20160866 Ver 2_Shoreline Stabilization_20190829

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 sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing
Telephone Number: 3��- Dial l Fax Number:
E-mail Address: (a. C)h(ir d) u1aAehea- I+h ed 0
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: `1b+{-(o(oh-5111 Fax Number: 110(4 -lo pO -5gloq
E-mail Address: 01 k (' 12i k)n I J,SD i i, n Cc S+recLY-n
Person to receive the Certification Approval: C kJ
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) m
County: a: au3ko_ Nearest Town: lerre-
Subdivision name or site address (include phase/lot number):
Ale �Q1_ QZ , ._L44'R C' . �7_ L "I,
Directions to site - please include road names and numbers, landmarks, etc.:
See a+�acheA
Latitude (in decimal degrees) 3.T- 5 671 a• `ia Longitude (decimal degrees) ~ 8d. ��
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 1 e_S cle.n_'►a l
6. Property size (acres): LI to C)
7. Lake/ river/ ocean adjacent to property: N0'r man
;VISion
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): e7� a�; r e�,► SVS too �PtIA5+anP u.Yal 1.
reaalr arenkr,b„ M u" 1 �T� nS�_I l nap nt ow
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+ �0elo W ( 3q 6 sF of i rQoacz�)
1 W
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: k i a \olive
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):
� 4 9eactoR, C. ��7TEY� L.Ea q 4Cv'05_
Owner/Agent's Signature` [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
1 r) b+C..l l Ca.
La ke
(At Full Pond/ Normal Water Level)
'3' 6elow
g8 i 1 e,n
o'
1 Innu
Lo1pe
+') 60-4 c
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
Arjun Chatterjee
8609 Bailey Dr.
Terrell, NC 28682
FORM: SSGP 10-2013 Page 3 of 3

8/19/2o19
610 Est Center A%wv^ MoaesMlle, NC to 8609 Bailey or, Terrell, NC 28682- Google Maps
Go glc Maps 610 East Center Drive 12.7 miles, 25 min
Avenue, Mooresville, NC to 8609 Bailey Dr, Terrell,
NC 28682
610 E Center Ave
Mooresville. NC 28115
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197 ft
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(on the right in 2.1 mi)
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1.9 mi
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387 ft
8609 Bailey Dr
Terrell. NC 28682
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
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DEDMON SURVEYS DATE 3-30-17 DDBB. 3260 PC. 561
SCALE: 1' - 20' PB: 16 PG: 266
CHUCK POOVEY,PLS #3762
ROBERT DEDMON, PLS #3899 MT CREEK TOWNSHIP
3704 NC HIGHWAY #16 BUSINESS NORTH CATAWBA COUNTY, NC
P.O. BOX 494 — DENVER, NC 28037
PHONE: [phone] JOB#
FAX: [phone] SURV. BY: HL DRAWN: CP 9WLEY3 HSSTK
20 0 20 40 60
NQ m
GRAPHIC SCALE – FEET
FOUNDATION SURVEY
FOR
CHATTERJEE LAKE
INVESTMENTS LLC
LOT 0 8609 BAILEY DR, TERRELL, NC
PIN 4616-0257-8155

0 catawba county Geospatial Real Estate Search
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Parcel: 461602578155, 8609 BAILEY DR TERRELL, 28682
Owners: CHATTERJEE LAKE INVESTMENTS LLC,
Owner Address: 4933 SHADY MAPLE LN
Values - Building(s): $649,600, Land: $249,600, Total: $899,200
1 in=60ft
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
08/19/2019

8/19/2019
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Arjun Chatterjee
8609 Bailey Dr.
Terrell, NC 28682

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 8�09 .��j, ag�UR2l,
, County: n+a"31XL
Owner: AP-;zun B
',F1e ZIFE'
Cimn�+a,rn
Contractor/agent:
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
I, Ar 1"a n (%C ' e ) Ge. , hereby state that I have been informed of the Catawba
Riparian Rule. Any wohl 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): Z& /A4�_� Date:
(Z 4A-rz C12- 4rF Lat)r,F lw V1_7sr►t4W r5 �Lc
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