20150106 Ver 1_Shoreline Stabilization_20150126

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the applicat�ion�fee ssh AUT
Id be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center 2 0 1 5 0 1 0 6
Raleigh, NC 27699 -1617
I. Applicant Information [15A NCAC 02H 0502(a)]
1 Owner Information
Name Butch Miller FnnDD iE r
Mailing Address 2616 Goneawa Rd. D
Charlotte, N.C. 28210 1 1 JAN 2 6 2015
Telephone Number 704- 554 -9554 Fax Number 704- 554- 1-a44L*L2FFERPi RNt ii i-t
E -mail Address
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 /dots /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM pd f) must be attached if the Agent has signed this application form
Name David Frick, Daves Marine Construction
Company Affiliation. Owner
Mailing Address: 1520 Bowater Rd.
Rock Hill, S.C. 29732
Telephone Number 803 - 322 -2476 Fax Number
E -mail Address davesmarine @comncrittm_nPt
Person to receive the Certification Approval:
II. Project Information [15A NCAC 02H 0502(a) & (b)]
1 Attach a vicinity map (i a 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: Mecklenburg Nearest Town: Charlotte. N.C.
Subdivision name or site address (include lot number):
19225 Lahaina Ln. Charlotte, N.C. 28278
Directions to site - please include road names and numbers, landmarks, etc.:
Take Zoar Rd. off Hwy 160. To Youngblood rd. Turn left onto McKee Rd.
Mckee Rd to Hawk Heaven, Turns into I&haina Ln. Go to 19225. # is on house.
Latitude (in decimal degrees) 35.047246 Longitude (decimal degrees) - 81.037307
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
Residential and developed.
6. Property size (acres): one acre
7. Lake/ river/ ocean adjacent to property: Lake Wylie
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Slope shoreline to except rip rap. Install
rip rap for stabilazation.
9. Will work be conducted from land? 0 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:
256 sq. 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:
1024 sq. ft.
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): Several trees to be
removed. Small scrubs and small vegation, but will not need to be disturbed.
Jan. 16, 015
Owne /A en s Si a e [15A NCAC 02H .0502(f)] Date
`Agent's signature is valid only ►f an authorization letter from the owner is provided.
FORM SSGP 10 -2013 Page 2 of 3

Full Pond/
Normal \A /star I oval
Sl
Lake
(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.
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

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CURVE TABLE
CURVE RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING
C1 50 00' 132 55' 97 01' N47'28'15 "W
C2 103 20' 161 28' 145 36' N25'40'30 "W
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DB 14634 PG 24 ROBIN & BELINDA BUTLE
O DB 4754 PG 016
PB 17 PG 465
BUTCH MILLER CONSTRUCTION
COMPANY, INC.
DB 14385 PG 786 Jr4
MB 39 PG 625
S
R�
v_ #5 REB(F);
NOTES
S DENOTES OBJECT SET
F DENOTES OBJECT FOUND
PROPERTY SUBJECT TO ANY VALID AND ENFORCEABLE
EASEMENTS, RESTRICTIONS AND RIGHTS OF WAY OF RECORD
AND THOSE SHOWN, IF ANY, SHOULD BE INDEPENDENTLY VERIFIED
NO TITLE OPINION HAS BEEN PROVIDED TO THE SURVEYOR
NAMES AND DEED REFRENCES SHOWN ARE FOR DESCRIPTIVE
PURPOSES ONLY, NOT TO BE USED FOR DETERMINING TITLE
WATER BOUNDARIES ARE SUBJECT TO CHANGE BY NATURAL
CAUSES AND MAY EFFECT AREA AND LIMIT OF TITLE
CM(F) - CONCRETE MONUMENT(F)
IPS - #4 REBAR(S) UTILITY POLE
MNS - MAGNETIC NAIL(S) `�
R/W - RIGHT OF WAY
P/L - PROPERTY LINE ADDRESS
C/L - CENTERLINE
PROPERTY ZONED R -5
MINIMUM LOT SIZE - 6,000 SQ FT
MINIMUM LOT WID1H - 50 FT
MINIMUM FRONT SETBACK - 20 FT
MINIMUM SIDE YARD - 5 FT
MINIMUM REAR YARD - 35 FT
NO NCGS MONUMENT WITHIN 2000 FEET OF SITE
BOUNDARY SURVEY FOR
BUTCH MILLER CONSTRUCTION, INC.
