20210601 Ver 1_Shoreline Stabilization_20210728

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
aU �-ic(oDl
7yLd
State of North Carolina
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 09-2020
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
NOTE: Before submitting this form, please ensure you have submitted the Pre -Filing Meeting Request
Form as we will not be able to accept your application without this important first step. The Pre -Filing
Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre -filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must include documentation that a pre -filing meeting request was submitted to
the certifying authority at least 30 days prior to submitting the certification request. Click here to read
more information on when this form is needed prior to application submission or here to view the
form.
Attach documentation of Pre -Filing Meeting Request to this application.
Date of Pre -filing Meeting Request: 3 / /2 / ooz ( (required)
DWR ID # Z o Z 1 p' O ( Version (if applicable)
A.
Applicant Information [15A NCAC 02H .0502(a)]
1.
Owner Information
Name: JDYtA
Mailing Address:
Telephone Number:
E-mail Address:
LD_E
NCY�rH G/.NUI IN2
Wed/neatm eat el EnrirOnenbl Dueltly�
TOMI IA Sort
l�zG Mus-eum &ivy
CIA t.rlo-Wcir �'. C Zgzo7
704 -3G3—LW ( Fax Number:
)b fJ Mona. cJ 6010-11 • Conn
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

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:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
B. 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, 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 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: Zrea-e,��I
I I Nearest Town: V V 5 V < <(-e
iver/ ocean adjacent to property: ,/v4r/vta,,"
Property size (acres): I. 31
Subdivision name or site address (include phase/lot number): Cv 39 La.Ut:cc.✓ .440-vs f-` t('
/VlrnOt.sva'lt-c. M.- Z Sl [7
Directions to site - please include road names and numbers, landmarks, etc.:
S'e•-L 44+
Latitude (in decimal degrees) 3s 573So7 Longitude (decimal degrees) -€0. 9S'ar2d
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 01.6Stdz/tk-c`cck
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): W-E, ), ll (�� e�. i *j- NN Nue c-io/1 \ A C.
ors t;, ►4 � r �, . I 1,‘0./- At- tit) I (a z- ava4Cd - 6? IA SI 1 l„ i- Ull- i ` f raav4
atall-41 r,41- wtr nod- 11k'j tAAA.,&/1 o rb Ikt
FORM: SSGP 09-2020
Page 2 of 6

7. Will work be conducted from land?
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:
R; fd R4,a /t 7#'sy/ i
Temporary impacts in square feet:
7 'o �y ►-
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
Temporary impacts (temporary clearing, construction corridor) in square feet:
Z�9a9yrF-
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): (- :,SS (Of be Seeded A-c1ar.
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• The project proponent hereby requests that the certifying authority review and take action
on this CWA 401 certification request within the applicable reasonable period of time
bj)11/��z�lz
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] 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. 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.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
FORM: SSGP 09-2020
Page 3 of 6

Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Level
Shoreline
Plan View
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Level
x u.. Y• Y NM Me
Shoreline
1 ft. x 150 ft.
additional clearing
if necessary
Existing Dock
30ftx7ft
KAMPL
Plan View
3ft x 150ft
Below full pond/ NWL
4ftx150ft
Above full pond/ N WL
FORM: SSGP 09-2020
Page 4 of 6

Lake
(At Full Pond/ Normal Water Level)
Side View
L
0)
m
c
iv•
E
aw
ler
3
r
fr
I
-0I
u_
FORM: SSGP 09-2020 Page 5 of 6

2 ft. additional clearing
13 ft. below full pond water level I 4 ft. above full pond water level ' *if necessary
10 ft. bank
height
Side View
A
FORM: SSGP 09-2020 Page 6 of 6

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office *
Reviewer Ust*
20210601
Version *
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 3/19/2021
Contact Name * Bob Wilson
Contact Email Address* [e-mail]
Project Name* Tomlinson revetment enhancment
Project Owner* John B Tomlinson
Project County* Iredell
Owner Address: Street Address
626 Museum Drive
Address Line 2
Gty State / Province / Fi3gon
Charlotte NC
Ftstal / Zip Code Country
28207 USA
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
r- 401 Water Quality Certification - r 401 Water Quality Certification -
Regular Express
I— Individual Permit r Modification
IW Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below and include location information. *
Existing rip rap seawall needs refreshing with additional Class A and
Class B stone. Length of existing revetment is approximately 200
lineal feet.
Please give a couple of dates you are available for a meeting.

