20171297 Ver 1_Shoreline Stabilization_20171011

DWR
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 1SA NCAC 02H .OSOO — 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:
1
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)]
Owner Information
Name:
Mailing
OCT 1 :1. 2017
D -WATER RESOURCES
401 R Rl1FFFR PFR6AITTING
Telephone Number: ?V • _" - 4 '5!3 Fax Number: UA
E-mail Address: ��hrei j R50 4m 1 I, cirm
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
httpl/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: e N D r 1'YVI.n �I�o.�nti N s �L n] A j >t1 e/ �,n c••�r� nwQ
Company Affiliation:
Mailing Address:
�J Mt
Telephone Number: '1124 LO d Fax Number: '� d . ldoeq 1/2-3 2-
E -mail Address: •
Person to receive the C ification App oval: J i
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

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.
I 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: rPAp'li Nearest Town:p
Subdivision name or site address (include phase/lot number): ltSe.S 1&
Directions to site - please include road names and numbers, landmarks, etc.:
Sce aft Pli�cl
Latitude (in decimal degrees�.�7 Long ltude (decimal degrees)` �-1'���j
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): re 51` e
6. Property size (acres):
7. Lake/ river/ ocean adjacent to pr6perty: _Kf CW- rlAa V/
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): d Qr—�{
brp Ci i n' �t 1 lv 5' 1
et- tva
9. Will work be conducted from land?
❑ 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:
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:
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):
SPS
Owner/Agent's Signature* (15A NCAC 02H .0502(f))
9-/'3--/7
Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

Full Pond/
Normal Water Level
Shoreline
Lake
(At Full Pond/ Normal Water Level)
U.�c'h9 g'x /a� g/
Pt" t"-44�
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

LOT 75 / ' V7
188 NSS-Y9W 40.11 \ (-ierB
180 N56 -33E 78.16 - CRESCENT LAND A TIMBER CORP.
tat NO' -33E 79.52 ( C. H. BROWN 1
192 NOS -13E 28.{6 \ 1.P IN
193 N69 -24W 91.92 212 U . M . I - ( 33
LOT 78 YOB
o
194
r422 -sow 38.62 I.PIN
196 N69-4BN 91.52 LOT 83 276
IBB M35 -22W 111.80 0.77 ACRE w $ 760 CONTOUR
LOT 77 _ LOT 84
186 50.31 0.67 ACRE I'PIN
197 N17 28N LOT 85 216
lab NIS -20E 80.110 .e }rm o"'
199
NIS -20E 61.18 207 m r h 0.67 ACRE
LOT 70 1 -PIN LOT 82 1 .PIN
'
0.53 ACRE o.90. 70, % n 217
2.0 NOt-k7W S6.52
° .. 7.69
221 Nt3-DRE 511.01 ].PIN �� a LOT 86
202 LOT 79E 07.41 �SF.F9y I.P IN Sp 1Q?.DVy v"~ D.71 ACRE
to O 218
•'PO Cp by P I. PIN 1 .P 1 N
203 N9e-IOC 58.68 LOT 8]
Y04 Nll-83E 72.88 q•m / F,. 4~Na LOT 67
LOT SO Y 0.81 ACRE I.PIN ¢ / 4 $0sB 0.77 ACRE
11-20E Vv206 206 \ / I.P IN206N36-31W 81.30 D: I.P1N WBY-68W it
�o
N.
LOT BI Z 246.77 ` h4j, : LOT BB 2Y0
za7 N07 -41C 208.96 !y
].PIN
LOT 82 LOT 80 O1 / 1T b 0.74 ACRE
207
208 N35 -49E 75.95 ` �--_�� 0.71 ACRE Ii s / �. C I.P 1N
209 N50 -25E 125.00-�60' +�.P �• �'
697.000 LLI201
LOT 83 �„ Aa18.2
209
210 ].PIN N62 -36N
. A p
187.59 p '� + \ �'PO / C� 687.000
211 N76 -17E 3B •20 O �CMOON,
212 BBB-3OE 108.07 Q Av42 71 t y N. 89fi .983 .OB
\
LOT 84 <J'Y E• 1.439.6 a2 .52
LOT 79 JJ
212 874-34E 68.00
213 -J 2112 0.60 ACRE °� y
210 357-96E 81.88 a
Yi5 N56 -DIE 69.85 ].PIN NBI-96N "+ Z r0
LOT as / Tls.gy j CRESCENT LAND 4 TIMBER CORP.
218
S63 BE 169.29 1[ 820-19N 41.17._ �•P1N ( 8057. CLINE 4 COMPANY I \ a
LOT 56 LOT 78 U. M. I . - 116 'I''o
216 866-27E 149.61 O.ACRE ,? I /`i0
\ \ O\ \
LOT 87 189 ?//2
\ \
218 661-IBE 153.11 I.PlN N8j-39N ¢
s
Loi ee 760 CONTOUR = �\
215 707.04 847-69E 75.66 LOT 77 c \
220 893-64E 85.45 0.72 ACRE u 9-vj
Ac9.05 -- -- T- ` SELL
CRO58�
571-O 40 m / ELATION 6 IR DEL
tae Z83.g8�COU�NTY +�
].PIN LOT 76 a 4b I
0.79 ACRE ].PIN I �7ry
,05`�� 9� .9 6 N3✓ CATAWBA
COUNTY 7�y�roeLE
193''r GEOGRAPf1 IC ^LOGA1FION
].PIN LOT 75 ¢ ` SCALES 1 = 2 MILES
N 0 T E 5 0.78 ACRE ------_�JJJ
DUNE POWER COMPANY TO CRESCENT LAND 4 ..
TIn9ER CORP. DEEM 800K 401 PAGE 91. y
DATED MAY 1. 1969
'e ryg4
BUILDING SETBACK LINES ARE 25 FEET FROM
ROAD RIGHT OF NAY. 60 FEET FROM CONTOUR LOT 74
ELEVATION 760. U.S.O.6. BER LEVEL DATUM TO CO. RD. NO.
ANO 10 FEET FROM BIDE LOT LINE. 1 -PIN IBB 1300 / ' CRESCENT LAND t TIMBER CORP.
----�_
RLL STREET CORNER RADII ARE 20 FEET. \
PROPERTY LISEE OND. NO. LAKE NORMAN
NE DISTANCES ARE COMPUTED TO \ / C. F. IS - D MAP OF
POINT OF INTERSECTION AT STREET CORNERS. RECRERTI ON L07S
PROPERTY LINES KNOWN WHICH FORK THE toot SECTION 1 6
OP LAME NORMAN FOLLOWS CONTOUR ELEVATION
760. 1 U.B.o.e. BER LEVEL DATUM 1 LOTS 7 5 -88
P••L.ih r�',ni, nl rr rl,r='u.1.r.In,l,r�'.4.tulurl''r y.r.,nl".r•Ir.u.t.r
\_ DRDEOSON OUONN6MNP
I
C. 5 e
° 1O0 m , 400
SCALE 1'• z 100' SEPTEMBER 12, 1975
n16C. BOON WO. 393.384.4 905 OWO. NO. C F 16-E

