20191476 Ver 1_Shoreline Stabilization_20191024

62 6 r9iq _:R�
State of North Carolina
Department of Environment and Natural Resources
Division of Water. Resources
DWR
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabititation
Division of Water Resources FORM: SGP 1b�013
Shoreline Stabilization Application Form
PP
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
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information 0C ; ' 4 Z00
Name: John Carpenter
Mailing Address: 122 Hadley Harbor Ct r�rmitlin� g®e✓t
Mooresville, NC 28117
Telephone Number: 7049068389 Fax Number:
E-mail Address: [e-mail]
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: Dean Fisher, President
Company Affiliation: Lake Norman Custom Dock & Pile Driving, Inc
Mailing Address: PO Box 1439
Denver NC 28037
Telephone Number: 7044832144 Fax Number:
E-mail Address: [e-mail]
Person to receive the Certification Approval: Dean Fisher and John Carpenter
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: Lincoln
Nearest Town: Denver
Subdivision name or site address (include phase/lot number):
EASTWIND COVE SUBDIVISION PHI lot 16
Directions to site - please include road names and numbers, landmarks, etc.:
Take NC-16 Business. Turn left onto Webbs Rd. Tum left onto Eastwind Cove Rd.
.Turn right onto Rivendell Rd. Turn left onto Blue Dory Ln. Property is on the right.
Latitude (in decimal degrees) 35.525431 Longitude (decimal degrees)-80.9954497
5. Describe the existing land use or condition of the site at the time of this application
1
(residential, undeveloped, etc.): residential
Property size (acres): 0.514
7. Lake/ river/ ocean adjacent to property: Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): repair existing wall. Grade, clear, and backfill along shore.
Install 350ft of river rock with fabric at base or wall to prevent scour.
9. Will work be conducted from land? M 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:
1,000 SgFt
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: 3,500 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): manicured lawn
Owner/A gnature" [15A NCAC 02H .0502(f)l Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 21
PLAN NO. M2-PB-31-58 PARCEL ID: 4635-08-8527
STREET ADDRESS: 122 Hadley Harbor Ct Mooresville NC 28117
Please print:
Property Owner: John Carpenter
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Dean Fisher, President
(Contractor / Agent)
of Cake Norman Custom Dock & Pile Driving, Inc
(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.
A t orized Signature Authorized Signature
Date: Date:

LEGENQ
R/W=RIGHT—OF—WAY
SSRW SEWER R/W
MBS = MINIMUM BUILDING SETBACK
S.Y. = SIDE YARD
R.Y. REAR YARD
POE PUBLIC DRAINAGE EASEMENT -
FPE = FLOOD PROTECTION ELEVATION
© w RED SUNSET MAPLE
STREET TREES TO BE PLANTED
OUTSIDE OF R/W
PREUL41NARY PLAT NOT FOR CONSTRUCTION
RECOROATION.SALES OR CONVEYANCES
EV Aa7a7VWaM p d.
•rin9••+r*vell�oa�+�9
mils s.We.m fw.r.ec
llwala+. KC r]N f:1-�19
THE POI
760' CONTOUR LINE(DUKE ENERGY
PRO°ECT BOUNDARY} FlELD SURVEYED
11
cP.A.
30' VEGETATIVE
BUFFER
L279 SIt49'42'E 5.38'
L280 N5T'I6'08'E 41.44' + A
L281 N5 '25'51"E 38.03' V.
L282 N89'S1°43°W 53.17' (
L2B3 S6144'01'E 70.85' V
L284 SS 6'27"E 26.7S l
L285 35 9'38"E 36.29'
L296 S22'51'4b"E 20.So'
cz
U
"Prior to constructing any pier.structure ar other improvement Y
within any pier zone Shawn an this plat. a permit .at y
be obtained by the applicable lot owner from Duke Energy
Corporation in accordance with the terms of the oppficable
Lot Purchase and Sole agreement and the Declaration of viiVVv4A9
Covenonts.Cenditions and Restrictions for The Point"
i
Piers may extend from the shore for o distance of 80 l
feet regardless of the water depth and may extend to
a maximum length of 120 feet to achleve a water
PHASE SC LOT # 21 depth of 10 feet, measured at Wit Pond. in no event
may a pier extend more than 1/3 of the width of the s
HADLEY HARBOR COURT cave in which it is located. The top decking of oil
Piers must be at least 1 foot above the water surface
of full pond_ -
1.0043 ACRE (43.748 SF)
WOODED BAR SCALE 1"=50'
9/7/g8
MD51CL21.DWG 0 25 s0 100

10/17/2019 122 Hadley Harbor Ct - Google Maps
122 Hadley Harbor Ct
o 6r, Ica, M a n's
vicinity map
N, It V,
IN
Map data @2019 1000 ft L--.--A
https://Www.google.com/maps/place/i 22+Hadley+Harbor+Ct, +Mooresville, +NC+28117/@35.5486442,-80.9142175,15z/data=!4m5!3m4! 1 sOx8856ac9 13 1 c33c7f:Ox9ced6ec6f53463da !8m2!3d35. 544555

.•
fi
q, h
� a

Existing site photo 2
122 Hadley Harbor Ct
Mooresville, NC 28117
John Carpenter

Existing site photo 3
122 Hadley Harbor Ct
Mooresville, NC 28117
John Carpenter