4/22/2021
3/23/2021
4/21/2021
Please attach the documentation you would like to have the meeting about.
YOUR SCOPE OF WORK AS WE
UNDERSTAND IT.pdf
pcff ordv
81.09KB
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day dock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
Submittal Date 3/19/2021

Bob Wilson
From: [e-mail]
Sent: Friday, March 19, 2021 4:21 PM
To: Bob Wilson
Subject: Pre -Filing Meeting Request Submittal for Tomlinson revetment enhancment
Attachments: DWR Pre -Filing Meeting Request Form.pdf
The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request
Form for Tomlinson revetment enhancment that you submitted on 3/19/2021. Attached is a
copy of your initial request.
This email was automatically generated by Laserfiche workflow. Please do not respond to this
email address, as responses aren't monitored.
i

Bob Wilson
From: [e-mail]
Sent: Monday, April 19, 2021 12:01 AM
To: Bob Wilson
Cc: [e-mail]
Subject: Pre -Filing Time Clock has been reached for Tomlinson revetment enhancment -
20210601 Ver 1
Attachments: DWR Pre -Filing Meeting Request Form.pdf
The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request Form for Tomlinson
revetment enhancment that you submitted on 3/19/2021. The ID number for that project is 20210601, Version 1.
Your Pre -Filing Meeting Request has now reached the 30 calendar days' requirement and your application can now be
accepted.
When you submit your application please upload a copy of the attached document in this email.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored.
Internal Use only: Non Transportation
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SCALE: /• - SO DAR SURVEYED JAI. 20. 2013
DATE PLATED: FEB. 2. ]OAS
OWNER: JOHN 8. TOMLINSON & ANNE T. RATCLIFFE
638 LAKEVIEW SHORES LOOP
MOORESVILLE , N.C. 28117
ITRV ect
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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.
•
Tax Account Number: 80020717
Old Parcel Number: 1702L03000A246
Owner Name: TOMLINSON JOHN B ETAL
Mailing Address: 2532 ROSWELL AVE CHARLOTTE NC 28209
Property Location: LAKEVIEW SHORES LOOP
Lot Number: 246
Legal Description: CRESCENT LAND+TIMBER CORP 58 PB15-60 REV PB62-147
Township Code: 17
City Code: 00
Neighborhood Code: 17226
Current Year PropertyRecord Card_(PK)
Building Value: 213270
Other Building Features: 26260
Land Value: 617500
Tax Assessed Value: 857030
Deferred: 0
Register of Deeds_Ontine Search

Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
20150112 NW 2336 102 62-147 1.31 AC 1120
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4 Tax Code 5
Null C ADVLTAX Null FRO6ADVLTAX Null Null
Iredell County
Harmony
Love Valley
City of Statesville
Town of Troutman
Town of Mooresville
Village of Davidson
704.878.3118
704.878.3118
704.878.3118
704.878.3575
704.52.8.7600
704.662.7040
704.892.7591

