20171083 Ver 1_Shoreline Stabilization_20170828

0 1 7 1 0 8 3
State of North Carolina
Department of Environment Quality
Division of Water Resources
.,��_W_ 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
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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 Centers.!
Raleigh, NC 27699-1617 0 �� 'n
s� Mb t68 pC' 'A07y
I. Applicant Information [15A NCAC 02H .0502(a)] r;N41- -it
1. Owner Information
Name:
Mailing Address: 95a ?�'(-V_da l
KC ag j�� g
Telephone Number: Ci$0--1'n- X41 I.-=), Fax Number:
E-mail Address: n'1Fo_cr^�er @ 3;�Qo_c t('CA_f'et'
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.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: L2c fbo_16;�h
Company Affiliation: `111E 1k6t C
Mailing Address:
Telephone Number: Fax Number: -7c>4- 663 6 --)qv,
E-mail Address: 1_`pv--l� 1 l� >r�1Qf���Jl a-�C CC, ti0cru .. Co,.' -A,
Person to receive the Certification Approval: -N^
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: SSGP 10-2013 Page 1 of 3

r
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.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sort- a yard stick, shovel handle, etf.)
4. Location of the property (where work is to be conducted)
County: Z.tQck C k Nearest Town:
Subdivision name or site address (include phase/lot number):
C\ -,e e lLo.� LA
Directions to site - please include road names and numbers, landmarks, etc.:
e Xi\-�J i Ltr,F�i- 00-1 l'��ci�I
t� Sc F�ac31 �
L'"A.
35�)
L s? � c� �S\Q of ���5 K U 9 -\
Latitude (in decimal degrees) 3S, 553(.-%3 Longitude (decimal degrees)
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.):
6. Property size (ares): O. 3-15
7. Lake/ river/ ocean adjacent to property: L_-PJI:..e 14 c r Z ---c"1
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): N/
9. Will work be conducted from land? ❑ From water? 9
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:
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: 0
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): _
above. n av rn e -V_ poa I nor 1N SI FT ,
Owner/Agent's Signature
Printed Name
[15A NCAC 02H .0502(f)]
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Date
Page 2 of 3

Full Pond/
Normal Water Level
Shoreline
(At Fulln 1 ter Level)
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o `jtktl MU 1)F— D (Sil)28A W'F—
Ko s�
No F�� �S S G S � ►SF�4D�D
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Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 10 ftx 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

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
41 PLAN NO. PARCEL ID: 4636022142
STREET ADDRESS: 265 Cove Creek Loop Mooresville, NC 28117
Please print:
Property Owner: Peachtree Residential
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Leah Smith
(Contractor / Agent)
of The Rowboat Company, Inc.
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
9525 Birkdale Crossinq Blvd. Suite 208 Huntersville, NC 28078
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Ave
Authorized Signaturree` / Authorized Signature
Date. Date:

ROWBOAT
Dock & Dredge
858 Williamson Road
Mooresville, NC 28117
[phone] [phone] (FAX)
www.rowboatcompany.com
August 2, 2017
N.C. Department of Environment Quality I
Division of Water Resources, 401 & Buffering Permitting Unit D D
1650 Mail Service Center
Raleigh, NC 27699-1650
AUG
REF: Lake Norman— Peachtree Residential
Dear Sirs and/or Madams,
Our firm is processing this application on behalf of the attached applicant, to remove
approximately 167 cubic yards of material from Lake Norman, Iredell County, North Carolina
(265 Cove Creek Loop, Mooresville, NC 28117).
A copy of the Duke Energy Company application, pertinent drawings, and a location map are
enclosed for your use.
We look forward to hearing from you at the earliest time possible.
Sincerely,
Leah Smith
Sales and Project Manager

