20171610 Ver 1_Shoreline Stabilization_20171212

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 136
Ip �;� �7--=.-j
i 2017
a:
PLAN NO. " 'PARCEL ID: 4648467564.000
STREET ADDRESS: 155 Little Indian
Please print:
Property Owner: LakeWalk Waterfront LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Michael Wetter
(Contractor / Agent)
of Nest Homes
(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):
PO Box 3965 Mooresville NC 28117
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Z-,4� JA W W49ZMWPVAOA44CL
Authorized Signature Authorized Signature
Date: i-�i4s� e-* Date:

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Divlslon of Water 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
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: LakeWalk Water Front, LLC
Mailing Address
PO Box 3965 Mooresville NC 28117
Telephone Number: 704-208-4251 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.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: Nest Homes, LLC
Company Affiliation: Project Manager
Mailing Address: PO Box 3965 Mooresville, NC 28117
Telephone Number: 704-433-9947 Fax Number:
E-mail Address: [e-mail]
Person to receive the Certification Approval: Nest Homes/Michael Wetter
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.
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):
LakeWalk - Lot #136
Directions to site - please include road names and numbers, landmarks, etc.:
1-77 S to NC150. W onto 150. R onto Bluefield. L onto Big Indian Loop. Right onto Big
Indian Loop. Continue straight onto Little Indian Loop. Property is on left.
Latitude (in decimal degrees) 35.622420 Longitude (decimal degrees) -80.868645
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): new home being constructed in new development
6. Property size (acres): 0.439
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): Construction of seawall to prevent further erosion
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:
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:
1000 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
9. 6L)&t2'L'
Owner/ gent's Signature* [15A NCAC 02H .0502(f))
12/1/17
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
S
E
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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CERTIFICATE OF OWNERSHIP AND DEDICATION
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149'011 IF / 3'421 ACRES DEDICATE THE 50' PUBLIC UTILITY EASEMENT
AREA M P4NF'
11.719 s RECORDED IN PB 65 PG 30 AS A PUBLIC RIGHT OF
/ 0.239 ACES WAY
WIIINISSINBook
SUBDIVISION PLAT
Drawn By KPJ
LAKEWALK
t�
PHASE -1 MAP -6
•Ps
17 SINGLE-FAMILY LOTS. 2 COMMON OPEN SPACES
DAVIDSON 7WSP, MOOR LE. IREDELL CWMY. NORTH CAROLIN
PREPARED FOR/OWNER:
IRON PIPE ',
BLUEFIELDS OF LKN, LLC
(FOUND)
PO BOX 3965
MOORESVILLE. NC 28117
BLLIEFEtDS OF LKN LLC
OR 2332• 1532
��S PW: 4040-I-4 S-8843
_
TtITAt .WF4 THE PURPOSE OF THIS PLAT IS TO RECORD LAKE.
:KLi RSFm/ 7.879 ACRES SUBDIVISION, PHASE 1, MAP 6; ALL PRIVATE STORM
Oats Nr WAN DRAIN EASEMENTS 'PSDE'; DEDICATE PUBLIC AND
fi5,790 5F / 7,510 ACRES PRIVATE RIGHT OF WAYS, CREATE 17 SINGLE FAMILY
OAEA N Les LOTS AND 2 COMMON OPEN SPACE LOTS AND HERES
149'011 IF / 3'421 ACRES DEDICATE THE 50' PUBLIC UTILITY EASEMENT
AREA M P4NF'
11.719 s RECORDED IN PB 65 PG 30 AS A PUBLIC RIGHT OF
/ 0.239 ACES WAY
WIIINISSINBook
Apowsp
rranspErtatiOn R In1rastrUCtUr•
129 TRIbut Rd., SDIe A - W - ft. NG 28117 • 70C462-0IOp
Waw.wspgmpCoo,
�� Rases
Drawn By KPJ
Date Job No.
APRIL S. 2017 13-4004
Surveyed By TCB
Checked By KPJ
Scab Shest NO
1' = 60' 1 OF 1
Ho. 150