20200737 Ver 1_Shoreline Stabilization_20200529

w_� State of North Carolina
Department of Environment and Natural Resources
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 [
REGEl\1FD
MAY 2 9 ZJ20
Owner Information NCDEQIDWRINPDES
Name: Illdmas,,_ Maf(cnc. S-.r'/we f (
Mailing Address: /00 Johnbea4 G04
Sfa4essv, l[e lVG 27677
Telephone Number: 4203 314- g3S:Z Fax Number:
E-mail Address: Sh7we 90 crul. corn
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
) must be attached if the Agent has signed this application form.
Name: 1JI rJ /11 A S wc-It
Company Affiliation:
Mailing Address
.•
sr,4Tes%ti t` pie .2-8'677
Telephone Number: V03. 316. $35Z
E-mail Address:
Go
Fax Number:
Person to receive the Certification Approval: —_V%.MA3 STi lwc I1
II. Project Information [
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: ,lrede-11 eo. NC Nearest Town: G4awbA , MC
Subdivision name or site address (include phase/lot number): Ri ye Oa ks 4--A#U0;&1q.S
Lo4 # 5/
Directions to site - please include road names and numbers, landmarks, etc.: ?alke-
C e-x4 13% &V6rd sc%col Rd o-W T` yD Go 5P149 6n � hard
cake y3 SAocl RJ .�r 2ra�des +o U S-10. 7al,.e a ICP�4 headed ea:r
52 nQss �a-�aw bA Ri'yer i9r_t,dQP -Ten look -'or aa4c ror% At le(4c��r /ate'
Latitude (in decimal degrees) 3'S. 12/6 Longitude (decimal degrees) — a�- Oho �D
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): r-e!;iden
6. Property size (acres): . 62 Gcr'e s
7. Lake/ river/ ocean adjacent to property: lal« A/&Y-A4 /
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 4 dd Xo ra a _�o h e/a j2re ren 4 era si©n
9. Will work be conducted from land? D� 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:
/ X I Da I
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:
V, _.X _l o o p
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): J O S_� na4ur41
g ra S5e5 and one- AcIl l buS A
dhe"6.0 S�T 5 / 13/2. eza
Owner/Agent's Signature* [ Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

�Fu�ll Pond/
Normal Water Level
Shoreline
Lake
(At Full Pond/ Norm, al,Waterievel)
RiPtap
10,0
�-srep 77
L o4- S/
Fxisi;A5 `Dock
144+ x 12 -��
t3 J�} x lob-cr be.100 -n u II Qo�
j� V4 JC IE6-C�- p%ve
I
Acc,- sc.
166 s•4.
Please approximately sketch the following information on this plan (provide dimensions for each
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: SSGP 10-2013 Page 3 of 3

eR�y'IOt�2jl/R+ S/uh;/.r•,l' /i.,., ,_t-t. � NC 2Q�77
own",
�®��C&Q�OC/A�1��1 �I._r__►_�o Land sca►ae .znC ___` ���'�/�
d
HGWOn is A VlolAdm ® Bier luj� � you teedon, � Mama ift IN
NCAC 02H ,®d®o aad i SA NCAC 02B .0243(l)] � a l a work should be provided to the RPpl(eW®H, [15A
` are M allowed to be rmmvod e 1 of l3
fie ,AIMA � *M M soly �l ��1 � elev l , aNNN
lull1 1e�late lw can be wed:
f13m 3 pail In the bufr !I M allowed: EXeeeel� d18�rbaaea of �®�1d ®@ii�` q A NCAC
(�q ��qqqq
(6)� , D 5A !!CAC 028 r0243
it l" 1", lol l walkwp", , . :8W Ja iW �
a � # ®�lv#al®, 'a@ v lltnita lon on 9lz@ ibr docks' [1SA NCAC 42 _0243(4) an
Work to be conductedfrom land MW indicatean Me" and �� worl� corridor should described, g#hall "e1 that are to be rwo The
=WW must be outside the ba , P SA NCAC 02H <,®502 1 dA NCAC 028,0243€aalog, spoil, construction
(4)1(6), (a))
8tOrmwaWr cannot be pig or channeled ibr direct diagharge to tht' labsbe I' dWmr*, All eongt
ice` '
Allot#wl @»art gjN@jpfttt 1I
t, s S�,'/fie// �iorteue S+:lwe\\
Npariao;air l aait: d I have b Jaformed of CaUwtm
€ conducted in 1ha �, not" lff"lly 9ta in the aPP1104tloo and approved
b e �l ion of � M � Is a *iol on and aabJect
Udm such that the construction will be built wW #ubw- . to OkOMM pit, will l
�4 �1
Sipature
5 /3�2020