Duke Eneray Excavation Permit Application Form
Part It. Description of Project
A. BASIC INFO
1. Type of excavation: (check one) © New excavation ❑ Maintenance excavation
2. Purpose of excavation: (check one) ECJ Boat Access Channel
❑ Water Intake Channel ❑ Wastewater Discharge Channel
❑ Other (specify):
i
3. Lake user category: (check one) -Private ❑Residential Marina
❑Commercial Marina ❑Public
❑Other (specify):
4. Max. Excavation Area Dimensions (ft): Length 1-9 5 ' Width Q
Depth , ; '
(Note: include additional area dimensions if necessary so response to #S below equals max. area
dimensions in #4)
5. Volume of Excavated Material (TOTAL for the project): 1 L Cubic yards
6. Type of material removed (applicant determines by field sample if practical): I i
7. Excavation Site area: 8 1 G Acre (s) Disposal Site area:
(s)
8. Total Disturbed Area (including equipment staging area): r � G
Acre
Acre (s)
9. Does tl}e project meet the requirements of the applicable General Permit? (check one)
©Yes ❑No
r
10. Do you claim title to the disposal area? (check one) E]'Yes EJNo
11. Do you claim title to the equipment staging area? (check one) `©Yes ❑No
12. Are there any water-tpatment facilities within 50 feet of the proposed excavation area'?
(check one) ❑Yes QNo
ijr,(*v,,. ;r"Ne
13. How will the excavated material be entrapped and the erosion controlled? (e.g. see attached
erosion control plan and disposal area design):
Duke Energy Page 6 of 14 rev 216/17
Excavation Program

Duke Enerw Excavation Permit Application Form
14. Type(s) of excavation equipment to be used: t� r- <' F- r� C�- r
1
15. Will waters or wetlands be crossed in transporting equipment to or from the site?
(check one) ❑Yes ©"Ni o
(If :yes, explain)
16. Will return water re-enter the reservoir? (Check one) C7Yes ❑No ❑N/A (If Yes, specify
point(s) of re-entfy and show on Excavation Area Drawing) ;> r
17. Is there an exiting facility (e.g. pier) that access is being maintained to by conducting the
excavation? Oyes ❑No
(If Yes, specify the existing permit number. If No, include a scaled drawing of the proposed
facility). Permit # i 3 c� C-'!
1 S. Total planned duration of the work (Include first equipment mobilization, excavation
through final mitigation measures complete):
START rrt / '�— FINISH / t
(Month) (Year) (Month) (Year)
Duke Energy Page 7 of 14 rcv 2;6%17
Excavation Program

Duke Eneray Excavation Permit Application Form
PART It. (Continued)
B. PROTECTION / AVOIDANCE AREA DESCRIPTION
Complete the following table including all land areas within and immediately adjoining the disturbed area:
Protection/Avoidance Areas
(check all that apply)
Approx
Acre
Identification
Method M
Avoid (A) or Mitigate (i11)
Field ID
Work .Area DwL. ID
a. Marshland, swamp, ponds, beneficial
aquatic vegetation or other potential wetlands
(circle all that apply)
b. Buffer Zones (specify width & source
of requirement)
c. Environmental Areas as identified by
Duke Energy
d. Natural Areas as identified by Duke
)anergy
e. Historic properties (specify)
f. Rare or threatened species (specify)
Duke Energy Page 8 of 14 rev 2,1(j/ 17
Excavation Program

Duke Energy Excavation Permit Application Form
Protection/Avoidance Areas
(check all that apply)
Approx
Identification
Nlethod M
Avoid (A) or Nlitivate (NO
Acre
Field ID
Work Area Dwg. ID
g. Buried gas, water, sewer,
communications or electric lines (circle)
h. Impact Minimization Zones as
identified by Duke Energy
i. Other areas requiring specific
avoidance, protection or mitigation (specib))
* For "Field ID" column, specify entity or person that performed the identification and how it was physically marked (e.g. Duke
Energy (John Doe)/Pink and purple -dotted tape, Corps of Eng. (John Smith)/ yellow flagging). For "Work Area Dwg ID" column,
show the symbol that is used on the drawings to identify the protection/avoidance area.
** List and attach mitigation plans
Duke Energy Page 9 of 14
10/17
rev
Excavation Program

