20160608 Ver 1_Shoreline Stabilization_20160620

i
AID
To whom it Concern:
Please send a copy of any correspondence to:
Lake Norman Dredging
PO BOX 3156
Mooresville, NC 28117
Attn: Mickey Larson
201 60608
I can be contacted at 704-664-1010 oreoq [e-mail] if
you have any questions, or require additional information.
Regards,
Mickey Larson
I,-)
D
JUN d 0'2016 I

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
DWR___1_,
Division of Water Resources 15A NCAC 02H .0500 — Water Qivality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) a d the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)1
1. Owner Information
Name: M tche j ( wt? er
Mailing Address: C'mV`
Telephone Number: �V`T•rI`t(J • Fax NI
E-mail Address: /,j ��� AA
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization
Name: I cli
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Person to receive the
er: /N IA
must be attached if the Agent has si
LA,rS —
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?UPLI,/ / Fax Nu ber:
©, l al sl� 0/2—A
ification A4proval: I u%
(a form can be downloaded here:
this application
n
II. Project Information [15A NCAC 02H .0502(a) & (b)]! ..
1. Attach a vicinity map (i.e. street map) clearly showi 1g 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 v ialls, docks, impervious surfaces,
FORM: SSGP 10-2013 Page 1 of 3

etc.), rip rap, excavation or dredging below Full Pon `/ 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 propo ed 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:LJ nc ol n Nearest Town Den
Subdivision name or site address (include phase/lot pumber):
Directions to site - please include road names and n' tubers, landmarks, etc.:
,dee ai e i ,
p j�
Latitude (in decimal degrees) 35 •� �l D LOngitUde (decimal degrees) '""��.
5. Describe the existing land use or condition of the sil at the time of this applicatio
(residential, undeveloped, etc.): r 1 ) e�5hna KoWtoA� h�
6. Property size (acres): ,15,Q 5
7. Lake/ river/ ocean adjacent to property: Noi
8. Describe proposed work (include discussion as to hc w hardening of shoreline has been
avoided, or why it is necessary): Sh UT7eb
rPyain:L e s T OD2 1
9. Will work be conducted from land? ❑ i rom water? LIQ' A1( WN -k-4 hV9&
et
10. Total amount of disturbance (including all excavatio , backfill, rip rap, retaining walls, c.) ;J
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/ NormI Water Level and 50 feet land -ward in
square feet or acres:
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):
Owner/Agent's Signature* Printed Name Date
[15A NCAC 02H .0502(f)]
'Agent's signature is valid only if an authorization letter from theowner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond
Shoreline
Lake (Full Pond)
161
3 eIok.-
�bo
f
Please approximately sketch the following information this plan
(please provide dimensions for each item, such as ft. x 100 ft):
1) All proposed vegetation clearing (provide dimensi ns)
2) Location of rip rap or fill to be placed above the i ull Pond elevation
3) Location of rip rag or sill to be placed below the; ull'Pond elevation
4) The location of any proposed structures such asuildings, retaining
walls. docks, etc.
5) The location of any excavation or dridging below he Full Pond
elevation. j
6) Location of construction access corridors.
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6/15/2016
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Maps
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Cherrytille
Interstate 77, Mooresville, NC to 3393 Governors Island Dr, Denver, NC 28037 - Google Maps
Interstate 77, Mooresville, NC to 3393 Governors Drive 24.4 miles, 38 min
Island Dr, Denver, NC 28037
Michel Trawalter 3393 Governors Island Rd Denver NC 28037
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Lake P-iOfmall' 40 min
woresville
Interstate 77
prrd 4 2 Min
3393 Governors avidsDn
Island Dr
bncolnton
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Map data @2016 Google 2 mi
https://www.google.com/maps/dir/interstate+77,+Mooresville,+NC/3393+ Governors+ Island+ Dr,+Denver,+N C+28037/@35.516238,-81.083679, 11z/am=t/data=... 112

6/15=6 Interstate 77, Mooresville, NC to 3393 Governors Island D�, Denver, NC 28037- Google Maps
Interstate 77
Mooresville, NC
Take 1-77 S and NC -73 W to Fairfield Forest Rd in Westport
t 1. Head south on 1-77 S
2. Take exit 25 toward Concord/Huntersville
3. Turn right onto NC -73 W/Sam Furr Rd
® Continue to follow NC -73 W
r 4. Turn right onto N Pilot Knob Rd
t 5. Continue straight onto NC -16 Business N
Continue on Fairfield Forest Rd. Take Blades Trail and Burton Ln to
r' 6. Turn right onto Fairfield Forest Rd
'1 7. Turn left onto Golf Course Dr N
'1 8. Turn left onto Blades Trail
1♦ 9. Turn right onto Burton Ln
t 10. Continue onto Governors Island Dr
41 11. Turn left to stay on Governors Island Dr
r* 12. Turn right to stay on Governors Island Dr
0 Destination will be on the right
3393 Governors Island Dr
Denver, NC 28037
These directions are for planning purposes only You may find that construction projects,
traffic, weather, or other events may cause conditions to differ from the map results, and
should plan your route accordingly You must obey all signs or notices regarding your rou
28 min (20.6 mi)
88mi
03mi
76mi
09mi
- 29mi
Island Dr
9 min (3.8 mi)
0.6 mi
05mi
1.6 mi
06mi
02mi
02mi
02mi
httpsJ/www.google.com/maps/drArrterstate+77,+Mooresville,+NC13393+Governors+lsland+Dr,+D�er,+NC+2BM7/@35.516238; 81.083679,11z/am=Vdata=.. 212

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