20191206 Ver 1_Shoreline Stabilization_20190909

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreliltabilization
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 REC-EI'e - D/DS:P. JD VR
401 & Buffer Permitting Unit
1617 Mail Service Center SEP 0 9 2019
Raleigh, NC 27699-1617 i g Wo! sr Razourcc5
P•rmit,ing Section
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Telephone Number: of 5Ll - 1052 - gCJL4'n Fax Number:
E-mail Address: daiiA- inc,rcivrla�r0U12S.Cern
2. Agent/ Contact Person Information r
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.MiVPortals/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: Zbq-1.o(.0 - 5l 11 Fax Number: -JOL4- 1Q( -o0 - 5gt u(I
E-mail Address: 0_60-ge0.walL� c_t� w % ndS+r ea.rrl . ne�--
Person to receive the Certification Approval: Tci rt ; C e- 5.5le.p
II. Project Information [15A NCAC 02H .0502(a) &(bb}]
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: M ecme_n ba r_� Nearest Town: 0_o rne_1; uS
Subdivision name or site address (include phase/lot number): QCT 33-7 rncle.re_
oayK5 P-+. evrneh vim. CAL x8631 Lol # '� Curve
Directions to site - please include road names and numbers, landmarks, etc.:
Se e oL4 ack-) eel
Latitude (in decimal degrees) 3�j , y 8 1 38 Longitude (decimal degrees) SQj y
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Iesicle-nA �Q.,l
6. Property size (acres): I. t to S
7. Lake/ river/ ocean adjacent to property: No r YYIrkXI
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): h , _r� ©D _ n Sk CLl r MC ±4,�_
9. Will work be conducted from land? �J 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 �3 eio W ( a. 3 n v -n \-)n x+-1
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: ` o_6oVf.
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): Q ra.SS
nQ +rees re Mm e l . fn,� n'„rn2l C1 ,) r b CL nCe +e, h� �FefL
Owner/Agent's Si nature' [15A NCAC 02H .0502 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' I�e.l o w
78' l e ►n th
house,
10 1
W tor..
(ACci�SS
�o -i reeS removed
m, r;, rnoal 61 t-urkxnce-
tc) b o('Fc 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
David and Lidia Ingram
Altos Group, LLC
20337 Enclave Oaks Ct.
Cornelius, NC 28031
FORM: SSGP 10-2013 Page 3 of 3

9142019 610 Fast Cen1v Avenue, Mooresville, NC m 20337 Enclave Oafs Ct, Cornellus, NC 26031- Google Maps
Google Maps 610 East Center Avenue, Mooresville, NC to 20337 Enclave Oaks Ct, Cornelius, NC Drive 10 5 miles, 22 min
28031
610 E Center Ave
Mooresville, NC 28115
t
1 Head south on Evergreen St toward E Center Ave
-
14 s (197 ft)
Take S Main St, NC -115 S, Langtree Rd and 1-77 S/US-21 S
to Charles Towne Ln in Cornelius
20 min (101 mi)
t'
2 Turn right onto E Center Ave
- - -- - -- -
- 06mi
41
3. Turn left onto S Main St
1 6 mi
i
4. Continue onto NC -115 S
21 mi
t
5 Turn right onto Langtree Rd
1 1 mi
6. Use the left 2 lanes to turn left onto the Interstate
77S/US 21 Sramp
-
02mi
7 Merge onto 1-77 S/US-21 S
29ml
8 Take exit 28 for US -21
02 mi
9 Merge onto W Catawba Ave
1 0 mi
f
10 Turn right onto Jetton Rd
- 03mi
htWtmwvgoogle conYrmWcrir/610+Fast+Center+Avenue,+M=mAlle,+NC20337+Enclave+Oals+Cl+Corndius,+NC+28031/@35.5295896;808863655,13alartpt/data=14m1414m1311rn511m111s0)8853fo41c 12
9142019 610 East Center Avenue, Mooresville, NC to 20337 Enclave Owls Ct, Cornelius, NC 28031 - Google Maps
Follow Charles Towne Ln and Southport Dr to Enclave Oaks
Ct
- - - 2min (04mi)
rl� 11 Turn right onto Charles Towne Ln
02mi
41 12. Turn left onto Southport Dr
- 02mi
11 13 Turn left onto Enclave Oaks Ct
6 Destination will be on the right
128 ft
20337 Enclave Oaks Ct
Cornelius, NC 28031
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
httpsJAmwgooglecm*naps/dr/610+Fast+CenW+A%ercre,+MoDresmile.+NC/20337+Ercla%e+OaIG+CL+CvrreJlus,+NC+28031/(x1355295846; 808863655,13zIanr-Vdata=14ml4l4ml3n1m91m1I1sO)0 53ffe4lc. 212

