20191476 Ver 1_Corrected application_20191125

Strickland, Bev
From: LKNdock LKNmarine <[e-mail]>
Sent: Monday, November 25, 2019 2:13 PM
To: Johnson, Alan
Subject: [External] Corrected application DWR 19-1476
Attachments: Carpenter State Permit Shoreline Stabilization NC.pdf
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Mr Johnson,
Please see the attached corrected application.
Many Thanks
Lisa Martin
LKNdock.com
704-483-2144 W 8665794539 F

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
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
Name: John Carpenter
Mailing Address: 122 Hadley Harbor Ct
Mooresville, NC 28117
Telephone Number: 7049068389 Fax Number:
E-mail Address: johncarp1 @hotmail.com
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.armV.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: Iredell Nearest Town: Mooresville
Subdivision name or site address (include phase/lot number):
The Point
Directions to site - please include road names and numbers, landmarks, etc.:
Take NC 150 E to Mooresville. urn right onto Morrison Plantation Pkwy.
Use the right 2 lanes to turn right onto NC-1100/Brawley School Rd.
Turn left onto Quaker Rd. Turn left onto Hadley Harbor Ct. Destination is 397 ft.
Latitude (in decimal degrees) 35.5445552 Longitude (decimal degrees)-80.915423
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): 1 acre
7. Lake/ river/ ocean adjacent to property: Norman
S. 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? ® 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 scl 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: 3,500 scl 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
er/Agent's Signature*
1616 ��-
Date
signature is valid only if an authorization letter from the owner is provided.
FORM: SSG 10-2013 Page 2 of 3