20200861 Ver 1_Shoreline Stabilization_20200701

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/30/2020 6:16:47 PM (Submittal)
Approve by Montalvo, Sheri A 7/1/2020 10:59:46 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 6/30/2020 6:16 PM

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: *
John Craig
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Address:*
Street Address
116 Renwick Lane
Address Line 2
City
Mooresville
Postal / Zip Code
28117
Is there an agent working on the r Yes
project?* r No
Agent/Consultant Information
Name:* Shane Cushion
Company Affiliation:* Precision Excavation
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
State / Province / Region
North Carolina
Country
United States

Mailing Address:* Street Address
4293 Taylorsville Highway
Address Line 2
city
Statesville
Postal / Zip Code
28625-1870
Asigned and dated copyof the Agent Authorization letter:*
116 Renwick lane shoreline stabilization
2.35MB
application 2020-06-29.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 021-11.0502(a) & (b)]
Project Name:* Craig sea wall
State / Province / P egion
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.*
f Upload File
r Lookup address
Property Address Lookup:* Street Address
116 Renwick Lane
Address Line 2
Latitude:* 35.570510
city State / Province / P egion
Mooresville NC
Fbstal / Zip code country
28117-6660 US
Longitude:*-80.953192
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*
116 Renwick lane shoreline stabilization
2.35MB
application 2020-06-29.pdf
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.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.)*
116 Renwick lane shoreline stabilization
2.35MB
application 2020-06-29.pdf
4. Location of the property (where work is to be conducted)

Nearest Town:* Mooresville
County:* Iredell
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* 116 Renwick Lane Mooresville NC 28117/ 4616982218.000
Include phasellot nunber
Directions to site:*
Brawley School Rd to McKendree Rd to Lakeview shores Loop to
Renwick
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:*
Residential
Fbsidential, undeveloped, etc.
6. Pro pertySize .68
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Regrade slope of sea wall, adding dirt and fabric as shoring, then Riprap
8. How will the work be done?* PF From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
150
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.)
250
square feet
11. 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)
None
Sketch: 116 Renwick lane shoreline stabilization
2.35MB
application 2020-06-29.pdf
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $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:* John J Craig
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200861
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

State of North Carolina
Department of Environment and Natural Resources
DWR 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
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: John Craig
Mailing Address: 116 Renwick Lan
Mooresville, NC 28117
Telephone Number: 724-991-5575 Fax Number:
E-mail Address: 'a dar401 mail.com
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htt www.saw.usace.arm .mil Portals 59 dots re ulator re dots Permits SAMPLE AGENT AUTH
ORIZATION FORM. df) must be attached if the Agent has signed this application form.
Name: Pr-e_c-t S v ^ _. 6�e&uaAar.
Company Affiliation: G k
Mailing Address: 217
Vf Z
Telephone Number: 'j 0t4 &92, S-f r.�_ Fax Number:
E-mail Address: uuktendsP,
Person to receive the Certification Approval: _ � &k'q,
H. 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, structures (buildings, retaining walls, docks, impervious surfaces,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10-2013 Page 1 of 3

and construction access corridors. You may use the diagram provided at the end of this
application form.
I 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: I f Q A-D-0 Nearest Town: MDoire rV l
Subdivision name or site address (include phase/lot number):
C, r�k of �1 'j Par real
Directions to site - please include road names and numbers, landmarks, etc.:
n
Latitude (in decimal degrees) 3S S 7p�/ % Longitude (decimal degrees) 4 . Qs3 ( 7
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): AP_5 r
6. Property size (acres): • G $ Q cq S
7. Lake/ river/ ocean adjacent to property. MaRrta vi
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Re 5 ) c a e
-(V$ one
w, r12W ra-e 3`r c n l� o (c -�abre (Z; r ors ti
9. Will work be conducted from land? From water? El
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:
F5 t '^''a'I�[� ` TVfJ a r A �n S ands a �i t
11. Total amount of disturbance (including alf 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:
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet lanld��w��ard to be impacted (number of trees, for instance): _ /V0 V ,)
Owner/Agent'sature* f 15A NCAC 02H ,0502(f)1
_ I -Z�q/.TV
Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

oreline
'50"
Lake
(At Full Pond/Normal Water Level) �f,
OL
.3
To.r? a�
,�br; G Gl.n � 2S�cc�dS
D4 dVI -
�a
�ffr JP a r
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ftx 100 ft)*:
I. All proposed vegetation clearing
Z. 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

