20161215 Ver 5_Shoreline Stabilization_20161209

00
State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division of Wester Resources 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 a
1617 Mail Service Center O, f
Raleigh, NC 27699-1617 V
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I. Applicant Information [15A NCAC 02H .0502(a)1
1. Owner Information L�
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://www.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: n
Telephone Number: Fax Number:
E-mail Address: �y
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 wi
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
0
Page 1 of 3

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 # 5
(Include a scale
Directions to site - please include road names and numbers, landmarks, etc.:
1-77 S to NC150/ W onto 150/ Riqht 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): 0.739
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
erodinq of shoreline
9. Will work be conducted from land? Q 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:
191 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: 1910 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
,J II )UID
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

OW WW
Lak', F
(At Full Pond/ Normal Water Level)
ANNA
FL(II Pon d,/___,.__._._.
Normal Water Level
61
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
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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VICINITY MAP
Nato scale
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515 / /
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EI 29.77 x75•IrITF
L2 4117 NSIP— W
L1 LIMA N7e•521T
L4 173E SITN'45w
LS 737 M5Y _
I6 6114 N56Y5571Y
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
-0
SP - SEPTIC PUMP
` - POWER POLE
0 - LIGHT POLE
® - WELL
OO -COMPUTED POINT
1, GERALD V. GRANT, REGISTERED LAND SURVEYOR, NO. 1593,
CERTIFY THAT THIS PLAT IS OF A SURVEY THAT CREATES A
SUBDIVISION OF LAND WITHIN THE AREA OF A COUNTY OR
MUNICIPALITY THAT HAS AN ORDNANCE THAT
REGULATES
PARCELS OF LAND.
03-30-2015
C V. DATE
RECI5IERED LAND SURVEYOR NO. IS9J
-This property, or portions thereof, is located within one half (1/2) mile of a
designated (Enhanced) Farland Reservation District. This program has
been developed to inform all purchasers of real property that certain
agricultural activities, Including, but not limited to pesticide spraying,
manure spreading, machinery and truck operations, IivestocK operations,
sawing, and similar activities may take dace in these districts at any time
during the day or night."
LAKE NORMAN
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THIS SUBDMSNON, TO THE BEST OF MY
KNOWLEDGE, UES 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
I, JIy -Mil M- A- - -- . Review Officer IF Ir.,W County, certify that the
map or plat to which this certAcabon is affixed., all statutory
requirements for recording.
3 -SI -IS A4-- ;w a& .
Date Review Officer
�J I hereby certify that the subdivision plat shown herEm has been found to
S-N-fS [ _ � -' .`il. �L Comply with the Subdivision Regulations of the County of Iredell, North
DATE SUBDIVISION ADMINISTRATOR Carolina and that this plat has been approved by the Subdivision
Administrator for recording in the Office of the Register 01 Deeds of Iredell
County. 7t/6/L a& jQ,6_7
Date Subdivision Administrator
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0511
QS i
515 / /
i
/ IDE,AaE
Lae 129.4r 9 IrlG
EI 29.77 x75•IrITF
L2 4117 NSIP— W
L1 LIMA N7e•521T
L4 173E SITN'45w
LS 737 M5Y _
I6 6114 N56Y5571Y
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
-0
SP - SEPTIC PUMP
` - POWER POLE
0 - LIGHT POLE
® - WELL
OO -COMPUTED POINT
1, GERALD V. GRANT, REGISTERED LAND SURVEYOR, NO. 1593,
CERTIFY THAT THIS PLAT IS OF A SURVEY THAT CREATES A
SUBDIVISION OF LAND WITHIN THE AREA OF A COUNTY OR
MUNICIPALITY THAT HAS AN ORDNANCE THAT
REGULATES
PARCELS OF LAND.
03-30-2015
C V. DATE
RECI5IERED LAND SURVEYOR NO. IS9J
-This property, or portions thereof, is located within one half (1/2) mile of a
designated (Enhanced) Farland Reservation District. This program has
been developed to inform all purchasers of real property that certain
agricultural activities, Including, but not limited to pesticide spraying,
manure spreading, machinery and truck operations, IivestocK operations,
sawing, and similar activities may take dace in these districts at any time
during the day or night."
LAKE NORMAN
nue�iR oxpaM7,al
riIpMN1l
AI
I
I
THIS SUBDMSNON, TO THE BEST OF MY
KNOWLEDGE, UES 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
I, JIy -Mil M- A- - -- . Review Officer IF Ir.,W County, certify that the
map or plat to which this certAcabon is affixed., all statutory
requirements for recording.
3 -SI -IS A4-- ;w a& .
Date Review Officer
�J I hereby certify that the subdivision plat shown herEm has been found to
S-N-fS [ _ � -' .`il. �L Comply with the Subdivision Regulations of the County of Iredell, North
DATE SUBDIVISION ADMINISTRATOR Carolina and that this plat has been approved by the Subdivision
Administrator for recording in the Office of the Register 01 Deeds of Iredell
County. 7t/6/L a& jQ,6_7
Date Subdivision Administrator
pR�1E N,g77,tE
y
NtS,J7yTE �J, � I lt1
© I 4ea0
:7,11076,69 sq. R. A :�
0.673 ane sMv,
51,p55MSw � 9 $�L� I
/r A� a4 .
\- j
\ 7117 34 M •i I
qu \X A\
0.7791
X
14 70,0.7104 sq. R.
a.7M.De
SITE DATA -
ACREAGE IN TOTAL TRACT TO BE SUBDMDED:---5.464 acres
MINIMUM BUILDING SETBACK LINES: ACREAGE IN PARKS AND
OTHER NONRESIDENTIAL USES: ----------NONE
FRONT ------------------35 FEET ACREAGE IN ROAD RIGHT OF WAY - - - - - - - - 1.291 acres
SIDELINE---- TNG STREET
----- 2 FEET TOTAL NUMBER OF PARCELS CREATED: ------6 LOTS
SIDELINE ABUTTING STREET ------25 FEET ACREAGE IN SMALLEST LOT: ------------0.622 acre LOT 6
REAR -------------------35 FEET FROM PROJECT BOUNDARY OR ( )
50' FROM 760' CONTOUR LINE (TYPICAL) LINEAR FEET IN NEW STREETS: ----------NONE
NOTES:
AS OF THE DATE OF THIS RECORDING. THE LOTS REPRESENTED ON THIS PLAT 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 VTIUTIES 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, EFFECTIVE DATE March 18th, 2008
LOTS 1-6 IN THIS SUBDIVISION WILL BE SERVED BY INDIVIDUAL SEPTIC SYSTEMS AND WATER BY
COMMUNITY WELL.
THF: 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.
TMC SURVEYED PROPERTY DOES NOT LIE WITHIN THE U.S. DEPARTMENTS OF INTERIOR'S
NATIONAL REGISTER OF HISTORIC PLACES.
OWNER/DEVELOPER
SLF II - N OLIA 4S JV, LLZr
P. 0. BOX 3965
MOORESVILLE, NC 28117
MINOR SUBDIVISION PLAT FOR
SISTERS COVE
PHASE N
AM A PORION OF LOT 27 - NYSE V - PA 61, TG. 123
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2351 SIMONTON ROAD
STATESVILLE, NC 28625
PHONE [phone]