20220234 Ver 1_Shoreline Stabilization_20220210

Shoreline Stabilization Application Form
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
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.
Primary Contact Email *
Owner Information:
Name: *
Email:*
Phone Number:
Mailing Address: *
[e-mail]
Please provide an email address for payment and requests for more information here.
Ryan Bondy
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
12011 County ManorCourt
Address Line 2
City
Charlotte
Postal / Zip Code
28278
Is there an agent working on the project?* ® Yes
O No
Agent/Consultant Information
State / Province / Region
NC
Country
Mecklenburg
Name:* Kim Broome
Company Affiliation: * Dock Masters Marine
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx

Mailing Address: *
Street Address
5850 Charlotte Hwy
Address Line 2
City State / Province / Region
Lake Wylie SC
Postal / Zip Code Country
29710 United States
A signed and dated copy of the Agent Authorization letter: *
Bondyagentlet.pdf 236.35 K B
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Bondy Shoreline
If your project has a formal name please use this. If your project does not have 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. *
Upload File
Look up address
Upload Map: Bondymap.pdf 154.54KB
Latitude: * 35.044899
Longitude: *-80.841553
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*
Bondyplat.pdf 413.25KB
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.)
Bondypic.pdf 1.02MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Charlotte
County: * Mecklenburg
Lake/ river/ ocean adjacent to Lake Wylie
property:
Subdivisions name or site address:*
12011 County Manor Court Lot 255
Include phase/lot number

Directions to site: *
Hwy 49 L onto shopton L onto Eagle Oak Dr. R onto Limehurst place R
onto County Manor
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
Residential
Residential, undeveloped, etc.
6. Property Size .87
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
PLace rip rap along approx 101' to aid in erision control. only undermined,
dead or trees 2" or less will be removed
8. How will the work be done?*
From Land
From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
404'
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.)
303'
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)
Only trees 2" or less, undermined or dead will be removed
Sketch: Bondysketch.pdf 296.75KB
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:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
a I, 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.
a I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act");
a 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");
a 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 the Shoreline Stabilization online form.
Full Name:* Kim Broome

Signature:
Submittal Date: 2/9/2022

Initial Review
Is this accepted into the review process?* 4 Yes No
Project Number:* 20220234 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received? * No Payment Needed
Fee Received
• Need Fee - send electronic notification
What amount is owed?*
• $240.00
$570.00

AGENT illAt J it )RRiZ \TION FORM
Property legal description
Lot No. 5; PPlan No. Parcel ID:
Street Address
CL—V-Ns .\..dk\SR \
Property Owner: \ \c -\
The undersigned, registered property owner oIthe above noted property, do
hereby authorize
Contractor' agent Business Name
To act on my behalf and take all actions necessary for the processing„
issuance and acceptance of this permit or certification and any and all
standard and special conditions attached.
Property owner's address (if different from above):
Telephone: y-� -' - k.De\
We hereby certiy the above infornnation submitted in this application is true
and accurate to the best of our knowledge.
Atathorized Signature
Date: J .� ,i
Au orized Signature
Date: \- -&)