1014/2017 Bing Maps - Directions, hip planning, traffic cameras & more
LV bing maps
A Marshall Steam Station, 8320 Nc Highway 150 E, Terrell, NC 28682
B 214 Tennessee Cir, Mooresville, NC 28117
22 min, 9.3 mi
Moderate traffic (16 min without traffic)
Via NC -150, Perth Rd
Marshall Steam Station
Depart NC -150 toward Greenwood Rd
3.8 mi
*1
2.
Turn left onto Perth Rd
4.0 mi
+1
3
Turn left onto Fern Hill Rd
1.0 Ml
4.
Turn right onto Tennessee Circle
0.5 mi
Arrive at Tennessee Circle
------ — - -----
5.
The last intersection is Tennessee Circle
214 Tennessee Cir, Mooresville, NC 28117
httPS:IANWW.blng.coffilmapslde%ultaspx?dV-adr.-pos.35.5272560119629--80.9198913574219-145+Mitford+Cir%2c+Mooresvifle%2c+NC+28117-14... W

tsing neaps - Directions, trip planning, traffic cameras & more
214 Tennessee Cir,
Mooresville, N628117
Marshall
Steam Station —:
,r.
Is Bing =_., =12"On say
:. Marshall Steam Station, 8320 Nc Highway... 214 Tennessee Cir, Mooresville, NC 28117
S
71
T•
- y
150
Lake Norman of
Catawba
These directions are subject to the Microsoft k Service Agreement and are for informational purposes only. No guarantee is made regarding their completeness or accuracy.
Construction projects, traffic, or other events may cause actual conditions to differ from these results. Map and traffic data t, 2017 HERE-.
haps://www bin9. Wde%UiLaspx?rtp=adr _pos.35.5272560119629 -80.9198913574219 145+Milford+Cir%2c+Mooresville%2c+NC+28117 14... 212

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'lace Name
214 Tennessee Circle Mooresville
Md the country code for better results. Ex: London, UK
Latitude Longitude
35.650732 -80.906324
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