TOWNSHIP STEELE CREEK TAX I D 21714351
COUNTY MECKLENBURG STATE NORTH CAROLINA
DALE AUGUST 6, 2002 JOB NO 0504105
REVISIONS
DATE I DESCRIPTION I
#4 REB(F)
® 8 60'
CAR
SEAL =
L -2605 �\ _
S/UR���`
y B EJ
1,,,11111000
111 i 000
50 0
h
P/L IS DUKE ENERGY CORP
PROJECT BOUNDARY AND
APPROX_,O
7C ^TOUR
NORTH CAROLINA
"I HEREBY CERTIFY THAT THIS PLAT WAS DRAWN FROM AN
ACTUAL SURVEY MADE UNDER MY SUPERVISION, DEED DESCRIPTION
RECORDED IN BOOK 14385 , PAGE 786 , THAT 1I IE BOUNDARIES
NOT SURVEYED ARE SHOWN AS BROKEN LINES PLOTTED FROM INFOR-
MATION FOUND IN BOOK - - -- , PAGE - - - -, THAT THE RATIO OF
PRECISION OF THE FIELD SURVEY IS 1 10 000 AS SHOWN AND THE
AREA WAS DETERMINED BY COMPUTER WITNESS MY ORIGINAL
SIGNATURE, LICENSE NUMBER AND SEAL THIS 7th DAY
OF MAY AD 2004 r TE D M E RL PRNAL LANDS cVEYOR
L- 26_0_5________
LICENSE NUMBER
GRAPHIC SCALE
25 50 100 200
( IN FEET )
1 inch = 50 ft
<r; ors
101 I'l �1 1 20
114 E ROBINSON STREE 1 - P 0 BOX 190
5/3/04 1 SHOW DWELLING FOUNDATION I GAFFNEY, SC 29342 -0190 (864) 489 -5068
r
r
BUTCH MILLER CONSTRUCTION
COMPANY, INC.
DB 14385 PG 786 Jr4
MB 39 PG 625
S
R�
v_ #5 REB(F);
NOTES
S DENOTES OBJECT SET
F DENOTES OBJECT FOUND
PROPERTY SUBJECT TO ANY VALID AND ENFORCEABLE
EASEMENTS, RESTRICTIONS AND RIGHTS OF WAY OF RECORD
AND THOSE SHOWN, IF ANY, SHOULD BE INDEPENDENTLY VERIFIED
NO TITLE OPINION HAS BEEN PROVIDED TO THE SURVEYOR
NAMES AND DEED REFRENCES SHOWN ARE FOR DESCRIPTIVE
PURPOSES ONLY, NOT TO BE USED FOR DETERMINING TITLE
WATER BOUNDARIES ARE SUBJECT TO CHANGE BY NATURAL
CAUSES AND MAY EFFECT AREA AND LIMIT OF TITLE
CM(F) - CONCRETE MONUMENT(F)
IPS - #4 REBAR(S) UTILITY POLE
MNS - MAGNETIC NAIL(S) `�
R/W - RIGHT OF WAY
P/L - PROPERTY LINE ADDRESS
C/L - CENTERLINE
PROPERTY ZONED R -5
MINIMUM LOT SIZE - 6,000 SQ FT
MINIMUM LOT WID1H - 50 FT
MINIMUM FRONT SETBACK - 20 FT
MINIMUM SIDE YARD - 5 FT
MINIMUM REAR YARD - 35 FT
NO NCGS MONUMENT WITHIN 2000 FEET OF SITE
BOUNDARY SURVEY FOR
BUTCH MILLER CONSTRUCTION, INC.
