20141270 Ver 1_Shoreline Stabilization_20141201

State of North Carolina
Department of Environment and Natural Resources
$ PAID
Division of Water Resources
iDivision of Water Resources
15A NCAC 02H .0500 — Water - Quality - Certification, Shoreline Stabilization
FORM: SSGP 10 -2013
Shoreline Stabilization Application Form 2 0 1 4 1 2 7 0
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617 DEC ® D
9 2014 i
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Jerru Parton
Mailing Address: 5(o-14 Anchor Drive'
Giranrt'e Fai15, NC, '28(030
Telephone Number: 828- 313.9a4o Fax Number:
E -mail Address: j r -au 0ahon9o4D a amad •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: t nr r A M;%hpr ?ft
Company Affiliation: (1Je5+W1nd ►Yiartne Conftucbgn
Mailing Address: I8s ma.ha Drive
7341orwille AJC a1g(o$l
Telephone Number: $ 28 -445 -141 Fax Number:
E -mail Address: I Afr-Ato ifWA4 . r _nm
Person to receive the Certification Approval: Larru Maher 09
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 3

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: Caldwell Nearest Town: Granite Falls
Subdivision name or site address (include phase /lot number): Anchors 6Ondin J
Lof 27 54711 Ancho,, Dave Grandra Falls, Nc as4ao
Directions to site - please include road names and numbers, landmarks, etc.:
Jee _c1liar_hed map.
Latitude (in decimal degrees) 35, 1 g34gly Longitude (decimal degrees) $LJJ4S 19
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): home an l of
5. Property size (acres): 1.32s Ac
7. Lake/ river/ ocean adjacent to property: La Ke NrcKoru
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 2do' o4 s hor Lin Stabi (r aa-hon writ OU-si►s F3
Ri pIRap rocK, fo ore.denr A.efure, lake bank ero5tnn
9. Will work be conducted from land? ❑ From water? 2r
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:
400 So, Ft.
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: 400 Sa. Ff.
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): Terre wi i 1 be. no -4ee5
ra=yed & theshore me, WtU remaiMhe Same except where mcK i s Waced
Owner /Agent's Signature* [15A NCAC 02H .0502(f)) Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10 -2013 Page 2 of 3

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. A'7 PLAN NO.
STREET ADDRESS: S (o iq Anchor Dr iV e
Granite Fa 115, N :? 9&30
Please print:
Property Owner: Jerre Pa Eton
Property Owner: Jerrjl Patton
PARCEL ID: US SEC 4 T ZZ4P
IVG PAN a�95 aa3a�t�
The undersigned, registered property owners of the above noted property, do hereby authorize
Larr4 MaherM -of We6tWmd Marne Corl4ruction
(Contr ctor / Agent) (Name of consulting firm)
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 than property above):
Telephone: 8 7 9- 313 - 9 oq 0
717 @RDIFR_
D
DEC 0 9 M4 i
J
DENR - WAl ER EE UbRCES
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:
Authorized Signature
Date:

Full Pond/
Normal Water Level
Shoreline
La ke
(At Full Pond /Normal Water Level)
A bai9 i✓ will be, used for W4 prnicct
.i trn4 Pz�a n
51.14 Anchor Drrx
GianitC Fails KIC �&W
Lot 11 ai
R c.onstrurti m Y2BUdBq LJJi I I
not be used
k Z L' bcluXil �lccrr ta! t'mM
'�- X -13D [due
R Prat
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
6. Location of construction access corridors
FORM: SSGP 10 -2013 Page 3 of 3

Jerry Patton 5674 Anchor Drive Granite Falls, NC 28630

Jerry Patton 5674 Anchor Drive Granite Falls, NC 28630

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LOT 10:
I'
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1311'
efS2'5 OP
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°o°' fl�
CUIZV
TABLE
25
N6� p0
CURVE Radius9
Tangent
Chord Bear.
f N�
C1 60M
28.46
1311'
efS2'5 OP
N �p0•
y 11I
`! vot ga
°o°' fl�
NOTE:
LOTS 5A, 16A, 17A, 18A, 19A, 21 A, 33A,
AND 35A ARE NONCONFORMING AS BUILDING
LOTS AND SHALL BE USED FOR OFFSITE
NITRIFICATION LINES FOR THE CORRESPONDING
NUMBERED WATERFRONT LOTS.
NOTE:
THE PROPERTY LINE ALONG THE
LAKE FOLLOWS THE CONTOUR OF
LAKE HICKORY AS SURVEYED BY
DUKE POWER ON APRIL 1, 1996
SCALE: 1 a ® 1
ammummm
P
t,. ,:
2 Imh = 100 M
SHEET 4 OF
CUIZV
TABLE
CURVE Radius9
Tangent
Chord Bear.
Chord Dist
C1 60M
28.46
14+50
S75'09'49'E
2820
C2 260A0
14.12
7A6
S80.I"OE
14JE
C3 250,00
15457
79.65
S48'S3'45'E
152.31
C4 260M
11754
59.79
S78 W44'E
11554
NOTE:
LOTS 5A, 16A, 17A, 18A, 19A, 21 A, 33A,
AND 35A ARE NONCONFORMING AS BUILDING
LOTS AND SHALL BE USED FOR OFFSITE
NITRIFICATION LINES FOR THE CORRESPONDING
NUMBERED WATERFRONT LOTS.
NOTE:
THE PROPERTY LINE ALONG THE
LAKE FOLLOWS THE CONTOUR OF
LAKE HICKORY AS SURVEYED BY
DUKE POWER ON APRIL 1, 1996
SCALE: 1 a ® 1
ammummm
P
t,. ,:
2 Imh = 100 M
SHEET 4 OF