20220779 Ver 1_Shoreline Stabilization_20220609

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
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 *
[e-mail]
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 6/7/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Kelly Randall
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
5835 Mountain Point Lane
Address Line 2
City
Charlotte
Postal / Zip Code
28216-7754
State / Province / Region
NC
Country
US
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Kelly Randall Existing Rock Wall Repair
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: Kelly Randall Rock Wall Repair.pdf 990.12KB
Latitude:* 302,539.000000 Longitude: *-805,513.120000
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*
SURVEY RANDALL 5835 MOUNTAIN
248.46KB
POINT LN Final.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.)
Randall Rock wall repair areas.pdf 3.62MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Charlotte
County: * Mecklenburg
Lake/ river/ ocean adjacent to Mountain Island Lake
property:
Subdivisions name or site address:*
5835 Mountain Point Lane
Include phase/lot number
Directions to site: *
West on Mt. Holly Huntersville Rd - Right on Abernathy Rd.- Right on
Mountain Point Lane - left into driveway 5835 Mountain Point Lane.
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: *
Existing Rock Wall needing repair over approximately 16 linear feet of
wall. work to be done from shore.
Residential, undeveloped, etc.
6. Property Size
2.49 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
The wall is existing and has been there since house was constructed in late
1950's. It has cracked and will soon collapse without repairs.
8. How will the work be done? *
r' 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.)
64
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)
grass - one old shrub
Sketch:
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):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o 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.
o 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");
o 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");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* kelly randall
Signature:
%-t
Submittal Date: 6/7/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220779 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
C Fee Received
C• Need Fee - send electronic notification
What amount is owed?*
C• $240.00
C $570.00

