I'll try out the Triple Buffering :)
I currently have the GeForce GTX 1050 Ti card. I've been playing consecutively for the past few days without any major stuttering like this one, at normal speed of course. I know that stuttering at higher speeds (2-4) is normal. I have had Detailed Lots and Water settings just as you suggested for a while now..
Oh well, I'll try out Triple buffering and see how that goes.
Just another quick question - it is still recommended to keep v-sync on? As in is it almost a compulsory thing to do for your computer? :D