20231099 Ver 1_Shoreline Stabilization_20230720

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
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NORTH CAROLINA
Environmental Quality
State of North Carolina
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Shoreline Stabilization Application Form
FORM: SSGP 04-2022
A complete copy of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Paul Wojoski
DWR-401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR-401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
For electronic submittals, please see the Shoreline Stabilization Application Form.
For GP80 Applicants Only:
Additional requirements for 401 Certification Applications have resulted from the reinstatement of
the Trump Administration's Clean Water Act Section 401 Certification Rule [40 C.F.R. Section
121.4(a) and 121.5(b)(7), and (c)(5)]. This rule requires that 401 applicants request a pre -filing
meeting at least 30 days prior to submitting their 401 application. In turn, the Federal Rule requires
that applicants include documentation of their pre -filing meeting request in their 401 Certification
application.
DWR has developed a Pre -Filing Meeting Request email address to accept the federally required
pre -filing meeting request. Click here: [e-mail] to send your request. In response,
you will be emailed a confirmation receipt of submittal. This confirmation receipt email must then
be submitted with your PCN application.
All 401 applications received after April 6, 2022 that do not have documentation that a pre -filing
meeting request was submitted at least 30 days prior to submittal of a 401 Certification application
will be returned as incomplete. Additional information regarding the pre -filing meeting
requirement may be found here: https://deg.nc.gov/about/divisions/water-resources/water-
guality-permitting/401-buffer-permitting/application-forms-help-documents. The EPA has also
posted a Q&A document on their CWA Section 401 Certification webpage for more information
Attach documentation of Pre -Filing Meeting Request to this application.
Date of Pre -Filing Meeting Request: _/_/ (required)
DWR ID #
Version (if applicable)
RECEIVED
JUL 2 j' 2023
North Carolina Department of Environmental Quality I Division of Water ResM,(�_WATFR RESOURCES
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North CarAG12- BUKER PERMITTING
Departmental Envirpnmemat Dual
919 707,9000

A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Langtree Manor, LLC (Shannon Farley Bermes manager)
Mailing Address: 662 Langtree Road
Mooresville, NC 28117
Telephone Number: 419 460-3705 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signed
this application form. (A form can be downloaded here:
http://www.saw.usace.armv.mil/Portals/59/dots/rep-ulatorv/re2docs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf)
Name: Willis Soivev
Company Affiliation: Spivey Construction Co., Inc.
Mailing Address: 3833 Dockside Lane
Sherrills Ford, NC 28673
Telephone Number: 704 363-7288 Fax Number: 704 663-4721
E-mail Address: [e-mail]
B. 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, buildings, retaining walls, docks, impervious surfaces, 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
Lake/ river/ ocean adjacent to property: Lake Norman
Property size (acres): .764
Subdivision name or site address (include phase/lot number):
oeoenmem m emim�mee�ni uuao�
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707,9000

Directions to site - please include road names and numbers, landmarks, etc.:
1-77, Exit 31, West on Langtree Road approximately 2 miles, Right on Lakeshore Drive 164 driveway
on right iust before the curve, follow driveway to home. See survey for driveway.
Latitude (in decimal degrees) 35.526815 Longitude (decimal degrees)-80.883870
Describe the existing land use or condition of the site at the time of this application (residential,
undeveloped, etc.): Residential
6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary): Remove existing rip -rap stones and replace with 12" thick x 24" deep x 48"
wide solid stones (picture of new stones included for your convenience). This wall will consist of
these stones being off set so as to keep the slope of the existing rip -rap wall. I believe they call this
out -cropping? A more substantial wall is needed to stop erosion caused by wake boats creating
huge waves that crash into the shoreline creating erosion and undermining current riprap wall.
7. Will work be conducted from land? ❑ From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Permanent impact Permanent impact will be similar to existing riprap. There is approximately 4'
of horizontal riprap below the full pond level x 166' shoreline (664 sq ft below)
Temporary impacts in square feet:
Temporary impacts will be similar to permanent. Riprap will be removed and replaced with solid
stones in approximately the same area and slope, 4' horizontal x 166' shoreline. (664 sq ft)
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet land-
ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
Permanent impacts above full pond water levels will be similar to existing riprap We have
roughly 2' of horizontal riprap to be replaced by solid stacked stones. 2' x 166' shoreline (332 sq ft)
Temporary impacts (temporary clearing, construction corridor) in square feet:
Temporary impacts above full pond will be the 2' of horizontal stone plus 10' horizontal for
equipment x 166' shoreline. (1660 sq ft)
North Carolina Department of Environmental Quality I Division of Water Resources
D E 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
oaoertmeioie�aranm��oiawti� /''� 919.707.9000

