 SEIT EMYRE BRIDGE RD
NEWTON. NC 29556
ZONING: R-2
PROPOSED USE: RESIDENTIAL
ETHEL ANN DELLAZOPPA,
& KAREN M. SHIN
NOUNTHN CR266 IPSP. SATV COUNTY, NC.
SCALD 1 NO
4176 OF IFtLD SURVEYSEPTA'NB6R 6, 2006
DATE OF PLAT: JUNE 24. 2008
DEDNON SURVEYOR, P.A.
CHUCX POOVEY. PLS j5762
ROBERT D6DNON, PLS /X888
PHILUP HARMS, PLS /4164
4857 NC HIGHWAY 016 NORTH
P.O. BOX 404. DENVER, N.C. 28057
[phone]
PUBLIC.
"DIVISION
_ AND R
--f -
AZALEA RD SR #1837
Bp•�
FnFD AANy a. 2o1D 01:47:00pm
BOO( Dom CATAWBA COUNTY NC
DONNA HICKS SPENCER
PAGE 61M REGISTER OF DEEDS
INST N 07436
PROPERTY NOTE'S:
OWNERS: SHERI A. GOWN
A ETHEL ANN DELLA20PPA
ADDRESS: TIM AZALEA RD
SNER"'A'S FORD. NC 26673
PHONE /: 626-11766-29p9�7� �6p6 67
PARCEL A /'S: !9 H199-0192-()0715
OWNERS: KAIZEN SAW
III ETHEL ANN OEUAZOPPA
ADDRESS: 2219 SEIT EMYRE BRIDGE RD
NEWTON. NC 29556
ZONING: R-2
PROPOSED USE: RESIDENTIAL
ETHEL ANN DELLAZOPPA,
& KAREN M. SHIN
NOUNTHN CR266 IPSP. SATV COUNTY, NC.
SCALD 1 NO
4176 OF IFtLD SURVEYSEPTA'NB6R 6, 2006
DATE OF PLAT: JUNE 24. 2008
DEDNON SURVEYOR, P.A.
CHUCX POOVEY. PLS j5762
ROBERT D6DNON, PLS /X888
PHILUP HARMS, PLS /4164
4857 NC HIGHWAY 016 NORTH
P.O. BOX 404. DENVER, N.C. 28057
[phone]
PUBLIC.
"DIVISION
_ AND R
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