20191171 Ver 2_Shoreline Stabilization_20200506

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/5/2020 11:01:05 AM (Submittal)
Approve by Montalvo, Sheri A 5/6/2020 9:46:21 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 5/5/2020 11:01 AM

Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
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.
Owner Information:
Name:*
Justin Smith
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
170 Rainberry Drive
Address Line 2
City
Mooresville
Fbstal / Zip Code
28117
Is there an agent working on the C
project? *
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Smith
State / Frovince / Fegion
NC
Country
US
If your project has a formal name please use this. If your project does not hake a formal name, please identify your project by
the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that have been used to identify the project in the past.
1. Provide 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.*
r Upload File
r Lookup address

Property Address Lookup..*
Latitude:* 35.622560
Street Address
144 Morgan Bluff Road
Address Line 2
city
Mooresville
Fbstal / Zip Code
28117-8478
State / Frovince / Region
NC
Country
us
Longitude:*-80.882867
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging
below Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the
diagram under section 12.normal pool lake level/normal water level*
Smithdwq.pdf 442.88KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%2OLayout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a
yard stick, shovel handle, etc.)*
Smithphotos.pdf 536.54KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mooresville
County:* Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* Pirates Cove
Include phase/lot nun ber
Directions to site:*
1.Head northwest on W McLelland Ave toward S Academy St 0.9
mi
2.Bear left onto NC-150 Pass Exxon in 1.7 mi 4.0 mi
3.Turn right onto Perth Rd 2.1 mi
4.Turn right onto Cornelius Rd 0.8 mi
5.Turn right onto Morgan Bluff Rd 0.2 mi
6.Arrive at Morgan Bluff Rd
The last intersection is Cornelius Rd
If you reach Blackbeard Ln, you've gone too far
Arrive at 144 Morgan Bluff Rd, Mooresville, NC 28117
Rease include road nacres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Empty residential lot
Residential, undeveloped, etc.
6. Property Size > 1 acre
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):

Add rip rap to shoreline to prevent further erosion approx 103'
long, has never been stabilized
8. How will the work be done?* V From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, back fill, excavation, rip rap, retaining w alls, etc.)
206 sq ft
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
103sgft
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunber of trees, for instance)
none
Will seed and straw all disturbed grass areas
Sketch: SmithSketch.pdf 498.01KB
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
$240.00 for impacts to lake (below normal water level) of less than 1 acre
$570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
• 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 this form.
Full Name:* Justin Smith
Signature:
�V-67iJ f�a M

Initial Review
Is this accepted into the review
process?*
Project Number:* 20191171
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
r Yes f No
Version:* 2
Alan Johnson:eads\adjohnson1
Mooresville Regional Office - [phone]
r No Payment Needed
f Fee Received
r Need Fee - send electronic notification
* $240.00
f $570.00

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.
�- Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
I a l« 4
'fit Full P. 1 1 �nr i� ermel }r}sater Le�ja€j .Q
�0'
ti
a
IJH Pond/ I�armaf dater Level
Shore i,ne " L
Je
ull Fond/ P}arn=J ylater
Shorati�e
n_�ziS�-rA
Plan View
FORM: SSGP 02-2017
Lake
{F:
c"uisVng pock
Page 3 of 4

La ke
(At FLill Polld/ Normal Wager Lelje.
e V i e w
T
10 M bank
Side V;
f +J
FORM: SSGP 02-2017
0
be[Gli'y full Pond ,vjte,- ILI,&l
4 ft above Full pond ., te, IE: .'el
2 ft- OdditiOnal clearing
. "if necessary
Page 4 of 4

�t 1
�,; .11 �
Cl��l x
AXP
�� Y
�Y.
`'�;.
} ` :r
c.
��:' l� ��

Iredell County
Property Data
Parcel Number; 4648064884.000
Inquiry Date: 1/16/2020
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not
certify the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping
data herein, or for their use or interpretation by the User.
Property Map
Owner/Property Info
Tax Account Number: 77412470
Old Parcel Number: 17KS02C00A029
Owner Name: WALL JERRY LYNN
Mailing Address: 108 PIER 33 DRIVE UNIT402 fMOORESVILLE NC 28117
Property Location: MORGAN BLUFF RD
Lot Number: 29
Legal Description: PIRATES COVE PB6-99
Municipal Information
Township Code: 17
City Code: 00
Neighborhood Code: 17223
Value Information - Current Year Prooerty Record Card (PRC)
Building Value: 0
Other Building Features: 0
Land Value: 325000
Tax Assessed Value: 325000
Deferred: 0
Land Information - Register of Deeds Online Search
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning

Addresses
Infrastructure
' NonResidential Use
' Residential Use
Streets
Interstate
Ramp
U5 Hwy
State Hwy
Main Road
Local Road
Residential
Private
Inactive
Parcels Hooks
Parcels
City Limits
Lake Norman
Ir_edell Countyline
NC Counties