20141094 Ver 1_Shoreline Stabilization_20141016

2 0 1 4 1 0 9 4 State of North Carolina
QW R Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Divlslon of Water Resources
FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
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Three copies 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 Q V
Raleigh, NC 27699 -1617
ri OCT 1 6 2014
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Elmer Hoover Lutz and Abigail Barringer Lutz
Mailing Address: 2418 Settlemyre Bridger Road
Newton, NC 28658
DENR - WATER
401 & F3uFFFR
Telephone Number: (828)327 -3252 Fax Number: Not Applicable
E -mail Address: Not Applicable
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: Fax Number:
E -mail Address:
V Person to receive the Certification Approval:
111. 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,
FORM: SSGP 10 -2013 Page 1 of 4

etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,,
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 yardstick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: _Catawba Nearest Town: Sherrills Ford
Subdivision name or site address (include phase /lot number):
3868 Landmark-Drive, Sherrills Ford NC 28673
Directions to site - please include road names and numbers, landmarks, etc.: From
Highway 150 in Mooresville, go west past Marshall.Steam Station and through the Terrell
(small town),stoplight. Continue west on 150, then turn right,on Little Mountain'Road.
Follow Little Mountain Road 0.75 miles, then turn right on'Landmark Drive. The property is
on the right as you come out of the curve (see diagram)
Latitude (in decimal degrees) 35.58659 Longitude, (decimal degrees) - 81.013606
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): residential (vacation home, circa 1965
6. Property size (acres): 0.48 acres
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or'why it is necessary): replace,existing concrete block retaining wall (which is
damaged and falling over) with a new rip -rap retaining wall. Shoreline will' be sloped to
accommodate the rip -rap wall.
9. Will work be conducted from land? ❑ From water? ❑
10.1otal 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:
108' long by 20 inches high below water equals 176.7 sq. ft.
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: 108' long by 28" high above water equals 247.3 sq. ft.
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): no vegetation impact;
Owner /Agent's Signature*
Date
FORM: SSGP 10 -2013 Page 2 of :4

Agent's signature is valid only if an authorization letter from the owner is provided.
Existing floating dock;
75: walkway to 10' by
10' floating dock
Full Pond/
Normal Water Level
�''
Shoreline ''
La ke
t Full Pond/ Normal Water Level)
Lutz Property
3868 Landmark Drive
Sherrills Ford, NC 28673
I Existing ground and retaining wall I
Rip Rap (20" by 106' below full
pond, NWL)
Rip Rap (28" by 106' above full
po d, NWL)
5 feet
Existing wall is
48 inches tall i
I
Proposed rip -rap wall,
� which is sloped up to
the yard
FORM: SSGP 10 -2013 Page 3 of 4

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