1'13:30 AM
IREDELL COUNTY - - -
TOMLINSON 3WIN 8 TOt4LINSON ELIZABETH Retum/Appeal Parcel: 4616-99-9343 .000
Notes:
PLAT: UNIQ ID
638 LAKEVIEW SHORES LOOP 15/58 378189
80020717 ID NO: 1702L03000A246
ALL -COUNTY FIRE (100), COUNTY (100), COUNTY FIRE (100), SOLID WASTE CARD NO. 1 of
(1) 1
Reval Year: 2019 Tax Year; L246-247 CL &T 5-8 PB 62-147 REV 1.3100 AC SRC= Inspection
2021
Appraised by 18 on 01/01/2019 17226 BRAWLEY POINT CENTRAL TW-17 CI- FR' LAST ACTION
00 58 EX- AT- 20190410
CONSTRUCTION DETAIL
MARKET VALUE
DEPRECIATION
CORRELATION OF VALUE
Foundation - 3
Eff.
BASE
I Standard] 0.04000
Continuous Footing 5.004JSE
MOD
Area
QUAL
RATE
RCN
EYB
AYB
CREDENCE TO MARKET
Sub Floor System - 4
01
01
2,319
122
95.16
22216020152015 % GOOD I96.00EPR.
BUILDING VALUE - CARD 213,270
Plywood 8.00
TYPE: SINGLE FAMILY RESIDENTIAL SINGLE FAMILY RESIDENTIAL
DEPR. OB/XP VALUE - CARD 26,260
617,500
Exterior Walls - 14
Wood Shingles 31.00
STYLE: 2 - 1.5 Stories
MARKET LAND VALUE - CARD
TOTAL MARKET VALUE - CARD 857,030
Exterior Walls - 17
Cedar or Redwood Siding 0.00
TOTAL APPRAISED VALUE - CARD 857,030
Roofing Structure - 03
TOTAL APPRAISED VALUE - PARCEL 857,030
Gable 7.00
26'
Roofing Cover - 03
Composition Shingle 3.00
t2. �us 12'
TOTAL PRESENT USE VALUE - PARCEL 0
TOTAL VALUE DEFERRED - PARCEL 0
Intenor Wall Construction - 5
TOTAL TAXABLE VALU! - PARCEL 857,030
Drywall/Sheetrock 26.00
26'
PRIOR
Interior Wall Construction - 6
BUILDING VAWE 213,27
Custom Interior 0.00
26,260
Interior Floor Cover - 12
11'
OBXF VALUE
LAND VALUE 617,500
Hdwd/Heart Pine/Lam LVP 9.00
1 14'
6�
PRESENT USE VALUE 0
Interior Floor Cover - 14
33' �
DEFERRED VALUE 0
0.00
$' WQQ
11'
TOTAL VAWE 857,030
Heating g Fuel - 04
1.00
14,
14�
Electric
Heating Type - 04
Forced Air - Ducted 4.00
33' 7'
rrQ
PERMIT
CODE I DATE ( NOTE I NUMBER I AMOUNT
Air Conditioning Type - 03
Central 4.00
Bedrooms/Bathrooms/Hail
18'
10'
ROUT: WTRSHD:
Bathrooms
20'
SALES DATA
3/3/1 15.000
OFF.
INDICATE
Bedrooms
4'
la'
RECORD
DATE
DEED
SALES
OAS r 0 FUS 1 LL - 2 _
BAS
20'
BOOIOPAGE,MO'
VR
TYPE
Q/W/II`
PRICE
Bathrooms
BAS -1hr-sLL-1
4'
+r
�!
'
023360102
2014E0865
1
8
2015
2014
NW
WB
E
E
I
I
0
0
Half -Bathrooms
BAS - 1 FUS - 0 LL - 0
On
4'
4
�`�
007660045
007660043
5
5
1988
1988
WO
WD
X
X
I
I
1
1
Office
12�
14'
•""
00623
0579
6
1978
WD
X
I
1
BAS - 0 FUS - 0 LL - 0 0
TOTAL POINT VALUE
113.000
12' 20'
BUILDING AD3USTMENTS
14'
Market/Design
4
FACTOR
04
1.1000
4.30P6.
42�
32'
HEATED AREA 2,664
Quality
4
ABOVE
1.1000
NOTES
AVG
12'
NAGS END FREE ST FP BOATHOUSE'84 REMOVE
Size
Size Size
0.8900
SE
HSE HSE
TOTAL ADJUSTMENT
TOTAL QUALITY INDEX
FACTOR 1.080
122
Click on image to enlarge
,PIER 1035
0%'16
SUBAREA
UNIT
ORIG %
BLDG6
AYB
EYE
ANN DEP
RATE
OVR
%
COND
OB/XF DEPR.
VALUE
TYPE
GS AREA
%
RPL CS
CODE
DESCRIPTION
COUNT
LTHWTH1UNITS
PRICE
COND
BAS
1,176
100
111908081
BOAT RAMP
50
10
500
651
3.50r
22.00
100
100
_
19821999
1983
1999
53
SS
40
30
700
4300
FOP
72
035
2379'77
BOATHOUSE
31
8
21
56
448
25.00
100
_
2015.2015
S3
88
9860
FUS
312
090
26740P:0
PIERS
10
32
320
25.00
100
_
20152015
53
88
7040
OEB
1,176
065
72702167
PIERS
WALKWAY
20
4
80
20.00
100
_
—
20152015
53
88
1410
PTO
398
005
1903C2
BOAT DOCK -
8
16
128
20.00
100
—
20152015
S3
88
2250
WOO
264
020
504368
FLOATING
FIREPLACE
2 - Pre 1,485168
Fabricated
BOAT DOCK -
FLOATING
4
10
40
20.00
100
—
2015
2015
S3
88
700
SUBAREA
26,260
OB/XF VALUE
TOTALS
3,398
222 160ROTAL
BUILDING DIMENSIONS
BA5=W7W33520E4S12E12E20N14E4N18Area:1176;WD0=N8W3358E33Area:264;FOP=56E12N6W12Area:72;PT0=S14E30N16W1156W11N4W8Area:398;
: 1176; FUS=N12E26512W26Area :312,TotalArea : 3398
;OEB=S20E4512E32N14E4N18W10W30Area
LAND INFORMATION
HIGHEST AND
BEST USE
USE
CODE
LOCAL
ZONING
FROM
TAGE
DEPTH
DEPTH
/ SIZE
LND
MOO
COND
PACT
OTHER
AD3USTMENTS AND
NOTES
RF AC LC TO OT
ROAD
TYPE
LAND
UNIT
PRICE
TOTAL
LAND
UNITS
UNT
TYP
TOTAL
AD3ST
ADJUSTED
UNIT PRICE
LAND
VALUE
OVERRIDE
VALUE
LAND
NOTES
SFR WATER
0122
R20
0
0
1.0000
0
1.3000
LOC SIZE
RP
475,000.00
1.000
LT
1.300
617,500.00
617500
0
TOTAL MARKET LAND DATA
617,500
TOTAL PRESENT USE DMA