10. 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): Vegetation above full pond consist of
mature trees with natural pine needles and leaves as ground cover. There is no formal landscaping
within the 50' buffer. There will be no impact to the vegetation above shoreline wall. There is an
existing natural road from driveway to existing boat ramp. We intend to use this road to access
shoreline.
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate,
and complete to the best of my knowledge and belief
• 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
`1-/9-202,3
Owner/Agent's ignature` 5A NCAC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
North Carolina Department of Environmental Quality I Division of Water Resources
EQ512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
ic��—D
N0R11 i CAR01 NA -
oeoeem.mofUMM—MIQWI\� 919.707,9000

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: _yeo 3S- RZ .5110 D
STREET ADDRESS: _ /4, q SApr-e, Dr-1y
-- "oo r e-yiiI1 e Z8'LJ 7
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
I ! V of 6a I �D. /Ax
(Contractor / Ag t} (N#me of c nsulting 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: —IL — !�1Q n - 3,7 D 5'
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
"74 orized Signature Authorized Signature
Date::" F Date:

I, JIMMY N. FARES, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY
LEGEND
SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION; DEED
DESCRIPTION AND/OR MAP BOOK SEE PAGE NOS; THAT THE
R/W = Right-of-way
BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM
EOP = Edge -of -pavement
o n
INFORMATION FOUND IN BOON/A PAGE N /A THAT THE RATIO OF
K
RCP = Reinforced Concrete Pipe
"
Lakeshore Dr
8d
PRECISION AS CALCULATED IS 1:10,000+;.THAT THIS PLAT WAS PREPARED IN
ACCORDANCE WITH THE STANDARDS OF PRACTICE FOR LAND SURVEYING IN
CMP = Corrugated Metal Pipe
Site c
c �9<°G
NORTH CAROLINA (21 NCAC 56.1600). Try S MY ORIG AL SIGNOTORE,
't
=Light Pole
REGISTRATION NUMBER AND SEAL AY OF per( _� 201 B.
a t� CNag�,
® = Not to Scale
= HVAC
Exit 31
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ou — = Overhead Utility Line
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„ LAKE NOR;Z;---
Found 2" ................-..-". Iron Pipe o-....----"---
-•--LAKE NORMAN•-^-- a
/ >b [wkT4.55. Wood ,
� Pier
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LINE TABLE
LINE
BEARING
DISTANCE
LI
N10.43'42"W
18.70'
L2
S10.43'42"E
20.00'
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4.92'
a �
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uPppe
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♦ Iron
^
Found 1 1/4"
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Found
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en
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4 49 On Line 0.47'
o
N 7
/
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i
50' Lake
TAX I0: 4635-92-3003
N Woad
Buffer LA
1
Found 1 1/2"
LAKEVIEW SHORES PDA INC
DB: 958 PG: 1671
p ° Framed
'_O Shed
1
my W 0 TAX ID: a635-91 -8590
Iran PIP,
PB: 7 PG: 48 Gravw Drive
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ood Reto�^ N LANGTREE PROPERTIES LLC
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LOT 12 Over Property Line /a DB: 2617 PG: 1183
21.4' at Furthest 'I '4 .% 0.764 Acres rn' PB: 50 PG: 53
Point -._o Wood TAX ID: 4635-92-5000 N TRACT 1
4 8' Deck
Portion Of
LOT 13
D Gravel
j
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0.186 Acres
,3? °
9
TAX ID: 4635-91-3911
Found 1 1/2' 94 2 Story w/ a Rip
Iron Pipe
On 0.40 57 5
Line
Bent d
Basement '
Brick Residence ROp
mow.
Masonr
Headwall
t
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t^ Found a6 (typical)
Reber (bent) 2 I p4' Total
p
:;
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Found #4 �• H F
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iO
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579 79'2�
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Found p4
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./
Found 3/4
Iron Pipe
'W 150.00'
579• 7339�
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,,ew
