20141217 Ver 1_Shoreline Stabilization_20141124

2 0 1 41 2 1 i
State of North Carolina
DWR ci% ;) rtment of Environment and Natural Resources
AID Division of Water Resources
15A NCAC 02H .0599��er- 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 D
1617 Mail Service Center D
Raleigh, NC 27699 -1617 NOV 2 4 2014
I. Applicant Information [1SA NCAC 02H .0502 a ] DENR - WgTER RESOURCES I
- -" - - 401 & BUFFER PERMITTING 1. Owner Information
Name: Sean and Mimi Gallagher
Mailing Address: 181 West Statesville AVE
Mooresville, NC 28115
Telephone Number: 704 - 799 -3323 Fax Number:
E -mail Address: sean @jasperbuilders.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 /S9 /docs /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Phil Rotella
Company Affiliation: LakeVision Development INC
Mailing Address: 2242 LongCoye. CT
Sherrills Ford. NC 28673
Telephone Number: 704 -506 -0807 Fax Number:
E -mail Address: phil @lakevisiondevelopment.com
Person to receive the Certification Approval: Phil Rotella
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): 645 Kemp Rd Mooresville,
NC 28117 Lo+-A� I (Q�
Directions to site - please include road names and numbers, landmarks, etc.: From
Downtown Mooresville - N. Academy St - Make Right onto W. Wilson Ave, Wilson to
Brawler Continue down Brawley, Make Right onto McKendree, Make Left onto Kirkwall,
Make Left onto Kemp Rd oropertv will be on the r
Latitude (in decimal degrees) 35.569499 Longitude (decimal degrees) - 80.944480
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Pfy')(}4�4 Icyk—
6. Property size (acres): o -72 AtCre-
7. Lake/ river/ ocean adjacent to property: (Jc,Qw)ZN
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): b(Y',IC 7C (I On C I(_I JU_ 666 k,
-fin
9. Will work be conducted from land? 2 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:
goo ,5,_�
11. Total amount of disturbance (including all Mearing, 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: S-lJ-4'-
12. Pleas escribe the vegetation above the normal pool lake level/ Normal Water Level and
50 f et I ndward to be impacted (number of trees, for instance): y�cc��IQ1 6 mk
n 2 -I? Gt ' " oaf i
11) Iellq
Ov/r /Agent's Signature* [15A NCAC 02H .0502(f)] Date
FORM: SSGP 10 -2013 Page 2 of 3

'Agent's signature is valid only if an authorization fetter from the owner is provided.
Full Pond/
Normal Water Level MA
�''
Shoreline e
CcFr,4 �Z 4
La ke
(At Full Pond/ Normal Water Level)
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.
S. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10 -2013
L© 7— (49'f 5 K >°
Page 3 of 3

l�
SITE(�) 66
VICINI FY MAP ° * ** NO SCALE
�1
#6 REBAR +1
�J
LINE DIRECTION--T—DISTANCE
Ll
S 22'46'00"
W
50 64'
ri -)
c 22'46'00"
�nr
25 32'
'
S 53'28'00•'
W
24 43'
E3
L4
S 60' &'£x'00"
W
1'7 79'
C5
S 84'57'00'
W,
48 67'
�a
p
M
QC' �
o�
LOT 160
C� w
HOMER
<
TO WNSE11 D
m o
118811151
Q N
te
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SCALE IN FEET
LAME NORMAN
l.:i° �'��(,� ✓ 2 A!'it� LON FJUR LINE BIZ
1.0i 'i \
RID L-3 L4 CS ,
'76, CGN'TOUP
'HCTUAL ; IELO SUR•oEY ! P $ 4
i1 T
Jy ,I
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a9 J t _ 4
SINCLE �q,,E
' 65
LOT 161 �w
0.72 A C.
1
460A i9OVt` -R
FBgR , ,1.03
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(VA
60 0'
IN
V
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D, MANES S.
ERI'CKE L L
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51
102
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- FRAME J
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123
NOTES
1) THIS PROPERTY MAY BE SUBJECT TO
ANY EASEMENT AND /OR RIGHTS -OF ='NAY
OF RECORD
2) AREA COMPUTED BY THC COORDINATE R/W PHYSICAL_ SURVEY
METHOD
3) EXISTING 760' & 761 CONIOUR ELEV-
ATION BASED ON LAKE NORMAN LAKE Or
LEVEL AT COWAN'S FORD DAM (READING 645 KEMP ROAD
ON S/9/2003 ) ELEVATION 6'S0'
LOr 161 _ CRESCENT LAND & TIMBER COR° , SECT, 8
1 SCALE _ — 40' — -- DAVID'SON TWSP IRIEDELL CO., N.0
- n\AlAnn n n nlnlTrr 1r r' An,Tr- n
-1`
I
o
c
te
5g 25„ t
S 5
27 6 -5'1
LEGEND
P P = POWER PCLE
❑ = DUKE POWER TRAN'S
E I P = EXISTING IRON FOUND
I P S = #4 REBAR SET
R/W = RIGHT -OF -WAY
O = WELL
FIELD C300K 367
FILE 8958,
DC FILE 8958 CR5

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Map of:
645 Kemp Rd
Mooresville, NC 28117 -6624
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