Iredell County
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Iredell
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NC Courties
I,e maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information provided herein should be verified. Iredell County assumes no
egal responsibilities for any of the information contained on this site. Users are advised that the use of any of this information is at their own risk. All maps on this site were prepared using a 1000a€" Grid based upon the North
arolina State Plane Coordinate System from the 1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as official notice of
ax liens. For additional information re•ardin• delin•uent taxes, contact the Iredell Coun Tax Collector's Office.

Iredell County
1 : 54 Feet
Iredell
Printed July 22, 2021
See Below for Disclaimer
Addresses
• infrastructure
▪ NonResidernial Use
• Residential Use
Streets
— Interstate
,._.,. Ramp
— US Hwy.
— State Hwy
— Main Road
—.. Local Road
Residential
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Parcels Hooks
Parcels
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City I<immts
treclell County1ine
NC Counties
he maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information provided herein should be verified. Iredell County assumes no
egal responsibilities for any of the information contained on this site. Users are advised that the use of any of this information is at their own risk. All maps on this site were prepared using a 1000a€TM' Grid based upon the North
arolina State Plane Coordinate System from the 1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as official notice of
ax liens. For additional information re•ardin• delinquent taxes, contact the Iredell Count Tax Collector's Office.

Theorem Geo Associates, PLLC Duke Energy Lake Services
All Rights Reserved

Addresses
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Local Foad
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