20200743 Ver 1_Shoreline Stabilization_20200529

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ne,ez.,, `at' i,, ve n epn rform", L;' '.hc
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!)y Tne _livisicr, o' 'Nater 7,� vlola*io_� J-Ik2 -'b t'- E jQ
L:r, 1, L:
voi: -je c'; :a :a n­
certi . irat':^..r if t71Frler Rj�cl, t n - 7; i n.; r-
sv)al-.J"e tow
RECEIVED
MAY 2 9 2020
NCDEO/DWR/NPDES

11,31e
D... R
Department of Environment and Naturalt eCarorlina
ces
W.
Dlvistr,n Qf Wd� Resources Division of Water Resources
1SA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM; SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments and d 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
1• Owner Information 050` a
Name: L A . /J _ r--
Telephone Number: A17 69l '5— g
E-mail Address: — Fax Number:
2. Agent/ Contact Person In omatjo
A signed and dated copy of the Agent Authorization letter
htt : www.savv.usace.arm . i (a form
mil Portals 59/dots re uiator re can be downloaded here:
RIZATiCN FdRM. df) must be attached if the docs/Perrriits/5AiVi�'LE
Name: e �aN Agent has signed this a AGENT AUT
u 1 Ke Y Y „�5 application form.
Company Affiliation: \A/0
Mailing Address: `
6 v-NC i W.S��f3✓G Ce'v eY r: S,,;Te., o �0
C � 0
Telephone Number: 70�. 76
E-mail Address: S. 32os Fax Number:
`Scar' l�Ariuc _ Gov►
Person to receive the Certification Approval:
Kc Y-,r; N S
li• Project Information
15A NCB aSa2(a) & b`
1• Attach a vicinity maeet l
respect to focal map (i. ks such map) clearly showing the location of the
2• Provide a detailed site plan showas ntowns' rivers, and roads, property with
vegetation clearin g property boundaries and proposed locations of
g, structures (buildings, retaining wafts, docks impervious
below Full Pond f Pervious surfaces, etc.),
rip rap, excavation or dredging
FORM: SSGP 10-2013 /Normal Water Level elevations and
Page 1 of 3

J -' ii' -if-, r-n o ' th's
access co—i::O-S YQ, n,-B,i 'ASS:e r-
I F) 7 C, V: t' 4�
Attanh -,. phoTrg-aph o-'the !,-io-ei ne,," to be -ic;ude a Scale of
some so-t- a
4. Location of the Property "-.%.he-e i.,:,rk -s. c to ccr-ducteld:
riea-es: To-,vv Pr V- ICA.C.
2
S--b--iv:sion, rare s�,.e acidress, (inz!ude pnase,"o, 245-C
k,% -f
'0 'S e - pease i-mc uz:e -ca-- names and r',jmbe-s. !ar'rCrnarks IV,
4- VA/ A/.4AItt- GWe- 44Are,
aegiet's.
Dips ;rite the &s:ing lard .;se O'the site at the: -re vc -Mis application
jridevel?cpe�;, etc-,-54
S'. 0. 5 3
7. Lakee'ri-,,-e,'�'ocearad,acer-�-.cp-op,2r'�',.,:
8- Describe .,rc':-.;de -.Iis:ussizn as:o no,,,-, har-enlrg ,)' rhcre-ine lias beer.
4v
avoided, cr A,h--� 7 -,Or�mvx( cvw-->�
F
11 work be -o-iz.�jc-ed f!orr, land? Y: �-:,Cm W.-e-?
PA Pxca-eaticr,, back rap:'et ir:rg Aa! s. etc.,'
0 t I-feiowther, 0 8K evyli. Vilater' eve,
ZZO
it Suq-jare acres:
-r- - — . r - rap, rc,,,a;n;,ng
I;s',jrbanze f i-Cucirg all c'eanng, sack f H, ex-.,
i+,al amour" of L CI
W,jps, etc.: ? i. nornal pocl ;ate %orrra!,,VaILI-- Levei an. -SC feet :a�)d-vvarc! it
-
square 'ee- or acres:
12- ?!ease cle5crbe I f-,p -.`e "crt a&�ve tf-eono r,r a, pcolake e,.-e',,`Ncrrnalk-Valer 2�vc.a!-d 53
W! *.C. to rnpacTe:: iTimbe.- cf Vees, fcr :,,S'A,1.0! IJ
OwneriAgent's 5igriatre P-Ir-,ed IWne Date
'Agent's signaturp isvol donly �Un aullx)nzari4m letterron, the owner is prowded.
Page 2 of 3
"NI: SSGP

