20200011 Ver 1_Shoreline Stabilization_20191230

N. r�# State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 1SA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should b s�
If sending via US Postal Service If sending via delivery service (UPS, Fed etmmc.J
Karen Higgins Karen Higgins
DWR-401 & Buffer Permitting Branch DWR-401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
512 N. Salisbury Street
Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner InformationVpE11RI�WR
Name: (-lirl5 LuLJMoCK �49
Mailing Address: III Co.,[kec�Oe 1)'r DEC
(Yjooce��. t.LC 2i311-1 W��.r asources
Telephone Number: ^10+d - 31c3' Lv l09 Fax Number: Pe rmtttm $�cNan
E-mail Address: ['[amaG14Ln5h�oma�Lc„rn
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:
htto://www.saw.usace.armv.mil/Portals/59/docs/reizulatorv/reedocs/Permits/SAMPLE AGENT ALITHORIZ
ATION FORM.pdf)
Name:
Compar
Mailing
Telephone Number: '704 - (pb0 - 51 i 1 Fax Number: 104. 660 - 541p9
E-mail Address: inFoa'DCoc.'E near\drecucltne�om
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: kr*_A@,ll Nearest Town: (ner-eSv'JIe_
Lake/ river/ ocean adjacent to property:
Property size (acres): 6.580 acreS
Subdivision name or site address (include phase/lot number): I1 i M i lerio e Dr .
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) 35.5g15Ln 1, Longitude (decimal degrees) — 80. 92E 249
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): tS25 1 Cirn-1-I al
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
7. Will work be conducted from land? ❑ From water? 0
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:
Temporary impacts in square feet:
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:
11 \ _ . ._.. _r _! - .
Temporary impacts (temporary clearing, construction corridor) in square feet:
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): QroSS lnkAer
11.
Owner/Agent's
[15A NCAC 02H .0502(f)l
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

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
Lake
(At Full Pond/ Normal Water Level)
Cr
all ..i....:.Gr - —
a
ryl ng
-Doc1)
lay' 1e-n9+h
house^
Plan View
Full Pond/ Normal Water
'i�reTne
3h. �150k
eddHonal cken�e
' Hneresury
E
Plan View
Lake
W FWiw Namur warerIe.NI
Riprap
Existing Dock
/30hr]h
3ha150h
• eW.�mo nar.H/uwi
- axh 150H
y t % Jz4 ' below
it X 1214 0.6ove�
FORM: SSGP 02-2017 Page 3 of 4

N ` I ` albov e
Cieaow
6`
h �9h
d
w
Lake
(At Full Pond/ Norr ial Water Level)
v
c
0 0
z?v
CL
Side View
FORM: SSGP 02-2017 Page 4 of 4

