20160231 Ver 1_401 Application_20160307

State of NQwtb caroana
D merit of 8wirmnesit and Natural Fjmmrces
Dw R n Division of Water Resources
ISA �
ei' tes5ik�oQrce� /�— aft1► Cis, Shorelme Sion
FORM: SSGP 10-W13
20160231
tw
Omsion of Water Resources
4M & offer Permitting Unit
IM trait service Center p @ LRO M
PNC 27699-1627 1J D
iy�Arf 0 7 20'16
L Applicant Infannatkm F15A NCAC Ik2H .05M411
L Owner Infcarmat-apD -yyAF RRP oUIRCES
Name: Sliheffa Letica NG
Maift_Add 4450 rk
Denver, NC 28037
Tem plumber: 7042777230 Fax Number:
E-rnah AMress:
2_ AgeCmitact Person Information
1L
A signed and dated copy of the ,Agent Authorization leer % ern can be dawn loaded here:
http`/Iwww saw tisace army rMI/Poriats 59ddocsd`regulatorreodom/PermitsiSAMPLE AGENT AUTH
ORIZATION FORM -0 must be attached if the Agent has signed this apptication form.
Name: - Dean Fisher
Company Affiliation: LKNdock
Mailing Address: PO box 1439
Denver, NC 28037
Telephone N umber, 75ME321= fra3c N4ImbM—.
E-mag,Address: 1 4i MW[cJ�l aNw-
Person to receivedfe- �tn �J.
Project hdkarmatiom C hi 4i.OS02 � �fi ii
3- Attach a vitt nity =W (Le- street map) cksdy ming the locatkm of the property with
respectto local fanfttarks such as ns;, rivers, and roa&
2. Provide -,ad etaded site plan shoe property boundaries wd wed loca#am of
vegetation el ea ft, structures (bufl&hgsv retaining walk dam, impen i am suffaces,
FORM: SSGP'1&3 Page 1 of

= F3- � excaatkm or dredging be'l Dw f=ull Pond% Normal Wer level ek-jabons,
�* amass corridors. You may use the diiagrain pnrAded at the end of this
f0m.
3. AMdva ofd dxwdWW Iyer proposed to be stabTue€f. (tnEtude aR scale
c gscwww w t a yard sticlq, showd hmrdk e1cl
4. location of the pnmperW (where viork is to be cnndu )
County: L&Xdb NearestTowim mer
5uMwisim name or site address fine phasetlbr rmmber)-
4450 Red Hill cir. Denver, MC 28037
o site - please include road names and ate, #aximarks, etc.:
150 W. to left on Slanting Bridge to right on Catawba Burris to right on
HO) dr. House on tight
Latitude &nzdecimaidegrem) 3 -569061 longitude (d ) zaLG17945
S. Desctibethe existing land use or condition of the site at the tim of this application
(resWrXmif, undeveloped, etc): Existing residence with pier and wood seawall
6. Aske (acres): 0.975
7:. ?zW:�i&ne ocean adjacent to property: lake Norman
S. Dextibe pwoposed work (include discussion as to how hardening of shoreline has been
avoided,ca why it is necessary): Replace existing failing wood seawall with new
segimnl2d block seawall to prevent further sedimentation of lake
9 'r 62wark be conducted from land? ❑ Yes From water? ❑
30 Thai}aa mwnt, of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below -the normal pool fake level/ Nenmd Waw LeM in scene feet or acres:
Approx 600sqft along 150ft ofsh mekw
11- Total amouinrof k roxaM r
walls, etc.). cart
safua�'�ee� .or gess: A��o�c,�lo�urm�l��ft��sl�tm�e��ea�t���ce�s�k�c�
mer
IL Pfeasedescribe the vegetation above the normal 'pool lake IeveV Normal Water Level 'and '
501eet landward to be impacted (number of trees, for instance): Existing mowed grass
tnftK. few small ornaawnul trees/shrubs.
Owner/agent°s Signore" 115A XCAC 02H, Z&02i, ff�I
Date
"Agent's signature is valid only if an authorazvWn leiter frabm the owner is pmwded.
rsfOIft-ga(-2033 Page 2 of 3

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- - -------- --- - --- -6-cM grade
- ---------------- --- �r� Y� 4x12x18" top cap T
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�.. High water 760'el(
8x12x18" Rockwood block
4-6"deep x 18"wide compacted gravel base
Rip Rap base
Lak be ed

`Mooresville, NC to 4450 Red Hill Cir, Denver, Drive 18.3 aides, 32 min
i,, 4 � Mapes NC 28037
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Map data 02016 Google 2 mi ►
Nlooresville, N --
Take NC -150 Wf&Ch@Mba Beans Rd in Denver
27 min (15.8 mi)
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FORM -- SSCP 10-2013 Page 3 of 3