To
StatsNll.
VICINITY MAP NOT TO SCALE
SURVEYOR NOTES
1) ALL DIMENSIONS SHOVN ARE N US SURVEY FEET AND DECIMALS THEREOF AND ARE
MMETHOD.TAL GROUND DISTANCES UNLESS OTHERYRSE INDICATED. AREA BY COORDINATE
METHOD.
2) THIS PLOT PLAN IS BASED ON PLAT BOON 51 PACE t5 AS RECORDED AT THE MODETL
COUNTY REGISTER OF DEED&
3) IRIS SURVEY WAg PREPARED W7HOUT 7NE BEl&fTT OF A TITLE EXAMINATION BY AN
ATTORNEY, THE PROPERTY NAV BE -SUBJECT TO R1TXNmEO OR UNRECORDED RIGHTS-OF-WAY,
EASEMENTS, RESTRICTIVE COVENANTS OR CONDITIONS NOT OBSERVED OR SHOWN HEREON.
4) THIS LOT UES WITHIN A SUBDIVISION THAT WAS PREVIOUSLY TIED TO THE NORTH CAROLINA
GRID SYSTEM.
5) BASIS OF BEARNO. PLAT BOOK 51 PACE 15 - GATED JANUARY 10. 2007
d) H All AT ALL CORNERS, UNLESS OTHERWISE NOTED. ALL CORNERS 'FOUND' or 'SET'
ARE lTAIBII WITH THE GROUND, UNLESS OTHERWISE NOTED.
» THE LOCATION OF UTILITIES As SIHOWN HEREON, WHETHER PUBLIC OR PRIVATE, ARE BASED
ON
THE LOCATION O' VISIBLE ABOVE ORCUNO APPURTENANCES ONLY. OTHER UTILITIES WHICH
WERE NOT OBSERVED Alm N07 SHOWN HERON MAY EXIST. IT IS THE ONERS/TENANTS
REOMATIC ON 7p 4 PLL THE LOCATION PRIOR 70 COMMENCEMENT O ANY CONSTRUCTION.
OEOIATIC CONCEPTS, PLLC CANNOT ASSUME RESPONSIBILITY FOR MISIOETITIRcARON OR
OMISSION O UNDERGROUND UTILITIES.
5TH13 SURVEY IS O' AN EXISTING PARCEL OR PARCELS O LAND AND DOES NOT CREATE A
N 911227 OR CHANGE AN EXISTING STREET,
Proposed
eed
House
(St. Mlcheales "
L JIMMY N. FAIRIES. CERTIFY THAT THIS PIAT WAS DRAWN UNDER YY SUP O NSId1 FROM
AN ACTUAL SURVEY MADE UNDER MY THERNSIOM: DEED DESCRpTKIR AND NAP
BODY �. PAGE INDICATED AS DRAWN FROM
IN THAT THE BOUNDARIES NOMT /SlRYE1ED ARMNi/AC�lE1RLY \ /
THE RATIO O PRECISION AS CA.WLATEDFISSI:IO.0004�7- f ,HIS PLAT CATS PREPARED
N ACCORDANCE WITH THE STANDARDS OF PRACTICE FOR LAND SURVEYING N NORTH
CAROLINA Zt NCAC 55,1500j. WITNESS MY ORIGINAL SIGNATURE, REGISTRATION NUMBER
AND SEAL S __ DAV OF 2015•
PRELIMINARY
JIMMY N. FAIRES, PLS
LICENSE NUMBER: L-4371
PLOT PLAN
LOT 41 - CHESAPEAKE POINTE
PLAT BOOK: 51, PAGE: 15
265 COVE CREEK LOOP
DAVIDSON TOWNSHIP, IREDELL COUNTY, NORTH CAROLINA
Prepored For:
PEACHTREE RESIDENTIAL, INC.
7380 MGGINNIS FERRY ROAD
SUWANEE, GA 30024
GEOMATIC CONCEPTS, PLLC
NC LICENSE #: P-1091
470 NORTH BROAD STEM. SUITE A. MOORESVILLE. NC 28110
PHONE: [phone] RNAW 7llp1y,FAMRggGEOHATI000NCEPTS,CO
Drawn B . SI Checked Bvy. ,MF Scale Protect No
Tax PIN: 4638-01-2965 1' = 50' 14034
Data: JULY 25, 2017 Sheet No.
File: 14034-Lot-4l-Che4opeake-Plot-Plon-Rev5.dw9 1 of 1
Found
/4 Rebar
<A
Proposed
Plar
PRB6WINARY PLAN
UNE
BEARING
NOT POR RECORDATION.
L1
CONVEYANCW AND/OR SALES
63.61
LEGEND I
L2
Found
/3 Rab �O
16.57
R/W =Right-of-way
L3
26-15"55 W
TAX ID:4836-02-2142
L4
LOT 37
36
.31
tii
DANIEL & ASHLEY ROHATS
M!
CHORD BEARING
PB: 51 PG: 15
DB:2357 PG:967
. qn
84.91
531'18'56 E
0A
(An€
T
d
S
1A10Nei LOT 41
0.875 Acres
TAX ID:4636-01-3813
LOT 42
MICHEL G JR. & VIRGINIA MILLER
PB: 51 PG: 15
DB:2271 PG:1566
PROPOSED IMPERVIOUS
7255 Square Feel
Vf
GRAPHIC SCALE
sL 2s so
����
o? IN FEET )
1 inch - 60 n.
UNE
BEARING
DISTANCE
L1
N0438 43 W
63.61
LEGEND I
L2
N14:93'P3 W
16.57
R/W =Right-of-way
L3
26-15"55 W
13.98
�r - Not to Scole
I
L4
W2 0-5719 W
36
.31
tii
CURVE RADIUS ARC LENGTH
CHORD LENGTH
CHORD BEARING
m Slam Draln Curb Inlet
Cl 535.00 85.00
84.91
531'18'56 E

