20200134 Ver 1_Shoreline Stabilization_20200123

to a v 64-31/
DWR State of North Carolina
Department of Environment and Natural Resources
41 Division of Water Resources
Division of Water Resources 1SA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilize
tJon
FORM: SSGP 10,pi
Shoreline Stabilization Application Form 0
�f
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources 1Up
401 & Buffer Permitting Unit
1617 Mail Service Center n C
Raleigh, NC 27699-1617 IJY"X
Applicant Information (15A NCAC 02H 05021a11 I
I. Owner Information
Name: J7/W) r!i Lr✓ L f
Mailing Address: 19_g ?-IN6 N u
"CuO�C / /6 �JC o�9ill7
Telephone Numbe( I - 141O1 Fax Number:
E-mail Address: ./_ . _
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
odf) must be attached if the Agent has signed this application form`
Name: _ Qo in, Ll ` I �i11*kO
Company Affiliation!Mailing Address: i -7G V_
Telephone Numb�r:7WI- � Fax Number:
E-mail Address: ��� -� 1 4 K
Person to receive the Certification Approval:
lQC2 r�l�
if. Project Information (15A NCAC 02H 0502(a) & (b)l
1. Attach a vicinity map (i.e. street map) clearly showing
the location of the ro e
respect to local landmarks such as towns, rivers, and roads. p P with
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: _T:V� L Nearest Town: A4rp p E<� i/j U
Subdivision name or site address (include phase/lot number): _L.tr-_4 ab
Directions to site - p►ease include road names and numbers, landmarks, etc.:
Latitude (in decimoldegrees) 5.�Longitude (decimal degrees) _'�t7. 8 U'7 S��
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 2 �51 ( l::Arr l
6. Property size (acres): 5 A?� c
7. Lake/ river/ ocean adjacent to property: t�i L) e rU A-4L\1
8. Describe proposed work (include discussion as to how harde ing of shoreline has been
avoided, or whyit is necessary):
AQ SNz_k��rd�
9. Will work be conducted from land? � From water?D
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining wads, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
1�
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: AION.I:
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):
iJ i��ll G
Owner/Agent's Signa ure' [15A NCAC 02H 05021f11 Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

Full Pond/
Normal Water Level
Shoireli'��
ne�
Lake
(At Full Pond/Normal Water Level)
Fix-cd D-v-*-
LOP" 1-0
21 11
Please approximately sketch the following information on this plan (provide dimensionsforeoch
item, such as 10 ft x 100 ft) *:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/'Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings; retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM:5SGP 10-2013 Page of

Project
Owner;
Contract
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 appllcation. (15A NCAC
.0506 and 15A NCAC 02B .0243(8)j
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 026.0243(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 026.0 the b and (6l
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, constructior.
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 Notificatlon
hereby state that I have been of the
Riparian duffer Rule. Any work condT uct— e— d in the buffer, of specifically stated finformed the appl cat onatawba and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such thatthe construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specffication(s), and other supporting
materials.
Signature (owners
Date:---a--�

I F�w I7 &FAT-110 . GIVE
WATERSIDE DOCK & PIERS, AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR PIER AND DOCK PERMIT.
I AGREE: X
DATE: 1/ %!Za

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SECTION FOUR OF
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WOODLAND HILLS
PROPERTY OF SR REAL ESTATE, INC,
NSSASI=SSY
DAVIDSON TWSP. /REDEL L CO., N. C.
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ses•-DrN
R. B. KESTL£R,✓R. REG, SURVEYOR
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JANUARY /5, 1979 SCALE /" _ l00'
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DEED REF. - BOOK 60/ , PAGE 506

NOTES:
1. NO NCGS MONU WENT
FOUND wn HN 20W.
2 PROPERTY MAY BE SUBIECT
TOOTHERCOVENANIS,
RESTRICTIONS, EASEMENTS
OR RIGHTS -OF -WAY THAT
MAY BE OF RECORD.
3.THE PROPERTYMAY
SURIECr TO THOSE
RESTRICTIONS AS RECORDED
IN DB 636. PG %2 OF THE
IREDELL COUNTY REGISTRY.
THE BUILDING ENVELOPE
FOUND IN THE RESTRICTIONS
ARE AS FOLLOWS:
FRONT=10 l
SLDE-IS
REAR=2S
4. THE SETBACKS PER
IREDE L COUNTYS
C 11tRElT Rat ZONING AREAS
FOLLOWS:
FRONT=3s
SIDE -Is
RFAR-W
5. THE PROPERTY MAY BE
SUBWCT TO XFU lIXrY
EASEMENT ALONG ALL LOT
LINES PER DR 634 PC 962
6. CONSULT WITH GOVERNING
AGENCY FOR PREVAILING
LAND DEVELOPMENT AND
ZONING REQUIRMAENTS
PRIOR TO DESIGN OR
CONSTRI/CIION OF ANY
IMPROVEMENTS.
'Rn,,En Ma�6
4636-945101
GxBtian J. Gam
Jeneane V. DurMn
DO 23SS, PG 101
/. E T I
5 3A 2 `IslyAE)
BRIAN K PL4.
19335 OLD STATESVILLE ROAD
SUITE A
CORNELIUS, N.C. 29031
Lro'1D- [phone]
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COMPUTED POINT
UTILITY PEDESTAL 0
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FPO Physical Survey of Lot 86 of Woodland Hills, Section 4
Professional
WTKI
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Property of.
As Recorded in:
Site Adclress:
19335 Old Statesville Road Sm. A
David Leach &
Map Book I & Pg 22
198 Rmgneck Trail
Cornelius, N.C. 28031
Sherri Leach
Deed Book 2371, Pg 370
Mooresville, NC 28117
704.765-5134 Phoae/FaK
InMell County
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1/20/2020 Marshall Steam Station to 188 RingneckTrail, Mooresulle, NC 28117- Google Maps
Marshall Steam Station
8320 NC-150, Sherrills Ford, NC 28673
f 1. Head south toward NC-150 E
Continue on NC-150 E to Mooresville
41 2. Turn left onto NC-150 E
1 min (0.2 m)
11 min (7.1 mi)
5.4 mi
1+ 3. Turn right onto Morrison Plantation Pkwy
r► 4. Use the right 2 lanes to turn right onto NC-
1100/Brawley School Rd
0.6 mi
Continue on Canvasback Rd. Drive to RingneckTrail
3 min (1.3 mi)
'1 5. Use the left 2 lanes to turn left onto Canvasback
Rd
h 6. Turn left onto Broadbill Dr
1* 7. Turn right onto Ringneck Trail
8. Turn left to stay on Ringneck Trail
is Destination will be on the left
188 Ringneck Trail
Mooresville, NC 28117
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
0.9 mi
0.2 mi
499 ft
335 ft
bvS P—►1�a N TMIL
tmpslAw google.corrJmaps/dir/Marshall+Stearn+Statw,+North+Carolina+150,+Sherrills+Ford,+NC/188+Ringneck+Trail+MooresHlle,+NC+28117/@35.5... 22

1/20/2020 188 Ring neck Trail - Goog le Maps
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From- Tamara Hager *arnarahager@icloud
Subjec- Leach pics DENR approval
Date- Jan 16, 2020 at 4:15:34 PM
T� [e-mail]
com
DAVI n LPA
15 a 1-1 (15KAJL-
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Tamara Hager
704-575-2227
Lake Permit LLC
[e-mail]