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SITE I, Daryl W. Long, certify that this map was drawn under my ��``\A 1CA/& 0004
supervision from an actual survey made under my supervision;Q-�..•Sgs
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that the error of closure as calculated b latitudes and �� 'OF ��•' �' ��
.PO departures is greater than 1:10,000. That the deeds and maps � :Q SEAL r:,y Z
noted were used as references. That the boundaries not
Mar°n °CIT.
surveyed are clearly indicated as drawn from information Z
indicated; that this plat was prepared in accordance with G.S. Z r L-4918 OQ7 = WOOD DOCK
47-30 as amended. Witness my hand and seal this 10th day of :� �••'LpSURv •e �1 & PIER
October, 2017.
s a Digitally signed by Daryl W. Long PLS,;W;,;o`��. o L1 F �NFS oN�Y
Mnt.H°ny_H,,,,te�vaieRd. Professional Property Surveyors Inc. 10/10/2017 2 �
VICINITY MAP Daryl W. Long V Surveyor L-4918
NOT TO SCALE
NOTES: C
1. NO NCGS MONUMENT FOUND WITHIN 2000' \ \ — — APPROXI MOUNTAIN
1 pE/ YEAR FLOOD �OCATIoN of N`L P SPd W ISLAND
2. PROPERTY MAYBE SUBJECT TO OTHER COVENANTS, LEGEND: R FEA4q F tINEASS N`b �d/ a LAKE
MAY BE OF RECORD. ECORD EASEMENTS OR RIGHTS -OF -WAY THAT #4 REBAR FOUND ® / #3710o 2800L OD El MAP N �� ���� N� //LQ / 00
COMPUTED POINT • \ cp, h Q S 3
3. THE SETBACKS FOR LOT 15, PER MB 33, PG 747 ARE AS UTILITY POLE o ti 60-
FOLLOWS:
FRONT=30' LIGHT POLE / z� 76?S••
WELL�60 F
SIDE=-' REAR=100' CATCH BASIN wi / A ¢2'
— . — . — — . — . _ . — . — _ s� dr; ti orc' Steps
GUY WIRE a.a
SUBJECT PROPERTY LINE 6e/°�o Dec
4. PORTION OF SUBJECT PROPERTY IS LOCATED WITHIN A \ Q 15. 5.5' 1Y \ FIELD LOCATED
ADJOINER PROPERTY LINE Steps
�48' LAKE CONTOUR
FLOOSPECIAL FLOOD HAZARD AREA ACCORDING TO FEMA 100' BUFFER — — — — %� _ — ' Deck W'd6d \
EFFECTIVE
IVEDATECERATEMAP-PANEL#3710452800L; 100 YEAR FLOODLINE / / W001 UNDISTURBED — — 67 7 Deck o
EFFECTIVE DATE: 09/02/2015. ATERS \
TOP OF BANK HED BUFFER \ N 32.2'
5. FLOOD ZONES DEPICTED HEREIN WERE NOT FIELD LAKE CONTOUR — — — — / One Story COnc� 6 X
® iv
LOCATED BY PPS AND ARE SHOWN USING INFORMATION � Wood Sidin �O S'
FROM FEMA PANEL #3710452800L, DATED 09/02/2015, AND \ and Brick g to \
ALSO USING INFORMATION PROVIDED BY MECKLENBURG Wood 48.01 N
Sid
COUNTY FLOODZONE MAPPING. / 15 g eg Steps
ps
6. THE FLOOD MAPS ARE SUBJECT TO CHANGE WHEN p 1 co,\ ' COrc 4'.
�O \ \ �55. 6'
FLOOD INSURANCE RATE MAPS (FIRM's) AREUPDATED
AND ADOPTED BY THE FEDERAL EMERGENCY bpi' Z
MANAGEMENT AGENCY (FEMA). THESE CHANGES 00� 18•g \
SUPERCEDE THE RECORDED PLAT.
7. BEARINGS SHOWN ON SURVEY ARE BASED ON MAP OWE 023-164-47 o - — —
BOOK 33, PG 747 AND DISTANCES AREIN FEET. 0 Christopher Tucker \ �
(QpGN Carrie B Tucker ` Su bject's
8. CONSULT WITH GOVERNING AGENCY FOR PREVAILING/ g \
DB 31290, P 309 \ b) Fence crosses
LAND DEVELOPMENT AND ZONING REQUIREMENTS N \ 9.4' X 43.9'
Ki onto adjoiner
PRIOR TO DESIGN OR CONSTRUCTION OF ANY aIMPROVEMENTS.
X \
9. MAXIMUM BUILT UPON AREA OF LOT 15 PER M.B. 33-747 9.4' \
IS 6,341 SQ. FT. IMPERVIOUS AREA FOUND AT THE TIME / / ract "C"
OF SURVEY IS 10,691 SQ. FT. \ per M. . 27,Page 17
10. PER MAP BOOK 27, PAGE 17, TRACT B AND C ARE I
LEGAL NON -CONFORMING LOTS THAT WERE CREATED I
BEFORE THERE WERE ANY ZONING REQUIREMENTS.
� Io �oJ .
S 7g•49.17" E 29 I o
8 48'
I ^o
M
�41U
ASPHALT
i
Peggy
023-252-46
— / Keith
Septic Area Easement DRIVE DB 18359,g _ _ _ _ _ _ U 89
for Lot 14 per
Deed Book 32343, Pg. 440 _
DU
�N<
�5
023-252-44
Marc G. Leatherwood
Sally Leatherwood
DB 20197, Pg 923
LOT >5
I
105,709 Sq. Feet
2.427 Acres
C 1
C2 4 ra s tri
2' valley Cur
0
LANE
POINT
.10
0 UN
TAIN W 28, B/c To B/c
VARIABLE P UMB CZ / PG. 558)
Original Boundary Line per M.B. 27-17 00 \
Graphic Scale
40 20 0 40
Scale of Drawing I Inch = 40 Feet
LINE
BEARING
DISTANCE
L1
N
84'33'57"
W
49.89'
L2
N
68*49'10"
W
42.28'
L3
N
69'35'05"
W
41.06'
L4
S
58'27'43"
E
7.25'
L5
I N
53'29'12"
W
5.73'
LIS
I S 53-18'12"
W
8.71'
CURVE
LENGTH
RADIUS
CHORD
CHORD BRG
C1
161.40'
1 303.50'
159.50'
N 87'18'45" W
C2
53.00'
1 303.50'
52.93'
S 72'27'00" W
REVISION TABLE
NO. DATE DESCRIPTION BY
PROJECT#100217-02 BY: DWL

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