0
V� 0
i�
738h wokti, Lnt. fv'
C�4 4.oTr��NC szr¢
'mac Se r V A-r"i ant
Please approximately sketch the following information on this plan, length of shoreline
(provide dimensionsYor each item, such os 1Oft 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 Pood/ Normal Water Level elevation
4. Location of any proposed structures such as buildings,. retaining waiis,'docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of coristruction access corridors
FORM: SSGP 10-2013 Page 3 of 3

CBMFY THAT THIS MAP WAS DRAW LOOM MY
BOOK 2832E PAGE: -M OR anjER p ffE SCE SUPERKWN FROM SOURCE MAP BOOKAL PAGE. 10); THAT ACRK SURVEY BOUNDARIES W � DEED DE9f�p11pH M
FROM WC0111yT1Od N Boat REFERENCE SDiMtcE slMws..s�.... NOT SURVEYED ARE 14DICATFD AS DRAW
THIS MAP MEETS THE REQUI OF THE STANDARDS OF THAT THE RATIO OF PIECISM M
20 1R _ THS MAP tS NOT �19.44Q. AHD TFWr
THIS -� DAY OF �gpL, FOR LAID SURVEYM Ri NORTH CAROLg4A (zi HCAC 56.180pj.-
'rMSURVEY'DOESmat �A ERlI lO MEET G_S. 47-30 REQUIRENEM5.
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HOUSE- 2979 SO. FT.
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91061M•LL.N- 14; 3
SCREEN PORCH- 152�SQ. FT,
TOTAL WOW" AREA" 45M SOLME FEET (SO. Fr.)
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LOT 54
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23328.837 Sq.ft.
+DD• UIDMAIRSED YIATRSHED_LRIFFER
AS
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NOW OR FORMERLY
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MT. HOLLY, NO 28120
PHONE: (704WS.2%6
EMAIL: robertbeowlendsurve*9 mn
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MAP BOOK: 54 PAGE: 199 DEED ' �J.
TAX PAWa 9:l IL1L.rr„-.... -.__. .29321 PAGE: 926
SCALE: 1' -4& DRAWN BY. R_ 1 F� - — • • �� •"•11 Ivn nUN93 .R: 023-232A8
JOB NIIMBEk- 5272

B64 - M88
SHORE.INF DESIGNAI ON INDEX \ '�acMO��, RrsT. Ac,vy. -1
' srr c.uKE r MPACT "wwx.Tlu, roofs \ tlP : to/rp.?i* A. —LL. �w.°E*�mc wAx'°no' o10Nr wca
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JOBNUA FM6iNIH1
" 58 ; , MOUNTAIN tt"
56 i ', "-
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\ `b c>uncom i p i ECM ravrvrnx evnrs .: toDDPLAIN 000 ., AccamA" E r IT. ,
LOCALION MAP-NOI TO SCALE r� m.,-er �( ° 55 M.E
\'\ SUR'.EYFD LOCA IION
ASF 1 IMPL.f2VIOUS;/ rrp�p trans `\� \ X\\ gJ"�s�,"
AREA LOT 5. MMARY // �' �� / 1�. ,, 4., „s
PRCV70U5 VI:W Mnx ALLOWABLE 2 / i 66 -1 \ 64 %�� 60 "A
IMPERVIOUS AREA IMPERVIOUS AREA / z�L.
9 5085 SF 4927 SF /�/ d ! i �� i / \ .,'.%�. 53
10 5085 SF 4927`� i 61 c
33 4623 Sr 5525 SF i& / 63
34 5085 SF 4499 S' N7\ 67 \ Y
54 5C85 SF 5085 S' '/ \ 28 52
r. r
Sr 5085 SF 5085 SF � �.i / �\ Ste.\ % 62
TOTAL 30,048 SF 60.048 SF
THIS PLAI DOES NOT INCREASE THE TOTAL I
IMPER'v10US AREA OF ?HL`'( '.OTS. 68 \ / ! \ / / 1
41 29NPRESERVATION ----
o°
POINTE PARK mac 1 /r
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REVISION
34, 54 AND 57
PRESERVATION POINTE AW CREEK TOWNSHIP, MECKLENBURG CO.. N.C.
YmmoUGH-Wu um at HoULB, UIC.
Pfarrlrg ° Sr...ymg a Hrg nearing
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2738 Highworth Ln - Google Maps
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