Material will be excavated from the lake and pumped by
suction dredge primary disposal basin that is
located just upslope of the 50 -foot environmental
buffer. The effluent discharge will pass thro
relaxing chamber or ugh a
returned to the reservoir thrg pond before being
Pipe. There is currently a silt encecorrugated plastic
in Place
50 foot buffer. At the end of the project lthe
along the
be backfilled and seeded wgrassseasonal be will
g es.
Proposed
House
.see (St. Micheoles "MC—i")
'at�•� f
1�0�-►St'1f N C� 5�,�:
r �
i
Fe d s
IV
-.. Propose
Pier .
UANItL a n%J1 n,.L J.... \
DANIEL & ASHLEY ROHATS
PB: 51 PG: 15
DB:2357 PG:967 n
N6 LOT 41 ~`
10. cc"ma 0.875 Acres
P°'d' Propose
W Concrete
Mak ,��6• eR►✓�+,'``
Amaa M
t Xh--,-d
TAX ID: 4636-01-3813
LOT 42
MICHEL G JR. & VIRGINIA MILLER
PB: 51 PG: 15
DB: 2271 PG: 1566
Cow moor+►% ' $4%S%e1

Design Specifications of Retention Basins
1. Best management practices BMP will be utilized in the construction and maintenance of Basins.
2. If more than one acre of upland is disturbed, then an erosion control plan will be submitted to and approved by the
appropriate state and local authorities.
3. The location selected for the Retention Basins will be such that they can be maintained during the dredging event.
4. Silt fence will be installed around the perimeter of the basins.
5. Two- chambered basins will include a primary collection chamber and a secondary polishing chamber.
6. Basins will be constructed in a rectangular configuration such that the length of the basin is at least twice the width.
7. Internal baffles constructed of compacted earth, turbidity curtain or silt fencing will be installed to increase the travel
distance of the water through the polishing collection chamber.
8. Water discharge from the primary to the secondary chambers will be by gravity through a corrugated steel pipe embedded
and compacted into the retaining berm between the primary and secondary chambers. This discharge pipe will be
equipped with a water -stop or anti -seep device.
9. Return water from the secondary polishing pond will be hard piped back into the water body being dredged.
10. The capacity of the primary collection chamber will be sufficient to contain 130% of the volume of material being dredged.
11. At all times, a minimum freeboard of 2 feet will be maintained in the sediment basins.
12. Untess the contract specifies otherwise, the basins will be backfilled, rough graded and seeded with seasonal grasses.
13. The perimeter sift fencing will remain in place until the grass has rooted.