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Goc gle Maps 610 East Center Avenue, Mooresville, NC to 111 Mllledge Dr, Mooresville, NC 28117 Dnve 8.6 miles, 19 min
610 E Center Ave
Mooresville. NC 28115
t 1. Head south on Evergreen St toward E Center Ave
17s Ogrfp
Take NC-150 W to Paradise Peninsula Rd in Davidson
18 min (00 mg
r- 2. Turn right onto E Center Ave
a2 m
r 3. Turn right onto N Maple St
02 on.
-1 4. Turn left onto E Iredell Ave
mi
-1 5. Turn left onto NC-150 W/E Plaza Dr
0 'Dorms, to follow NC -1 bO W
0 Pass by Zaxbys Chicken ringers & Buffalo Wings
(on the right in 21 on)
64mi
Take Greenbay Rd to Will ledge Dr
2 man (0.6 on)
-1 6. Turn left onto Paradise Peninsula Rd
01 mi
1 7. Slight left onto Greenbay Rd
Gsmi
N 8. Turn right onto Mllledge Dr
0 Desinauon wdl be on the IcC
226 f1
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1217MI) 6101 Cb Mom,M.e II.NCblfl Milletlge Dr,M.411,NCMfl]-Gmgle Mapr
111 Milledge Dr
Mooresville NC 28117
These directions are for planmq purposes only
You mey nrM that construction prgecte, traffic,
mother, is boas events may cause mMdmat to
differ from the map resuks, and ycu shmb plan
your route accondngly You must obey all sgns or
nIXCes re,ardrlg your foods
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NOTES:
• PROPERTY MAY SE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED
• OWNER TO VERIFY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
CONSTRUCTION.
• DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THIS PLAT SHOULD NOT BE SCALED OR RELIED
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION OF ALL DIMENSIONS.
• DIGITAL COPIES OF THIS FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DESIGN WORK.
• A PORTION OF THIS PROPERTY IS LOCATED IN A
100 YEAR FLOOD PLAIN.
• NO PORTION OF THE RESIDENTIAL STRUCTURE
IS LOCATED IN THE Too YEAR FLOOD PLAIN,
40 0 40 60 120
GRAPHIC SCALE — FEET
j� Mnt� v$� DRW
4
LEGEND
PHYSICAL SURVEY
FOR
R W
RE °
C\L
EAVE IDa•
CENTERLINE
CHRIS & HEIDI LaMACK
PDE
j(
PERILWiM DRAINAGE FASFMFHT
UTILITY POLE
111 MILLEDGE DR - MOORESVILLE, NC
Tl
LIGHT POLE
LOT R163, SECTION 10, MAP BOOK15-17
®
SWOART SEWER MANHOLE
& A SMALL STRIP OF LAND
' MN
OVERHFAD UTILITY LINE
DAVIDSON TOWNSHIP, IREDELL COUHTV, NC
SCALE: 1' = 40'
DEDMON SURVEYS
I 6() i
CHUCK POOVEY, PLS t13762
CARPORT ENCROACHES
NAIL IN > RREEBAR ROBERT DEDMON, PLS Jf3B99
CONCRETE 6.5' IMO R\W NCHIGHW Y#
I / _
V C7 . ::: �0.p .'. .:0 ,,;• WELL
DRIVEWAY EASEMEM�
PER DR 1700-iOD1
'.ot ice.• /
' ®4 REBAR ~ /
/ 35 58 J /
CRENDELL HERRIN /I,) NOTE: SETBACKS SHOWN
ARE CUR
D13 969-1855 /^" SETBACKS NT ZONING
LAKENORMAN
2' 0.580 AC +-
DB 2268-671
\i
FIELD LOCATED 760'
CUT•VO
Radius
Length
Chord
Chord Bear.
C1
50.00'
S.02'
5.02'
1 S 58.15'37' E
C2
50.00'
70.34
64 * 68
1 N 78'33'46' E
C3
1 267.76'_l
93.39'
92.92
1 N 81'24'36' E
/
/
p O /
V /h
� a
LOCATION
FLOOD LINE
3704 A 16 NORTH
P.O. BOX494 • DENVER, NC 28037
n PHONE: [phone]
d FAX: [phone]
oY W&`VV.DEOMONSURVIEYS.COM
00 _ •111t11 CAItIV/
CqR
ai�o��povus, o,y0li2i:
SEAL E
L-3899
CYNTHIA LAFOY
DI3 2266-315
Course
Bearing
Distance
L1
N 67'54'00' W
65.56'
L2
N 51.42'00' W
25.42'
L3
N 17'29'OD' W
32.02'
L4
N 89'23'27' W
35.28'
L5
S 66°10'33' W
3.70'
L6
N 22'18'06' E
45.03'
L7
S 28'41'25' W 1
44.48'
I, ROBERT J. DEOMON, CER7IFY THAT THIS PLAT "As
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION (DB 2268, PC 671)(PS 15, PG 17);
TM
THE RATIO OF PRECISION AS CALCULATED
EXCEEDS 1:10.000•; THAT THIS PLAT WAS PREPARED
IN ACCORDANCE WITH OS 47-30 AS AMENDED.
VATNESS MY ORIGINAL SIGNATURE, NOVEMBER 21,
2018.
SURV. BY: MP I DRAWN: RD JOB/ MPMD1
VICINITY MAP
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111 Milledge Dr - Google Maps
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I �'O 'NOT A AWP., 'r I �
Chris La Mack
111 Milledge Dr.
Mooresville, NC 28117

MW

Project
Owner:
Contractor/agent:
CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Print / ] 'Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 028 .0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6))
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
I, C _ _1 r -1 5 La MC-� , hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction be built within substantial compliance and intent of the 401 Water
Quality Certification and Bu es, the appro pla ) ar� pecification(s), and other supporting
materials.
Signature (owner): ��yvt �+ � 6r U4�--li1 Date:

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