6/13/2020 @h®F@Gn@ ibhilin ien/huff@f
From:
To; 9tllwol��o®I:�f ,
subjoot,, Nhordino OtobilimtW/DOw
Sato; fiuo, Apr 14, 2020 3 97 pm
Attachments: IMf3_7980.jpg (50K), IMG_7928.jpg (46K), IMG_7900.jpg (43K)
Sett from sty Whom
3 Att9ghh9d lm@g@§

EDGE OF LANE NORMAN
[AIwK t[Y•R
w afOO°•I�Y
� Y YIAYIY fin'
t-M x RYrO'E MI�'
N IrtlVtY I NI'
L-!I A la'•ITt W'
i-Myipp9lY �;
• t['frltYrE
L-y A WIfb
. r«'.r. Aa•
i v N Imo[ CA°T,
[AWYY it�r'
It Y rliY�fY �•
i W i Y•ieYiY e4!' NVNON.
y0 ioelst I
i1T .°west ilir'
iii i fw'ct'•siYY ifAri'
[T• i� ri
•E�f °Y
r
n : ausrYfY [
l �
E[GENO
JOHNBOAT COURT
Q
• so, R/'A' - PIUVATE
Aln O
[Iw
•
b • AF OO 0 100
OO Imo--
i00 ]Oo
r
Pr. GRAPHIC 5CAIF iF(
llr. ygrv•I IN
1• 100
✓AMES E. d' N/NA HOLLAR
e � V cau.rr a Irueull Iti
9Q$ aw .__10-1.s7 _._.-____ I xrcwm M+P (No —L)
CURVE DATA TA9[E
_ _ _ tune +w+le ulenl ¢clo auErwa
_
M
I • PIER ORIVF A7'R/M'
'A' IDIM' I Za' f twxm
� ilm' iG l' +eCll'•o'.
rt
_
i laf�ORixY�
n .w• •-� �_e+
am, &:Z Isw iaw'rEsriei
fi[ Iialm iAty,
R R 4D' vAMExT [_°y'
1 � viri
f•.c[..n
ia.� � N rex°I'E
[
I
uwN+ r� E
+MINx[mmxnN+xa: c�
aNp°°°s isf°mAo', iaar
C11
PIER DRIVE ROAD CONNECTION 'c i
ISlO IIA' .14
w tAAN x u»I'Iftf
f7
tflV fIM' Wa';@0'a'tlN7
- O� ok DATA Taki
� wa �-n
Yr•.
w n,a• �°iN r i>tT
A°u•�e a
1
xus f, 91417
_ _ _ t_a :WI'WY iW' a
t M,�.„.f `p
i_aai n rs' �"
IAI•Ad ml
IOI•.aY 0; 411' �IpI'It"R
i0°�w`f°eo' I:Ar wpO+iN' iwe1°a> ti
_• �i+ i°°a�l90cE'IrE
�' i aimm'i
C-q
�-jj
NNE T' IYM xTAa'rrE
imOp' �i•peI' IaW +erfrl°'[
O O$
IE
MATCH UNIE
T iNEET a OF 4
17
ACRE' 0.515 ACRE jyI „
i +V'[�q'
[ r.�.f n+..Iw ..+Nti•+
P•1•r E. Fl•ming, Prof•salon¢I land Surveyor Reg. No. L-4240
AI wnx clnN Axw XIIA•o MC ANI (Rt)RI-0ti)
la••• c°uR+ !
NIPAII KxrMI�°X ado rto "�E 'RI VER OAKS
AKS LANDINGS 91a¢I
—PHASE I
°+r[ E[D SNAVEr C°wM1[r[0'l.Tl•d![-�Ei MNXO I[iEVM.f�i•ioi. a. A.°1. 9i 11.0T [.