Col. '' Found Reber LOT 14 &
Found /3 N
Reber o
� � Z Portion Of
1'
TAX ID: 4635-91-8590
cA UNGTREE PROPERTIES LLC
LOT 13
` D PB: 617 PG: 50 PG: 53 3 GRAPHIC SCALE
V!
0.551 Acres
TRACT 1
TAX 10: 4635-91-3854
1 -
N 0 25 50
J
d p
Found 1' `�•
ron pip°
o
n
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-6 ( IN FEET )
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A 1 inch = 50 feet
$ 14 37� 199.98
o
579
f
TAX ID: 4635-91-3764
LORRAINE J. WINTERKAMP "
ound y8 OB: 2387 PG: 642 Found 1'
a Reber PB: 7 PG: 48 Iron Pipe
SURVEYOR NOTES £ LOT 15
1) ALL DIMENSIONS SHOWN ARE IN US SURVEY FEET AND DECIMALS THEREOF AND ARE HORIZONTAL
PHYSICAL SURVEY
GROUND DISTANCES UNLESS OTHERWISE INDICATED. AREA BY COORDINATE METHOD.
HAZEL KNOX HARRINGTON
2) THIS SURVEY IS BASSO ON DEED BOO( 2113 PAGE 1776 (TRACTS 1 AND 3), DEED BOOK 798 PAGE
58 (LESS & EXCEPTED), PLAT BOOK 7 PAGE 48 AS RECORDED AT THE IREDELL COUNTY REGISTER OF
DEEDS
PROPERTY
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A TITLE EXAMINATION BY AN ATTORNEY.
THE PROPERTY MAY BE SUBJECT TO RECORDED OR UNRECORDED RIGHTS -OF -WAY. EASEMENTS,
BOOK
DEED BOOK 2113 PAGES 1776
RESTRICTIVE COVENANTS OR CONDITIONS NOT OBSERVED OR SHOWN HEREON.
7
PLAT BOOK 7 PAGE 48
4) NO NCGS OR USGS MONUMENTS COULD BE FOUND WITHIN 2000' OF THIS PROPERTY.
5) BASIS OF BEARINGS: PLAT BOOK 7 PAGE 48 - DATED: AUGUST 9, 1963
164 LAKESHORE DRIVE
DAVIDSON TOWNSHIP, IREDELL COUNTY, NC
6) ALL CORNERS "FIND" a 'SET' ARE RUSH YATt1 THE GROUND. UNLESS OTHERWISE NOTED.
POINTS NOT LABELED "FOUND' OR 'SET' ARE COMPUTED POINTS.
Owner: For (Buyer):
7) THE LOCATION OF U71UTIES AS SHOWN HEREON, WHETHER PUBLIC OR PRIVATE, ARE BASED ON THE
JPrepored
HAZEL KNOX HARRINGTON STEVE BERMES
LOCATION OF VISIBLE ABOVE GROUND APPURTENANCES ONLY. OTHER UTIUnES WHICH WERE NOT
164 LAKESHORE DRIVE 13720 SANDSTONE DRIVE
OBSERVED AND NOT 94OWN HERON MAY EXIST. IT IS THE OWNERS/TENANTS RESPONSBIUTY TO
VERIFY THE LOCATION PRIOR TO COMMENCEMENT OF ANY CONSTRUCTION. GEOMATIC CONCEPTS, PLLC
MOORESVILLE, INC 28117 FT WAYNE, IN 46418
CANNOT ASSUME RESPONSBIUTY FOR MISDENTIFICATION OR OMISSION OF UNDERGROUND UTILITIES.
C
GEUMATIC CONCEPTS, PLLC
8) THIS SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND AND DOES NOT CREATE A NEW
STREET OR CHANGE AN EXISTING STREET.
)
NC LICENSE )II: P-1031
9) THIS PROPERTY LIES IN ROOD ZONE "X" AS SHOWN ON FEDERAL EMERGENCY MANAGEMENT
470 NORTH BROAD STREET, SUITE A. MOORESVEUX, NC 28115
AGENCY (FEMA) ROOD INSURANCE RATE MAP (FIRM) COMMUNITY PANEL 3710463500J, WITH AN
EFFECTIVE DATE OF MARCH 18. 2008.
PHONE: [phone] EMAIL: JIM![Y.FAIItEB®GEOMATICCONCEPTS.COM
10) 760 CONTOUR BASED ON DUKE ENERGY LAKE NEIGHBOR INFORMATION (1-800-829-5253) AS
Drawn By. MDH Checked By. JNF Project No.
RECORDED ON 11/5/2019 AT 10:47 AM WITH A LAKE LEVEL OF 97.83.
Tax PIN(9): 4635-91-3911, 4635-92-5000 & 4635-91-3854 19099
11/26/19
ADD LOT 14 & PIER PROJECTION LINES AS SHOWN
JNF
Date: November 14, 2019
Seale
1" = 50'
Sheet No.
1 of 1
DATE
REVISION
BY
File: 19099-Lakeshore-Drive-Lots
CURVE TABLE
CURVE
RADIUS
ARC
BEARING
CHORD
Ct
243.96'
21.71'
N 13'16'41" W
21.70'

Willis Spivey
From: shannon Farley <[e-mail]> on behalf of shannon Farley
Sent: Friday, June 16, 2023 10:27 AM
To: [e-mail]; [e-mail]
Photo %e U
1

b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Full Pond/ Normal Water Level
Shoreline
Plan View
Lake
(At Full Pond Normal Water Level)
N p
Full Pond/ Normal Water L
r � -Ihore me
2 ft.x 150 ft.
additional clearing
' if n—.ry
Plan View
Lake
(At Full Pond/ Normal Water Level)
Riprap
�Mb
Existing Dock
/30ftx 7ft
3ftx150ft
Below full pond/NWL
4 ftx 150ft
Above full pond/ NWL
2
por�x
North Carolina Department of Environmental Quality I Division of Water Resources
v 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
oeoanmam of e�.:o�m. al a .r\ �'� 919.707.9000

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North Carolina Department of Environmental Quality � Division of Water Resources
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512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
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