20150930 Ver 1_Shoreline Stabilization_20150909

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
201
so
930
1617 Mail Service Center
Raleigh, NC 27699 -1617
Applicant Information (15A NCAC 02H .0502(a)j
1. Owner Information SFP D
Name: �\e V i n Y"OSS + Lk A 2015
Mailing Address: 102- Prese rye- I/V(•Lia/ Ca r/L eE R 'FE
. Aj( ' 2 L/ R P2 Por/Nc l
Telephone Number: %6q -gW'-(j711 Fax Number:
E -mail Address: V /ii co (I ros6Ix'ct . M
v
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.armv.mil / Portals /59 /docs /reRulatory /reRdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.Pdf) must be attached if the A t has sign this ap licatio form.
Name: �Vlr) t�V )
Company Affiliation: AM /I il ,
Mailing Address: T _ 10P, Prd-_SC21 ve I/Ilf -��
Wa) on v. iLtl ��lL
Telephone Number: r% — �711 Fax Nu ber:
E -mail Address: �1/Il'l�. 1'Q rt Ci . toM
Person to receive the Certification A royal: p-vt -) G SbcLk
Pp 11 �'�
Project Information j15A NCAC 02H .0502(a) & (b)j
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: I Y, eC/CJ Nearest Town: / V I6ores vi l ��
Subdivision name or site address (include phase /lot number):
Directions to site - please include road names and ``n,,'umbers, landmarks, etc.:
/.-717/,V- E)U4,15 -- lC11 - Ct'o W ���CcYnSUn Q� - PbS� FuA
i 5lL bo-ii by- Ro_Qr✓`
J -
Latitude (in decimal degrees) Longitude (decimal degrees)
5. Describe the existing land use or condition jof the site at the time of this application
(residential, undeveloped, etc.): as i Ci e Y)1l o-1
6. Property size (acres): D, A?3 au r S
7. Lake/ river/ ocean adjacent to property: (0—to %LQ ✓/1'1��/�
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Pi /� gap 4I J cneL
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:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Wat %r Level and 50 feet land -ward in
square feet or acres: M IP11Mal — I C (I'll
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be impacted (numb of trees, for instance):
(��.n�
Owner /Agent's Signature* [15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10 -2013 5 Page 2 of 3
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Printed August 31, 2015
See Below for Disclaimer
Addresses
1 Infrastructure
NonResidential Use
' Residential Use
Streets
Interstate
_ Ramp
US Hwy
State Hwy
Main Road
— Local Road
Residential
—
private
Inactive
Parcels Hooks
Parcels
El
++City Limits
Ej
Lake Norman
Iredell Countyline
-,
NC Counties
❑
N
r14 1 : 106 Feet
S '
naps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information
ded herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of
)f this information is at their own risk. All maps on this site were prepared using a 1000a €" Grid based upon the North Carolina State Plane Coordinate System from
983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as
al notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.
i
r=
a
LAKE ACC ESS
`0' ---r
*0
Rn t
1
Printed August 31, 2015
See Below for Disclaimer
Addresses
1 Infrastructure
NonResidential Use
' Residential Use
Streets
Interstate
_ Ramp
US Hwy
State Hwy
Main Road
— Local Road
Residential
—
private
Inactive
Parcels Hooks
Parcels
El
++City Limits
Ej
Lake Norman
Iredell Countyline
-,
NC Counties
❑
N
r14 1 : 106 Feet
S '
naps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information
ded herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of
)f this information is at their own risk. All maps on this site were prepared using a 1000a €" Grid based upon the North Carolina State Plane Coordinate System from
983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as
al notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.

Printed August 31, 2015
See Below for Disclaimer
Streets
Interstate
— Ramp
US Hwy
State Hwy
Main Road
Local Road
Residential
Private
Inactive
Parcels Hooks
Parcels
iCity Limits
L_
Lake Norman
Iredell Countyline
F_1
L _-j
NC Counties
�i�
i : 795 Feet
naps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information
ded herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of
if this information is at their own risk. All maps on this site were prepared using a 1000A €'" Grid based upon the North Carolina State Plane Coordinate System from
983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as
al notice of tax liens. For additional information reoardina delinquent taxes, contact the Iredell Countv Tax Collector's Office.

