20180763 Ver 1_Shoreline Stabilization_20180604

DWR
Division of Water Resources
Silo
20180763
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NIK%>D.0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to: _
Division of Water Resources n„
401 & Buffer Permitting Unit
1617 Mail Service Center JUN a 4 2018
Raleigh, NC 27699-1617
DEQ. q
401$ BUFFtRQ o ��_,,.:
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Lori Neill
Mailing Address: 388 Stonemarker Rd
Mooresville. NC 28117
Telephone Number: 7046092211 Fax Number:
E-mail Address: lorisrs(cDvahoo.com
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
httD://www.saw.usace.armv.mil/Portals/59/docs/reeulatory/reedocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Dean Fisher
Company Affiliation: President, Lake Norman Custom Dock & Pile Driving, Inc.
Mailing Address: PO Box 1439 Denver NC 28037
Telephone Number: 7044832144 Fax Number:
E-mail Address: Ikndock amail.com
Person to receive the Certification Approval: Dean Fisher
II. 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 3

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 yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: Iredell Nearest Town: Mooresville
Subdivision name or site address (include phase/lot number):
388 Stonemarker Rd., Mooresville NC 28117 lots 100 and 101
Directions to site - please include road names and numbers, landmarks, etc.:
From 1-77 North take exit 35 for Brawley School Rd towards Charlotte Highway. Turn left onto
NQ -1 1 OO/Brawley School Rd At trafficis rcle take the 2nd exit onto NC -1100 Turn right onto
Rtonemarker Dr d stination will hp 1.1 miles on the richt
Latitude (in decimal degrees) 35.4209075 Longitude (decimal degrees) -81.1445613
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): residential
6. Property size (acres): 0.9
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): Stabilize shoreline using large boulder rip rap to prevent further
bank errosion from existing smaller rip rap sliding off of bank
9. Will work be conducted from land? OX From water? C
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:
165 ft x 4 ft wide = 660 soft
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: 165 ft x 10 ft = 1,650 sq ft + 50 x 10 ft access corridor = 500 sq ft (2.150 sci fttotal)
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): Existing trees shrubs and arasses
All trees and shrubs less than 3 in removed within 10 ft of shoreline.
Z Z `eo
Owner/Agent's Signature` [ Date
`Agent's signature is valid only if on authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

5/30/2018 Terrell, Sherrills Ford, NC to 388 Stonemarker Rd, Mooresville, NC 28117 - Google Maps
Go gle Maps Terrell, Sherrills Ford, NC to 388 Stonemarker Rd, Mooresville, NC 28117
Vicinity map
EKI —40
24 mi.
No
Terrell 14 9 rn! le,
2�
Westport Golf Chub 91
Dai =
388 Stonemarker I
e
0
Drive 14.9 miles, 24 min
Mt Moo, ne
Map data @2018 Google 1 mi
https://www.google.r-om/maps/dir/Terrel1,+Sherrills+Ford,+NC/388+Stonemarker+Rd,+MooresviIle,+NC+28117/@35.5555068,-80-917016,I3z/data=!4m13!4m12!1m5!1m1!1sOx885152a5Od5f4ea7:Oxec3b9632392a(
0
No
Terrell 14 9 rn! le,
2�
Westport Golf Chub 91
Dai =
388 Stonemarker I
e
0
Drive 14.9 miles, 24 min
Mt Moo, ne
Map data @2018 Google 1 mi
https://www.google.r-om/maps/dir/Terrel1,+Sherrills+Ford,+NC/388+Stonemarker+Rd,+MooresviIle,+NC+28117/@35.5555068,-80-917016,I3z/data=!4m13!4m12!1m5!1m1!1sOx885152a5Od5f4ea7:Oxec3b9632392a(

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 100&101 PLAN NO. PARCEL ID: 4625010386000
STREET ADDRESS: 388 Stonemarker Rd., Mooresville, NC 28117
Please print:
Property Owner: Lori Neill -
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Dean Fisher of Lake Norman Custom Dock & Pile Driving. Inc
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:

5/30/2018
ConnectGIS Feature Report
&CONNECTIGIS
WES HOSTI
Iredell
Printed May 30, 2018
See Below for Disclaimer
Addresses
A Infrastructure
NonPesidential Use
Residential Use
('z
Streets
Interstate
P. a rn p
US H
State H,vy
Main Road
Local Road
'b
Residential
Prk,ate
r.
Parcels Hooks
Parcels
Ci�y Limi7S
Lake Normar
Iredell COLrtifire
NC Courties
V-0)
NN
1 80 Feet
Fhe maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information
Drovided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of
3ny of this information is at their own risk. All maps on this site were prepared using a 1000SE" Grid based upon the North Carolina State Plane Coordinate System from
�he 1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as
:>fficial notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.
01111011-14<-4- \Ok-A-
)o � �� ok, L-> o,.,c -cjq.,
hftps://i redelf.connectg is. com/Down load File. ashx?i =—ags_ma pd3c63a761 b5240318d 1 32908cf4e6fffx. htm&t= print