20191381 Ver 1_Shoreline Stabilization_20191010

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#*
20191381
Version* 1
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Alan Johnson:eads\adjohnson1
Select Reviewing Office:* Mooresville Regional Office - [phone]
Submittal Type:*
Shoreline Stabilization
Does this project require a request for payment to be sent? *
r
Yes
r
No
How much is r $240.00
*
owed? r $570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: r New Project
r Pre -Application Submittal
r More Information Response
r Other Agency Comments
r For the Record Only (Courtesy Copy)
r Stream or Buffer Appeal
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre -Application Submittal - Please check the pre -application submittal if you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an existing project.
Project Contact Information
Name: David Russell
Who is subrritting the information?
Email Address: [e-mail]
Project Information
Project Name: Shoreline Stabilization Application - Russell
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Iredell
Please upload all files that need to be submited.

Click the upload button or drag and drop files here to attach docurrent
Rip Rap - Russel109102019.pdf
2.41 MB
Site Map - Russell.pdf
3.53MB
Survey - Russell.pdf
101.76KB
IMG_0643.pdf
171.81 KB
IMG_0644.pdf
184.3KB
IMG_0645.pdf
151.06KB
IMG_0646.pdf
211.56KB
IMG_0651.pdf
203.4KB
IMG_0653.pdf
194.18KB
IMG_0655.pdf
163.1 KB
IMG_0656.pdf
208.26KB
Only pdf or k rm files are accepted.
Describe the attachments:
Sheri,
Attached are the requested documents for my Shoreline Stabilization Application for additional Rip Rap to be
added to my waterfront shoreline at Lake Norman to include the Application, Site Plan, Site Map, Survey (with
Dock and Boat House Ramp), supporting photos of the ebsting Rip Rap, Dock and Boat Ramp. Thank you for
all the assistance earlier today and for processing my request.
Regards,
David Russell
V By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the online form."
Signature:
Submittal Date: Is filled in autornatically.

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL GVA_. rr FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service if sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(x)]
1. Owner Information
Name: David Russell
Mailing Address: 109 Aquarius Ln
Mooresville, NC. 28117
Telephone Number: 704-360-2456 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59 docs/ regulatory/ reRdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
B. 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, buildings, retaining walls, docks, impervious surfaces, 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.
FORM: SSGP 02-2017 Page 1 of 3

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, NC 28117
Lake/ river/ ocean adjacent to property: Lake Norman
Property size (acres): 0.6 acres
Subdivision name or site address (include phase/lot number):
Crescent Land & Timber Corp., Section 7 Lot 27
Directions to site - please include road names and numbers, landmarks, etc.: Take exit 35 off
177, go west on Brawley School and turn right on Chuckwood, go 1 mile and turn right on
Indian Trail go 0.8 mile and turn left on Aquarius Ln, 109 is at the end on the left.
Latitude (in decimal degrees) 35.558018 Longitude (decimal degrees) -80.939322
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Perform maintenance on existing rip rap with
additional rock to shore -up the shoreline stabilization by filling in existing gaps in the
shoreline with class "B" Rip Rap rock. Repair cracks in existing boat ramp (see plan view
below) .
7. Will work be conducted from land? ® From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
None except for the addition of new rip rap rock as needed for the improvement of the
shoreline stabilization base to support addition rock above the normal water level.
Temporary impacts in square feet:
745 sq ft
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
None except for the addition of new rip rap rock as needed for the improvement of
the shoreline stabilization above the normal water level to prevent wave erosion from boat
traffic and storm activity.
Temporary impacts (temporary clearing, construction corridor) in square feet:
596 sa ft
FORM: SSGP 02-2017 Page 2 of 5

10. 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): None required, easy clear
access from the southern backyard side and no existing vegetation on the current rip rap
11. Signat�
10/9/2019
d
Owner/AgeSignature' [15A NCAC 02H .0502(f)l Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
La ke
Full Pond/mal Water
!/oG K
si x 33
Full Pond/ Normal Water Level
mss=
Shoreline
�//V- Ram Ram
Cx�sf�
�au�e
Plan View
Fir Rqp
,5x /q -c7
FORM: SSGP 02-2017 Page 3 of 5

Full Pond/ Normal Water
r — —§! orerine
2 ft..150 ft.
additional clearir
• if necessary
Lake
(A1 Fuli PoW/ N-1 Wafer Level) Existing Dock
ft:15oft
full pond/ NWL
ft 150 ft
full po d/NWL
EXAMPLE
i
Plan View
FORM: SSGP 02-2017
Page 4of5
d

10/9/2019
Go gle Flaps
Google Maps
Imagery ©2019 Google, Map data ©2019 , Map data ©2019 20 ft
https: //www. google.com/maps/ CC35.5577861,-80.9392216,158a,49.9y,1.19t/data=!3ml ! le3

DON ALLEN & ASSOCIATES,P.A.
D S "Since 1971"
Commercial * Residential * Mortgage Surveys * Multi—Family
Construction Staking * Subdivision Design * Topographical
131 Crosslake Park Drive — Suite 102 * Mooresville * NC * 28117
[phone] [phone] Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book_ 110-9---, page --1141--, and/or
plat book__ 14 ___, page ---t7..._--, that the ratio of precision is 1':10,000, that this map
was prepared in accordance with the General Statutes of North Carolina Chapter 89C.
my hand and seal on the __ 2 day of —DECEMBER _—
A. D. 20 16 ----��
WILLIAM M. ALLEN, Pl- a% 46aonadsQe®e
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NOTES
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TO ANY EASEMENTS AND/OR
RIGHTS OF WAY OF RECORD.
2) ACREAGE COMPUTED BY THE
COORDINATE METHOD.
3) UNDERGROUND POWER
4 NO GRID MONUMENT FOUND WITHIN
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TAX MAP NO: 4626332604

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