TOWNSHIP STEELE CREEK TAX I D 21714351
COUNTY MECKLENBURG STATE NORTH CAROLINA
DALE AUGUST 6, 2002 JOB NO 0504105
REVISIONS
DATE I DESCRIPTION I
#4 REB(F)
® 8 60'
CAR
SEAL =
L -2605 �\ _
S/UR���`
y B EJ
1,,,11111000
111 i 000
50 0
h
P/L IS DUKE ENERGY CORP
PROJECT BOUNDARY AND
APPROX_,O
7C ^TOUR
NORTH CAROLINA
"I HEREBY CERTIFY THAT THIS PLAT WAS DRAWN FROM AN
ACTUAL SURVEY MADE UNDER MY SUPERVISION, DEED DESCRIPTION
RECORDED IN BOOK 14385 , PAGE 786 , THAT 1I IE BOUNDARIES
NOT SURVEYED ARE SHOWN AS BROKEN LINES PLOTTED FROM INFOR-
MATION FOUND IN BOOK - - -- , PAGE - - - -, THAT THE RATIO OF
PRECISION OF THE FIELD SURVEY IS 1 10 000 AS SHOWN AND THE
AREA WAS DETERMINED BY COMPUTER WITNESS MY ORIGINAL
SIGNATURE, LICENSE NUMBER AND SEAL THIS 7th DAY
OF MAY AD 2004 r TE D M E RL PRNAL LANDS cVEYOR
L- 26_0_5________
LICENSE NUMBER
GRAPHIC SCALE
25 50 100 200
( IN FEET )
1 inch = 50 ft
<r; ors
101 I'l �1 1 20
114 E ROBINSON STREE 1 - P 0 BOX 190
5/3/04 1 SHOW DWELLING FOUNDATION I GAFFNEY, SC 29342 -0190 (864) 489 -5068
NO NCGS MONUMENT WITHIN 2000 FEET OF SITE
BOUNDARY SURVEY FOR
BUTCH MILLER CONSTRUCTION, INC.
TOWNSHIP STEELE CREEK TAX I D 21714351
COUNTY MECKLENBURG STATE NORTH CAROLINA
DALE AUGUST 6, 2002 JOB NO 0504105
REVISIONS
DATE I DESCRIPTION I
#4 REB(F)
® 8 60'
CAR
SEAL =
L -2605 �\ _
S/UR���`
y B EJ
1,,,11111000
111 i 000
50 0
h
P/L IS DUKE ENERGY CORP
PROJECT BOUNDARY AND
APPROX_,O
7C ^TOUR
NORTH CAROLINA
"I HEREBY CERTIFY THAT THIS PLAT WAS DRAWN FROM AN
ACTUAL SURVEY MADE UNDER MY SUPERVISION, DEED DESCRIPTION
RECORDED IN BOOK 14385 , PAGE 786 , THAT 1I IE BOUNDARIES
NOT SURVEYED ARE SHOWN AS BROKEN LINES PLOTTED FROM INFOR-
MATION FOUND IN BOOK - - -- , PAGE - - - -, THAT THE RATIO OF
PRECISION OF THE FIELD SURVEY IS 1 10 000 AS SHOWN AND THE
AREA WAS DETERMINED BY COMPUTER WITNESS MY ORIGINAL
SIGNATURE, LICENSE NUMBER AND SEAL THIS 7th DAY
OF MAY AD 2004 r TE D M E RL PRNAL LANDS cVEYOR
L- 26_0_5________
LICENSE NUMBER
GRAPHIC SCALE
25 50 100 200
( IN FEET )
1 inch = 50 ft
<r; ors
101 I'l �1 1 20
114 E ROBINSON STREE 1 - P 0 BOX 190
5/3/04 1 SHOW DWELLING FOUNDATION I GAFFNEY, SC 29342 -0190 (864) 489 -5068

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