20140946 Ver 1_Shoreline Stabilization_20140904

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State of North Carolina
Department of Environment and Natural Resources
Division of Water a,WR
15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization
Division of Water Resources
FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit RECEIVED
1617 Mail Service Center RECEIVE®
Raleigh, NC 27699 -1617 SEP _ 4 2014
I. Applicant Information [15A NCAC 02H .0502(a)] DENR -LAND QUALITY
1. Owner Information STORMWATER PERMITTING
Name: Scott R. Hardy
Mailing Address: 7100 Norman Island Drive
Cornelius, NC 28031
Telephone Number: 704 - 968 -8880 Fax Number: 704 - 840 -1176
E -mail Address: scotthardy @outlook.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.miI/ Portals /59 /dots /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: Mecklenburg Nearest Town: Cornelius, NC
Subdivision name or site address (include phase /lot number):
an Island
Directions to site - please include road names and numbers, landmarks, etc.:
From Exit #25 on 177, go west approximately 1 mile, right turn onto Norman Island
Drive. First home on left after crossing lake causeway.
Latitude (in decimal degrees) 35 026'45.78" N - Longitude (decimal degrees) 80'54'12.06"W
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Completed residential home on premises
6. Property size (acres): approx..57 acre
7. Lake/ river/ ocean adjacent to property: Lake Norman, NC
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): proposing use of Rip -Rap to prevent further erosion.
Not previously.used as lot remained vacant and undeveloped
9. Will work be conducted from land? YES , From water? ❑
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: 24 -48" of
rip rip to be installed (depending on lakebed elevation). No movement of actual lake bed
or backfilling required
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: 24" inches of rip rap above full pond level, does not appear
backfilling will be required
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): No trees — only grass
FORM. SSGP 10 -2013 Page 2 of 3

*-Ilq -
Owner /Agent's Signature* [15A NCAC 02H .OS02(f)] Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
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Full
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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) *:
�A. All proposed vegetation clearing Na V90- ->}'F 01'4 C,1tAA' �Cs -5 c�rsLy i �J 2 2
✓2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation r ^�
%--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 /1%dN�e
✓6. Location of construction access corridors
FORM SSGP 10 -2013
Page 3 of 3
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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) *:
�A. All proposed vegetation clearing Na V90- ->}'F 01'4 C,1tAA' �Cs -5 c�rsLy i �J 2 2
✓2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation r ^�
%--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 /1%dN�e
✓6. Location of construction access corridors
FORM SSGP 10 -2013
Page 3 of 3