8/31/2015 -
pits
1 message
Kevin Grossbeck <kevin @gross beck. com>
To: Penny Grossbeck <penny @gross beck. com>
Kevin Grossbeck
Cell - 704.400.9711
3 attachments
Grossbeck.com Mail - pics
20150730_111226.jpg
6827K
20150730_111153.jpg
7692K
20150730_111108.jpg
7587K
Penny Grossbeck <penny @grossbeck.com>
Mon, Aug 31, 2015 at 3:07 PM
https://mail.google.com /mail /L l2l?ui= 2&ik= e5bO647a64&view =pt& search = inbox& th= 14f8527e489 f9b43&siml= 14f8527e489f9b43 1/1
�rokwy�.
pits
1 message
Kevin Grossbeck <kevin @gross beck. com>
To: Penny Grossbeck <penny @gross beck. com>
Kevin Grossbeck
Cell - 704.400.9711
3 attachments
Grossbeck.com Mail - pics
20150730_111226.jpg
6827K
20150730_111153.jpg
7692K
20150730_111108.jpg
7587K
Penny Grossbeck <penny @grossbeck.com>
Mon, Aug 31, 2015 at 3:07 PM
https://mail.google.com /mail /L l2l?ui= 2&ik= e5bO647a64&view =pt& search = inbox& th= 14f8527e489 f9b43&siml= 14f8527e489f9b43 1/1

Q'u
e
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 3-F f
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

.Racewoy,Qrive�i�1.lddresvaie -; NC`!'�28117 "�
(704) 664 -7029 "•.,x';(704) "664 -8641 Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book 2014 . page— 834 _ —, and /or
plat book 46 page 77 that the ratio of precision is 1':10,000,_4�f,�� this p
was prepared in accordance with the General Statutes of North Carolina `�Jv�� Kv'm'
my hand and seal on the _-11__, day of _ SEPT. —_— A.D. 20 P " "" ��i'�
- - -- :' ESS �
CURVE TABLE I `9
CURVE I RADIUS I LENGTH BEARING CHORD
I I WILLIAM M. ftLE�, PL`s
I C1 51.00' 35.07' N 31'24'47" E 34.38'
•y.•G NF.y�Q,•c�
ii �� •. Sl,fl (G
STUTTS RD
/ PIER
LAKE NORMAN zoNE
00 LAKE 7ORMAIN PER PB. 46 PG 77
z 2 SITE 11
m I`-- SLE OF PINES 3
Q? 760 CONTOUR PER
SO 973j ACTUAL FIELD SURVEY
VICINITY MAP •}•s NO SCALE 6 213,w
>61 CONr
o/R
09
S0.
�GfTq '
B
� ANO Sf'TBACkUF` fR
cff) < h
M �J LOT 9 $ 3
a 0.83 AC. -
to
U tUj VI •-
Z M L� O
LOT 10 � vi N
THOMAS BARTLEY min PAn0
1834\1 140 m 00 is.o
16 7' 11.0
3 Y F CREEN 0 3' 21.7'#
PORCH
a 'GR• ONG 2 STORY FRAME "1
COMP RF.
26.9'
LOT 8
F t i � n0•� �
K _.�' 20.8- LAKE ACCESS
NOTES x .35.7' 15.5' THE COVE AT
6 CHESAP ' PODME HOA INC
1) THIS PROPERTY MAY BE SUBJECT TO 'COVERED < 1883 \1045
ANY EASEMENT AND /OR RIGHTS —OF —WAY PORCH tn-
OF RECORD.
2) AREA COMPUTED BY THE COORDINATE s,•
METHOD. st
3) EXISTING 760' & 761' CONTOUR ELEV-
ATION BASED ON LAKE NORMAN LAKE
LEVEL AT COWAN'S FORD DAM (READING alW �Q \ ,5 s0E
ON 9 \10 \13 ) ELEVATION: 757.80' �-0 _�
4) UNDERGROUND POWER �sEo-
. F_ X5.0 '211 W e
5 NO GRID MONUMENT FOUND WITHIN 902 N 26
2000 FEET. �S3 ,6269 Q g6'
LEGEND
PP. = POWER POLE PRESERVE WAY
C] - DUKE POWER TRANS. 45' PUBLIC R /W)
E.I.P. a EXISTING IRON FOUND PK NAIL
I P.S. - /4 REBAR SET CL INTERSECTION
R/W = RIGHT -OF -WAY 0' 30' 60' 100'
® = WELL I I I I
BTL = BUILD TO LINE P H Y S I C A L SU R VEY SCALE IN FEET
* - LP = LIGHT POLE
OF
POE = PUBLIC DRAINAGE EASEMENT 102 PRESERVE WAY
LOT 9 THE COVE AT CHESAPEAKE POINTE
SCALE 1" = 60' DAVIDSON TWSP., IREDELL CO., N.C. FIELD BOOK: 5000
FILE: COVE AT CHESAPEAKE LOT 9
ACQUIRED BY: KEVIN & PENNY GROSSBECK TA FILE
TAX MAP NP. 4636412586