L JIMMY N. FAIRIES, CERTIFY TWAT THIS PLAT WAS DRAWN UNDER M-
SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVI511
DESCRIPTION AND/OR MAP BOOK —5EE . PACE —NOTE k2 THAT l
BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FRI
INFORMATION FOUND IN BOOK _NSA—, PAGE _N/A ; THAT THE RAI
PRECISION AS CALCULATED IS 1:10,000I THAT THIS PLAT WAS PRE
ACCORDANCE WITH THE STANDARDS OF PRACTICE FOR LAND SURVE)
NORTH CAROLINA (21 NCAC 56.1600). W ECS MY ORIG L SI NATI
REGISTRATION NUMBER AND SEAL THIS DAY OF WA."
r 5�y3S§9A4pa�
JIMMY N. FAlRE PL5—
LICEN NUMBS : L-4311 S 4Z 'ry_
SEAL C
Found
Reba
SURVEYOR NOTES /
T) ALL DIMENSIONS SHOWN ARE IN US SURVEY FEET AND DECIMAL
ARE HORIZONTAL GRCUNO 015TANCES UNLESS OTHERWISE INDICATE
COORDINATE METHOD.
2) THIS SURVEY IS BASED ON DEED HOOK 835 PAGE 361 AND PL,
PAGES 56 AS RECORDED AT THE IREDELL COUNTY REGISTER OF DI
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A TITLE
AN ATTORNEY. THE PROPERTY MAY BE SUBJECT TO RECORDED OR
RIGHTS —OF —WAY, EASEMENTS, RESTRICTIVE COVENANTS OR CONDIT
OBSERVED OR SHOWN HEREON.
4) THIS L07 LIES WITHIN A SUBDIVSION THAT WAS PREVIOUSLY TIE
GEODETIC NETWORK,
5) BASIS OF BEARINGS: PLAT BOOK 15 PAGES 58 — DATED: APRI
6) 760 CONTOUR BASED ON LAKE NORMAN LAKE LEVEL OF 97,50
(1-800-829-5253) ON 6/5/19.
7) THE LOCATION OF UTILITIES AS SHOWN HEREON, WHETHER PURL,
ARE BASED ON THE LOCATION OF VISIBLE ABOVE GROUND APPURTENANCES ONLY.
07HER UTILITIES WHICH WERE NOT OBSERVED AND NOT SHOWN HERON MAY EXIST. IT
IS THE OWNERS/TENANTS RESPONSIBILITY TO VERIFY THE LOCATION PRIOR TO
COMMENCEMENT OF ANY CONSTRUCTION, CEOMATIC CONCEPTS, PLED CANNOT
ASSUME RESPONSIBILITY FOR MISIDENTIFICATION OR OMISSION OF UNDERGROUND
UTILITIES.
8) THIS SURVEY IS or AN EXISTING PARCEL OR PARCELS OF LAND AND DOES NOT
CREATE A NEW STREET OR CHANCE AN EXISTING STREET,
9) THIS PROPERTY LIES IN FLOOD ZONE "X" AND ZONE "AV BASSO ON FEDERAL
EMERGENCY MANAGEMENT AGENCY (FEMA) FLOOD INSURANCE RATE MAP (FIRM)
COMMUNITY PANEL, 3710452600J, WITH AN EFFECTIVE DATE OF MARCH 18, 2008.
10) SEPTIC TANK AND FIELD ILLUSTRATED HEREON IS BASED ON MARK{NG PROVIDED
BY CAROLINA SOIL & SEPTIC CONSULTING, PLLC (704-2C2-5791).
/
DB: 25C9 PG: z255
PB: 15 22 56
LOT PC:
/
GRAPHIC SCALE
/
ao a zo 40
/
( IN FEET )
1 inch = 40 feet
Owner: Prepared For (Buyer):
GOL01E H WADDELL JOHN CRAIG
116 RENWICK LANE 401 APPLERIDGE COURT
..... MOORESVILLE, INC 28117^ GIBSONIA, PA 15044
GEOMATIC CONCEPTS, PLLC
NC LICENSE #: P-1031
410 NORTH BROAD STREET, SUITE A. MOORESVILLE, NC 28116
PHONE: [phone] EMAIL: JIMMY.FAIRESl9GE0ASATICCONC$PT'B.COM
Drown By, MPH I Checked By. JNF Scale Project No.
Tax PIMI 4616-98-2218 1" - 40' 19062
File: 19062—Lat-229—R enw I ck—Lane
1 of