20161215 Ver 2_Shoreline Stabilization_20161209

R
6-1
State of North Carolina
DWDepartment of Environment and Natural Resources
R 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
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617�C \\Q
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Sisters Cove Of LKN
Mailing Address: PO Box 3965 Mooresville, NC 28117
Telephone Number: 704-433-9947 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http:Hwww.saw.usace.army.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: Michael Wetter
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Person to receive the Certification Approval:
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,
FORM: 5SGP 10-2013 Page 1 of 3

I
3.
4.
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.
Attach a photograph of the shoreline/ buffer proposed to be stabilized
of some sort- a yard stick, shovel handle, etc.)
Location of the property (where work is to be conducted)
County: Iredell Nearest Town: Mooresville
Subdivision name or site address (include phase/lot number):
Sisters Cove - Phase VI - Lot # 2
(Include a scale
Directions to site - please include road names and numbers, landmarks, etc.:
1-77 S to NC150/ W onto 150/ Right onto BLuefield Rd./ Left onto Cornelius Rd/
Property directly across from Judas Rd.
Latitude (in decimal degrees) 35.626361 Longitude (decimal degrees) -80.871591
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential single family home
6. Property size (acres): 0.704
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 of natural boulder sea wall to prevent further
eroding of shoreline
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:
148 SF
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: 1482.1 SF
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): natural, grassed,
minimal trees. Open shoreline
,�� 4,239
12/7/16
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

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r. -
Fµ11Pond1.._.
Normal Water Level
S
La ke
(At Full Pond/ Normal Water Level)
If EK
I [c: zt or; 761 00
Please approximately sketch the following information on this plan (provide dimensions for each
item, such os 10 ft x 100 ft)*:
1. All proposed vegetation clearing
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

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LEGEND:
MBSL - MINIMUM BUILDING SETBACK LINE
EIR - EXISTING IRON REBAR
EIP - EXISTING IRON PIPE
OEL - OVERHEAD ELECTRIC LINE
CAB - COMMON AREA BUFFER
NTS - NOT TO SCALE
ERW - EXISTING RIGHT OF WAY MONUMENT
SE - 10'X70' SIGHT EASEMENT
TP - TELEPHONE PEDESTAL
CA - CABLE TV BOX
�S-r�P -SEPTIC PUMP
tL-D- POWER POLE
-LIGHT POLE
® - WELL
- COMPUTED POINT
v O�N.K', 4xb t
SR 130�US ROAD
C0g,13E _
I, GERALD V. GRANT, REGISTERED LAND SURVEYOR, N0. 1593,
CERTIFY THAT THIS PUT IS OF A SURVEY THAT CREATES A
SUBDIVISION OF UO WITHIN THE AREA OF A COUNTY OR
MUNICIPALITY SOT HAS AN ORDINANCE THAT REGULATES
PARC03-30-2015
v, DATEREDISIERED LAND SURVEYOR No. 1593
"This Property, or portions thereof, Is located within one hat (1/2) mile of a
designated (Enhanced) Farmland Preservation District. This program has
been developed to Inform all purchasers of real property that certain
agricultural activities, including, but not limited to pesticide spaying,
manure spreading, machinery and truck operabons, livestock operations,
sawing, and similar activities may take place in these districts at any time
during the day or night."
I Q
THIS SUBDIVISION, TO THE BEST OF MY
KNOWLEDGE, LIES WITHIN THE WS -N CA
OF THE LAKE NORMAN - CATAWBA RIVER
BASIN AS DESIGNATED BY THE NORTH CAROLINA DM-
SION OF ENVIRONMENTAL MANAGEMENT AND AS
APPEARS ON WATERSHED PROTECTION MAP OF
IREDELL COUNTY
DATE SUBDIVISION ADMINISTRATOR
MINIMUM BUILDING SETBACK LINES:
FRONT ------------------35 FEET
SIDELINE -----------------15 FEET
SIDELINE ABUTTING STREET ------25 FEET
REAR -------------------35 FEET FROM PROJECT BOUNDARY OR
50' FROM 760' CONTOUR LINE (TYPICAL)
NOTES:
1, a w'a f M. Au&md Review Officer Of Iredell County, certify that the
map or plat to which this cert8taton is affixed meets all statutory
requirements for recording.
3 -Si -,S
Dale
1 hereby certify that the subdivision plat shown hereon has been found to
comply with the Subdivision Regulations of the County of Iredell, North
Carolina and that this plat has been approved by the SubdNlsbn
AdmkNstrator for recording in the Office of the Reglster of Deeds of Iredell
Date SubdNWon Administrator
AS OF THE DATE OF THIS RECORDING. THE LOTS REPRESENTED ON THIS PUT HAVE NOT BEEN
INSPECTED OR APPROVED BY THE IREDELL COUNTY HEALTH DEPARTMENT. UNTIL INSPECTED,
THERE IS NO ASSURANCE THAT A BUILDING PERMIT WILL BE ISSUED.
THERE IS A TEN FOOT DRAINAGE AND UTILITIES EASEMENT ACROSS THE FRONT, REAR, AND EACH
SIDELINE OF LOTS 1-6. (SEE LOT 3)
A PORTION OF THE SURVEYED PROPERTY DOES LIE WITHIN A FLOOD HAZARD AREA AS DETERMINED BY
FLOOD MAP 3710464800J, EFFECTNE DATE March 18th, 2008
LOTS 1-6 IN THIS SUBDIVISION WILL BE SERVED BY INDIVIDUAL SEPTIC SYSTEMS AND WATER BY
COMMUNITY WELL.
THE LOTS IN THIS SUBDIVISION ARE SUBJECT TO ANY EASEMENTS OR RIGHT OF WAYS OF RECORD
WHICH MAY EXIST ACROSS SAID PROPERTY.
ALL NEW POWER LINES WILL BE PLACED UNDERGROUND.
IRON PINS ARE SET AT ALL PROPERTY CORNERS UNLESS OTHERWISE NOTED.
THE SURVEYED PROPERTY DOES NOT LIE WITHIN THE U.S. DEPARTMENTS OF INTERIOR'S
NATIONAL REGISTER OF HISTORIC PLACES.
SITE DATA -
ACREAGEIN TOTAL TRACT TO BE SUBDMDED:---5.464 acres
ACREAGE IN PARKS AND
OTHER NONRESIDENTIAL USES: ----------NONE
ACREAGE IN ROAD RIGHT OF WAY --------1,291 acres
TOTAL NUMBER OF PARCELS CREATED: ------6 LOTS
ACREAGE IN SMALLEST LOT: - - - - - - - - - - - - 0.622 acre (LOT 6)
LINEAR FEET IN NEW STREETS: ----------NONE
OWNER
SLF QEVELOPER
II - N UA S JV' LLL
P. 0. BOX 3965
MOORESVILLE, NC 28117
MINOR SUBDIVISION PUT FOR
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