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COURSE
BEARING DISTANCE
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CHORD CH.BEARINO CERTIFICATE BF APPROVAL FOR RECORDING
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REGISTRATION
NM 27 2UO2
1 HEREBY CERTIFY THAT ALL STREETS, UTILITIES, AMD OTHER
REQUIRED IMPROVEMENTS HAVE BEEN INSTALLED IN AN ACCEPT-
ABLE MAAER AND ACCORD INS TO TON/ 6PECI F I GT IONS AND
STANDARDS W THAT
GUARANTEES
OF llE INSTALLATION OF iNE
REQUIRED IMPROVEMENTS IN AN AMOUNT ANO MANNER SATI8FACT-
DRY TO THE TORN OF CORNELIUS HAS BEEN RECEIVED.
9 OFI ow �f
N;UAG COUNTY
CERTIFICATE � OWNER9NI ANO DEDICATION
I HEREBY CERTIFY THAT I AM ilE OWNER OF THE PROPERTY
SHOWN AND DESCRIBED IEEHEIM, WHICH IB LOCATED IN THE
6UBDIY I8IW UUA ISD ICTIW a THE TOWN OF CORNELIUS AND
THAT I HEREBY ADOPT TH13 PLAN CF SUBDIVISION WITH MY
FREE CONSENT, ESTABLISH NIM IOM BUILDING SETBACK LINES,
PRESERVE AND PROTECT ALL SIGNIFICANT TREES OVER Is
INCHES IN DIAMETER IN THE TREE AND ROOT PROTECTION ARE
PLANT SUPPLEMENTARY 711EE8 IF REW IRED, AND DEDICATE ALL
STREETS, ALL
VALKe, PARKS, AND OTHER SITES AND
EA9EMENTff, TO PUBLIC W PRIVATE USES A9 NOTED. FUgTNER-
MORE, 1 HEREBY DEDICATE ALL SANITARY SEVER, 670RM SEWER,
ANRE D WATER LINES THAT ALOCATED IN PUBLIC UTILITY
EASEMENTS OR RIGHTS-OFy'AY TO THE 7000 OF CORNELIUS AND
THE CHARLOTTE-MECKLENBURG UTILITY DEPARTMENT.
aKNER19)
RTIC IEA__ OF APPROVAI FDII RFEORD IND
HEREBY CERTIFY THAT THE SUBDIVISION PLAT SHOW lu9eeu
CMPO)ATE•L IN1T9•CF�COANELIU9.wBUT A9 MESA THIN ilE RESPONSIB-
ILITY TO OPER M MAINTAIN THE BALE UNTIL. IN THE OPINION
i CF 1)E BOARD CF COIYI531ONER9. IT 19 IN THE PUBLIC
INTEREST TO DO 60.
S STATE OF NORTH CAROLINA
N 12RERT J GEDNON CERTIFY THAT THIS MAP WAS (DRAWN BY MEI
(DRAWN UNDER NY SUPERVIOHW) FgOI (Ary ACTUAL SURVEY MANE
BY 1E) (All ACTUAL SURVEY MADE UND R 1Tf BUPERV19I W) (DEED
DESCRIPTION RECORDED IN DOG( �. PAGE �_;
BODK . PAGE BOW PAGE -_
THAT THE RATIO OF PRECISION AS CALCULATED BY LAT ITS ED AND
DEPARTURE IS I. IOL000. (THAT THE DOUNDRIES NOT SUgVETEp
ARE SHORN /L9_BROKEN LINES PLOTTED FROM INFORMATION FOUND
IN BOCK _' 0_' PACE 414 ): THAT THIS MAP WAS
PREPARED IN ACCORDANCE WITH O.S. 47-'70, AAB9 AMENDED.
WI TRESS MY HAND AND SEAL THIS THE
.CY_IVD DAY OF
MADr.IL A.D 200L
THIS PLAT CREATES A SUBDIVISION OF LAND WITHIN A COUNTY
ON IVNICIPA.
IT
TWIT INMUS AN ORDINANCE THAT REGULATES
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REP. 0961-309

0.0.005).01
Polaris 3G Map — Mecklenburg County, North Carolina
Date Printed: 9/4/2019 11:04:57 AM
It
204''20345-_ _ -- — 1 � / N
—2035-2-20361 / W*
e
- Enclave Oaks Ct
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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, planimetric 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/address: ag?,al 5nclave Oaks i 4, I R c a86A County:
Owner:
Contract
M
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 026 .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 Buffer Rule. An 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): �:(�(� ((lY{') �a(�'(GY✓1 Date:
State of North Carolina I Environmental Quality I Water Resources
512 N. Salisbury Street 11611 Mail Service Center I Raleigh. NC 27699-1611
919.707.9000