20140424 Ver 1_Shoreline Stabilization_20140421

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State of North Carolina
Department of Environment and Natural Resources
DWR yyy 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
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources _
401 & Buffer Permitting Unit���
1650 Mail Service Center
Raleigh, NC 27699 -1650 a aR r 20114 f
I. Applicant Information [15A NCAC 02H .0502(a)] _1 I
1. Owner Information
Name: Ernest Pruitt
Mailing Address: 124 Kirkwall Place Mooresville, NC 28117
Telephone Number: 704 - 660 - 5903/704- 677 -355 Fax Number: 704 - 660 -5902
E -mail Address: eplightwave @msn.com
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http: / /www.saw.usace. army. mil / Portals /59 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E -mail Address:
Person to receive the Certification Approval:
II. 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,
FORM: SSGP 10 -2013 Page 1 of 4

etc.), 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: Iredell Nearest Town
Mooresville
Subdivision name or site address (include phase /lot number): Lot 219 Section 12
Crescent Land & Timber Lot Plat Book 15 page 58 tax account no. 77397018
Directions to site - please include road names and numbers, landmarks, etc.: Brawley
School Road turn right on McKendree. Go 2 miles and turn right on the second Lakeview
Shores Loop road Go 200 yards and Kirkwall Place will be on your left. Lot 219 is the vacant
lot on the left next to the very end lot of the point.
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): undeveloped
6. Property size (acres)
92 acres
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Lot was lust purchased. Former owner never wanted
the expense Rip /Rap needs to be put in to stop bad shoreline erosion. Each lot on both
sides of this lot have had rip /rap for decades.
9. Will work be conducted from land? YES From water? ❑ No
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:
251 feet of shoreline to receive rip /rap according to Duke Power standards. Rip /rap
will extend below the standard water line by approx. 4 feet. 251X4= 1004sf
11. Total amount of disturbance (including all 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: 251 feet of shoreline to receive rip /rap according to Duke Power
standards Rip /rap will extend above the standard water line by approx. 2 feet.
251X2 =502sf. Also a 10 foot path will be cleared through the trees to allow trucks to bring
in the rip /rap Shoreline length 251ft plus approx. 200ft from road to shoreline.
251 +200X10= 4510sf.
12. 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): The lot has many small
to medium size trees some which have fallen into the lake due to erosion that will be
FORM: SSGP 10 -2013 Page 2 of 4

impacted. We will also be cleaning up many, many years of fallen dead trees that has been
a serious fire hazard for the surrounding neighbors.
/7
Own gent's Signature; [ CAC 02H .0502(f)] Date
Agent's signature is valid only if an authorization letter from the owner is provided.
Full Pond/
Normal Water Level
Shoreline
La ke
(At Full Pond /Normal Water Level)
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Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ft 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 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
FORM: SSGP 10 -2013 Page 3 of 4

Property Data
Iredell County
Property Data
Parcel Number: 4616974284.000
Inquiry Date: 4/7/2014
Page 1 of 2
Disdaimer: 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.
Property Map
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Owner /Property Info
Tax Account Number: 77397018
Old Parcel Number: 1702MO1000A219
Owner Name: DOWD COMPANY THE
Mailing Address: 6701 FAIRVIEW RD CHARLOTTE NC 28210
Property Location: KIRKWALL PL
Lot Number: 219
Legal Descriphon: CRESCENT LAND +TIMBER CORP S8 PB15-58
Municipal Information
Township Code: 17
City Code: 00
Neighborhood Code: 17226
Value Information - Current Year Property Record Card (PRQ
Building Value: 0
Other Building Features: 0
Land Value: 440000
Tax Assessed Value: 440000
Deferred: Null
Land Information - Register of Deeds Online Search
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
htto:// web3. mobile311 .com/IredellReport/report.aspx ?PIN = 4616974284.000 4/7/2014

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