20201561 Ver 1_Shoreline Stabilization_20210108

RECRVEMCDENWR CZ
JAN 0 8 2021 State of North Carolina
Department of Environment and Natural Resources
Jy�]te{ duality KDivision of Water
- p•�rm+tting Section Resources
terResources 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
_`: :r'.FeC3Nt?ENTAL OUALfTY
FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the gDplication fee should
be sent to:
If sending via US Postal Service
=aui Wojoski
DWR - 401 Et Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS,
FedEx, etc.)
Paul Wojoski
DWR - 401 Et Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(al] '. 0 ZC) ( S ' 1
1. Owner Information
Name: William Stewart
Mailing Address: 824 Queen Charlotte's Ct.
Charlotte NC 28211
Telephone Number: 704-564-0294 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the
Agent has signed this application form. (A form can be downloaded here: htt-_
,ww-saw. usace.armv. mu i Portals/ 59 /does/ rpoi flatorv/ re9dnrs/ PPrmitc i
7AMPLE AGENT AUTHORIZATION FORM pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
B. Project Information [15A NCAC 02H .0502(a) Ft (b)] 2 0 Z 0 � 5 � I

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, buildings, retaining walls, docks, impervious surfaces, 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 rorr...
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: Mecklenburg Nearest Town: Charlotte NC
Lake/ river/ ocean adjacent to property: Lake Wylie
Property size (acres): 0.95
Subdivision name or site address (include phase/lot number):
None.
Directions to site - please include road names and numbers, landmarks, etc.:
17818 Theran Lane, Charlotte 28278 ( near Catawba Yacht Club)
Latitude (in decimal degrees)-,' . aT7 SSA- Longitude (decimal degrees)
-- -� I. Usti (02-
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): "residential" - small cabin
6. Describe proposed work (include discussion as to how hardening of shoreline has
been avoided, or why it is necessary): Add stone to stabilize approximately 80 feet
of lake shoreline.
7. Will work be conducted from land? Yes From water?
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.)
in square feet: _AMroximately 1,000 Sft.
Temporary impacts in square feet:
� n7/�IC�oI 716

Awrox 1,200 Sft_
9. Total amount of impacts above the normal pool lake level / Normal Water Level
and 50 feet land -wary!
-P+ermanent impacts (including back fill, excavation, rip rap, retaining watts, etc.) in
square feet: 160 Sit.
Temporary impacts (temporary clearing, construction corridor) in square feet:
50 Sft
10. 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):
No trees, maft small its
11. Signature-
Owner/Agent's Signature [15A NCAC 02H .0502(f)1 Date
Agent's signature is valid only if an authorization letter from the owner is provided.
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.
vocation of rip rap or fill to be placed below the Full Pond/ Normal Water
Level elevation
) p N d a d.
Location of any proposed structures such as buildings, retaining watts, docks,
etc.
tj
N C)G�
Location of any excavation or dredging below the Full Pond/ Normal Water
Level elevation
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Map data 02020 Google 500 ft a
17818 Theran Ln
tiharlofte. NC 28278
https://www.google.com/maps/place/l7818+Theran+Ln,+Charlotte,+N... 691cla4b62e2d:Oxcbe552e23d4af9Ob!8m2!3d35.0780846!4d-81.0512935 Page 1 of 2

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SCALE: 1' — W MEC ICLINIURG COUNTY, NC DATE MARCH 2% 2019
PROPERTY TO BE ACOUIRED BY: WIUJAM G. & RHONDA J. STEWART
MCA 17 AT PAGE 318 DEED RECORDED IN BOOK 15664 PAGE 637
WORK ORDER A SON DRAWN BY: MLC TAX 10 NO. 217/9141
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