20160985 Ver 1_401 Application_20161016

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water 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 application fee should be sent
to:
Division of Water Resources 2 0 1 O g 5
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
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I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Dave Finley
Mailing Address: 387 Kemp Rd
Mooresville, NC 28117
Telephone Number: 7044008062 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.
Name: Dean Fisher
Company Affiliation: Lake Norman Custom Dock
Mailing Address: PO Box 1439
Denver, NC 28037
Telephone Number: 7044832144 Fax Number: 8665794539
E-mail Address: [e-mail]
Person to receive the Certification Approval: Dean Fisher
II. 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, structures (buildings, retaining walls, docks, impervious surfaces,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10-2013 Page 1 of 3

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
Subdivision name or site address (include phase/lot number):
487 Kemp Rd Mooresville, NC 28117
Directions to site - please include road names and numbers, landmarks, etc.:
From Hwy 150 E turn right onto Morrison Plantation Pkwy. Turn right onto Brawler
School Rd. Turn right onto McKendree Rd. Turn left onto Kemp Rd. 387 Kemp Rd on left.
Latitude (in decimal degrees) 35.565171 Longitude (decimal degrees) -80.940815
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Existing residential home with grassy rear yard.
6. Property size (acres): 0.80 acres
7. Lake/ river/ ocean adjacent to property: Lake Norman
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Installation by land with Bobcat/excavator of rockwood
engineered seawall with riprap base to stop erosion of3-4ft bank at shoreline. Removal of
grass and backfill undermined bank as needed.
9. Will work be conducted from land? X❑ YES From water? ❑NO
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:
Approx 4x156ft or total 624sgft along shoreline
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: Approx 10x156ft access path thru buffer with
10x150ftgrading/access along shoreline or 2500sgft total impacted
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): Existing mowed
lawn/grass.
Dean Fisher
Owner/Agent's Signature` [15A NCAC 02H .0502(f)]
10/11/16
Date
FORM: SSGP 10-2013 Page 2 of 2

6ja via NC-1100/Brawley School Rd
13 min without traffic
15 min
6.6 miles

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D DON ALLEN & ASSOCIATES, P. A.
'Since 1971'
Commercial * Residential * Mortgage Surveys * Multi—Family
Construction Staking * Subdivision Design * Topographical
131 Crossiake Park Drive — Suite 102 * Mooresville * NC * 28117
[phone] [phone] Fax
I, certify that this map was drawn under my supervision from an actual
survey made under my supervision recorded in deed book 894 page 404 and/or
plat book 15 , page 42 that the ratio of precision is 1':10,000, that this map
was prepared in accordance with the General Statutes of North Carolina Chapter 89C.
my hand and seal on the 24 day of AUGUST X11111141
A.D. 20 16 • �L
WIWAM M_ LS
SEAL f
:r LSG99
i
LAKE
NORMAN
760 CONTOUR PER ACTUAL
nnn a�oasv
SCALE 1" = 50'
ACQUIRED BY:
BOUNDARY SURVEY
387 KEMP ROAD
LOT 123 CRESCENT LAND & T MBERC?RP... SECT. 8
DAVIDSON TWSP., IREDELL CO_, N -C.
DAVID ESTON FINLEY JR.
LEGEND
�Q� = P.P. - POWER POLE
POWER TRANS.
ELP. ExISTING IRON FOUND
LP.S. - #4 RERAR SET
R/W = RIGHT-OF-WAY
CP = COMPUTED POINT
FIELD BOOK: 300-1
FILE. CLT 123 SS
OC FILE.
TAX MAP NO. 4626268756
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Njc
/k CC ESS
0' 25' 50' 10(y
NOTES
I I I
1) TMS PROPERTY MAY BE SUBJECT To
ANY EASEMENT AND/OR IdWTS'"OF-WAY
of CO
SCALE IN FEET
2) AREA COMPUTED 8Y TLIE COORONAIE
A
3) p g 76D' k 761' cONTOUR EtEV-
A710N BASED ON iJ11� NORMAN LAKE
0 8L\ 6 'S FOIA OAY (READNG
4) LOMOMM POYIER
5) No Cal)MONUMENT FOUND A"
OF
2000 FEET
SCALE 1" = 50'
ACQUIRED BY:
BOUNDARY SURVEY
387 KEMP ROAD
LOT 123 CRESCENT LAND & T MBERC?RP... SECT. 8
DAVIDSON TWSP., IREDELL CO_, N -C.
DAVID ESTON FINLEY JR.
LEGEND
�Q� = P.P. - POWER POLE
POWER TRANS.
ELP. ExISTING IRON FOUND
LP.S. - #4 RERAR SET
R/W = RIGHT-OF-WAY
CP = COMPUTED POINT
FIELD BOOK: 300-1
FILE. CLT 123 SS
OC FILE.
TAX MAP NO. 4626268756
�-_- A W A'a
Njc
/k CC ESS

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