LEGEND _ :QQ ,;.
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PROPERTY LINE SEAL
TIE LINE - :r 322$
— — — — ADJOINING PROPERTY LINE REMISED 2 -13-13 ADDED SETBACKS. ,.�
• EXISTING PROPERTY CORNER
DB PC DEED BOOK k PA( ��� 9 -19 -13 oddest dear arvf faundalbn '0 /rc 0 rr II V J �'A` S UR� p ,. A
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A=Tech Surveying & Mapping. LLP BOUNDARY/LOCATION /CONVEYANCE SURVEY
646 Ne"I Street NW PROPERTY OWNER: BANK OF AMERICA
CMMr4 NC 28026 LEMLEY T . MECKLENBURG m, ND
(W4) 78"286 ADDRESS 7100 NORMAN ISLAND DRIVE CORNELIUS, NC 28031
Fkm License Na: F-M59 Qj!� PARCEL ID 001 - 032 -01
accutecheaccutecttls >arveying:com DEED BOOK 27523 PAGE 025
Rodrick A. Sutton aerafy that Mfr. map was dravm from an LEW REF'
..tool survey mod. und.r my supeM.bn (deed dee.dptlan neaarded In SCOTT d6 FRANY HARDY
De. 276.3 P0. ozat that the raM or prealelon as caleulated by latrtudeo SURVEY FOR:
and d.p -t.— = 173,302♦, the oamdalp mat errrvey.d a- h—n 50' SEPTEMBER 19, 2013
a. broken Ilnw ol.fted from Irdam.aao. found s, M9 10 Pc 77, SCALE 1" = DATE
t11ct 0,. angular — at I.— e.. 02" per tom
lntpp my hand and official pal thl. 19" day of 9.ptsmber, 2013 SCALE IN FEET
50 0 50 100
Registered Land Surveyor f,pnes No. L -3226
Cluwumnls unl SeWrr�Ilard. AQU1tCNttU366 \Ihatlu {r\I3011g13019 dwy
ISLAND NEW DR
J
All dMor,ae an h,siubntd unless ofhere4p not.d
This •+v'e,y dop not conelRute a t10s search by ST+Yayer
gz '
mad. �
NI cargo" le by ooviSnute method.
sate or eecord. enw�mbrCloc rreMati a cove oeearoh
The Client o. wwI@d 1 that boundary sum
g°O () �' Y►19 services
and ou re Ube evidence, m d)1 other loot• Ma! on aaaurale
and rship 11N1e ,,arch may dlydess
NORMAN ISLAND OR
do not dstarmino Imo aenership and that Me prahedonal
land uerMy provides only an opislon of predondy dssartbed
DaPyrlglt O AazuTech Surveying 9 MappF,p U.P. AN netts rseer�ed.
boundary lines nhleh may or may no be upheld by a court
No part of Mls d—Ing may be reproduced by pho l'is9• r--dig
SITE
of tae and, (2) the general sure•) dop not isduds the
w by any other myna or stored processed or transmitted
0 5343 ACRES I
loaatlon of oll easements and, (J) In services, relating to
deatrmloaly Without Me prier Vel"m pennledon or Me surveyor Thle
ADJOINING TRACT /
dare rveyeMe consultant Write Ms IlabIllty to Me
survey Y vdId only for Me por9p Indloated In Me Ws Nacli
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charged to the oilent
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This properly M located In a 100 year flood zone per
VICINITY MAP
a i i W z% L
FEMA nrm Map / 3710463200] Eflbotive Dale: March 2, 2009
not to scale,
as
BASIS OF BEARINGS
SETBACKS
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FRONT- 4e,
PC 77 77D" /
SIDE STREET: 20'
i
SIDE' 15'
MB 10 PG 77
760' ELEV.- 50'
LEGEND _ :QQ ,;.
q <:
PROPERTY LINE SEAL
TIE LINE - :r 322$
— — — — ADJOINING PROPERTY LINE REMISED 2 -13-13 ADDED SETBACKS. ,.�
• EXISTING PROPERTY CORNER
DB PC DEED BOOK k PA( ��� 9 -19 -13 oddest dear arvf faundalbn '0 /rc 0 rr II V J �'A` S UR� p ,. A
eI: ,, "\
A=Tech Surveying & Mapping. LLP BOUNDARY/LOCATION /CONVEYANCE SURVEY
646 Ne"I Street NW PROPERTY OWNER: BANK OF AMERICA
CMMr4 NC 28026 LEMLEY T . MECKLENBURG m, ND
(W4) 78"286 ADDRESS 7100 NORMAN ISLAND DRIVE CORNELIUS, NC 28031
Fkm License Na: F-M59 Qj!� PARCEL ID 001 - 032 -01
accutecheaccutecttls >arveying:com DEED BOOK 27523 PAGE 025
Rodrick A. Sutton aerafy that Mfr. map was dravm from an LEW REF'
..tool survey mod. und.r my supeM.bn (deed dee.dptlan neaarded In SCOTT d6 FRANY HARDY
De. 276.3 P0. ozat that the raM or prealelon as caleulated by latrtudeo SURVEY FOR:
and d.p -t.— = 173,302♦, the oamdalp mat errrvey.d a- h—n 50' SEPTEMBER 19, 2013
a. broken Ilnw ol.fted from Irdam.aao. found s, M9 10 Pc 77, SCALE 1" = DATE
t11ct 0,. angular — at I.— e.. 02" per tom
lntpp my hand and official pal thl. 19" day of 9.ptsmber, 2013 SCALE IN FEET
50 0 50 100
Registered Land Surveyor f,pnes No. L -3226
Cluwumnls unl SeWrr�Ilard. AQU1tCNttU366 \Ihatlu {r\I3011g13019 dwy
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N 71'38'3550'47W' zS
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IRON ROD 69,38
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PROPERTY LINE SEAL
TIE LINE - :r 322$
— — — — ADJOINING PROPERTY LINE REMISED 2 -13-13 ADDED SETBACKS. ,.�
• EXISTING PROPERTY CORNER
DB PC DEED BOOK k PA( ��� 9 -19 -13 oddest dear arvf faundalbn '0 /rc 0 rr II V J �'A` S UR� p ,. A
eI: ,, "\
A=Tech Surveying & Mapping. LLP BOUNDARY/LOCATION /CONVEYANCE SURVEY
646 Ne"I Street NW PROPERTY OWNER: BANK OF AMERICA
CMMr4 NC 28026 LEMLEY T . MECKLENBURG m, ND
(W4) 78"286 ADDRESS 7100 NORMAN ISLAND DRIVE CORNELIUS, NC 28031
Fkm License Na: F-M59 Qj!� PARCEL ID 001 - 032 -01
accutecheaccutecttls >arveying:com DEED BOOK 27523 PAGE 025
Rodrick A. Sutton aerafy that Mfr. map was dravm from an LEW REF'
..tool survey mod. und.r my supeM.bn (deed dee.dptlan neaarded In SCOTT d6 FRANY HARDY
De. 276.3 P0. ozat that the raM or prealelon as caleulated by latrtudeo SURVEY FOR:
and d.p -t.— = 173,302♦, the oamdalp mat errrvey.d a- h—n 50' SEPTEMBER 19, 2013
a. broken Ilnw ol.fted from Irdam.aao. found s, M9 10 Pc 77, SCALE 1" = DATE
t11ct 0,. angular — at I.— e.. 02" per tom
lntpp my hand and official pal thl. 19" day of 9.ptsmber, 2013 SCALE IN FEET
50 0 50 100
Registered Land Surveyor f,pnes No. L -3226
Cluwumnls unl SeWrr�Ilard. AQU1tCNttU366 \Ihatlu {r\I3011g13019 dwy
Registered Land Surveyor f,pnes No. L -3226
Cluwumnls unl SeWrr�Ilard. AQU1tCNttU366 \Ihatlu {r\I3011g13019 dwy

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Rip Rap seen in picture is that of next door residence.

Total amount of shoreline to be stabilized to this point — 48'

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a
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Back to project.
Picture shows clear entrance for equipment to do work.