NOTES:
SUBJECT TRACT IS INSIDE THE 100 YEAR FLOOD
PLAIN AS PER FIRM MAP COMMUNITY -PANEL
NUMBERS 3710458600L, DATE NOVEMBER 16,
2018.
PLAT IS SUBJECT TO ANY AND ALL APPLICABLE
DEED RESTRICTIONS. EASEMENTS, RIGHTS--OF-WAY,
UTILITIES AND COVENANTS WHICH MAY BE OE
RECORD.
100.31' OF PROPERTY WATER FRONTAGE
CURVE TABLE
CURVE #
LENGTH
RADIUS
DELTA
BEARING
CHORD
CI
21.54'
50.00'
024'40'48'
55r18202'E
21.37
C2
1806'
25 oil
04173'45"
542'5733'E
17.67
03
49.20'
178.00'
01551'50'
53031'36T
46,13'
LINE TABLE
LINE #
DIRECTION
LENGTH
Li
NO710'32'E
10.46'
L2
600-53'50'e
31.4B•
LOT 257
MB 68
PG 550
LOT 256
MB 68
PG 550
/
5 REBAR
FOUND
COUNTRY MANOR COURT C.
DEDICATED AS
56' PUBLIC R/W
/
C2
I.FGFNf
RY
SY
SSE
SDE
MBS
C1
REAR YARD
SIDE YARD
SANITARY SEWER EASEMENT
STORM DRAIN EASEMENT
MINIMUM BUILD SETBACK
/
I, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM INFORMATION
THAT APPEARS ON THE SUBDIVISION PLAT RECORDED MAP BOOK 66, PAGE 274' THAT
THIS DRAWING DOES NOT REPRESENT AN ACTUAL SURVEY OF THIS PROPERTY, THIS
PLOT IS NOT FOR RECORDATION, CONVEYANCES OR SALE.
s
p{{Affl� ' :,-47.rv✓ " - r r 5/6/21
t{{ ,44 JAMES E SAFRIT, PLSii `,NOau�uy�
C A fr 0 fit. L-4360 r'� CARC .,,y.
r II A-% 9 G
�BQ �8�i
SEAL g ..
: 1 L-4380 8
s Q'8 �.,
�
i9 �d�w S U R�1<c�•� t<^
•' LICENSE NO.
F-1407
Reweren
LOCATION
MAP
70,2
570' CONTOUR
EXISTING COMMUNITY /\
FLOOD FRINGE (TYP.)
/
/
/
/
FEMA 100-YR FLOOD LINE
/
LOT 254
MB 60
PG 274
BAR SCALE
25
LAKE WYLIE
50
NO SCALE
1'•=50'
100
ESP
ESP Associates, Inc.
P.O. Has 7090 9475 Le remont Blvd.
Chariott., NC 213241 PorL M18. SC 29708
704-583-4949 (lIC}
803-802-2440 (ec)
www.e3peeeaaietse.com
PLOT PLAN LOT 255
#12011 COUNTRY MANOR COURT
CHAPEL COVE PH 4D MAP 2
CLIENT: PULTE HOMP COMPANY. LLC
STEELE CREEK TOWNSHIP
MECKLENBURG CO., NORTH CAROLINA
cute
Project No.
JES
FS
Chocked Pry
Scala:
1"=50'
Dole
4 20 21
Aron, No.
Lot 255 PP
No.
CU28.900.000

.,
or, • . - .4;;;_;...,-; ..:- ••;,,`. , - ,..,_„;/ ,.. _,..- _. .„...'
• 3 ., .....sy •
• . • '..--...•-•Ne.,,z• "1:-1 '",:,,. - li. -•1'.."' .r
,., ,:re' "' • " '
. .. 'S-113: .1, 1r ' '
'%': Sur,t .. ' 1 ..:"....-- ...I.. - '''' t;" -,47
Ar,
' l
.."
..„,,,,,,i,„<„,tzi-e!....7.ie 4,•,.„ ,,--;;;,6.. -••• - • ... ,.-:;,_ .,"...',,;.-' rz;I:4,i': -",..e... • •,.'
• ...7., '-'4.tx;,'.•• , -,.,_.,7,fa. • 1„. :!;:.1.14,,e1Y- ' 2- .." 4.
.•'-itt,. '" ' 4, ,. s
-,,,,:l`r-#47 . ` `7:.,04 -'17. '''' '. ' Ve , ,.• . 2,4
..
. •..,,,...' ...A4 s ,
,,,..) ._,, •,,,..1. ' ._ , • -t• ."-.. ' ,•-•• .',„0... Nr
;7:;..,...r.- 4.) e

Full Pond/ Normal Water Level
9MMO 111111, UM MI WM
Shoreline
Plan View
Lake
(At Full Pond/ Normal Water Level)
+ 1111164b*•
*lbw doom EP
■I e
DO OO
ek
Emb
Full pond/ Normal Water Level
"horerne
2 ft. x 150 ft
addltlmal clearing
If neceuary
E
Plan View
Lake
(A[ Full Pond/ Normal Water Level)
rrrow ..sar. rr.
....rit.'rt ft..iwe/swift:Sr Xi
A.i.wr
U
Existing Dock
39ftx 7ft
<AMPL
3ftx 150ft
Below full pond/ NM
aftx150ft
Above full pond/ NWL
E
FORM: SSGP 09.2020 Page 4 of 6