20180018 Ver 1_Shoreline Stabilization_20180102

State of North Carolina
Department of Environment and Natural Resources
Division of water Resources
DWR
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing
:;��uvl�D
oz2ois I
Telephone Number: 76 q • (0 14? -39&Q Fax Number:
E-mail Address: Ai I Ver-hliri►mcr 1 nc__(Q0.61 • CUYYI
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
ORIZATIONn/FORM.pdf) must be attached if the Agent has signed this application form.
Name: E%Z n F�eiea e S
Company Affiliation:
Mailing Address:
Telephone Number: Z64- &(12 JD -51 L I Fax Number: `10iQ_ - 69(Q_9
E-mail Address: (1 A1C Stli) odks igD_ w t rua►5�rer� , ajc-+,
Person to receive the Certification Approval: L& � 66ne— ti �2�Le_ i"
11. 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: SSCP 10-2013 Page 1 of 4

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) j
County:-ffit4k6_n6UA-a _ Nearest Town: r-61-1I-(u„S
Subdivision name or site address (include phase/lot number): V%-e e
ao s4a Ha,7�c1-s J. I`o± ta, 0 6i_ne-1 , V`s
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees) 35. 44![o -1 43 1 Longitude (decimal degrees)
5. Describe the existing land use or condition of the site at thetimeof this application
(residential, undeveloped,'etc.): Iarne_.,bQin� 6. Property Property size (acres): %S'%
7. Lake/ river/ ocean adjacent to property:
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):, -�La jk ,r e_ prQ j h �r1
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:
-' (0e.1 O L -LD
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: Q�
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): Cn.55 ��n"P�
[15A NCAC 02H .0502(f)]
'Agent's signature is valid only if on authorization letter from the owner is provided.
FORM: SSGP 10-2013
Page 2 of 3

Lake
(At Full Pond/ Normal Water Level)
Full Pond/ `
Normal Water Level 10210c�.�
Shoreline
_/144
0649v NaA6 e q
�6I-n.VjF L)' -s f NC_. a�a31
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 eXCdvatioll or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 7 5-9 Z
,{ t 'W—
�I---_County-ak1 S ' C�P��c•
owner: Q 1 „� Zj �] W�.0 � LL_ C
Print Signatu
Contractor/agent: C d C - ~� _b_., � r �l C
Print Signature
application is a violation of the Buffer Rule. Site specific work should be provided in the applicThe approval is for the purpose and design described in your application. Impacts not indicated in the
02H .0506 and 15A NCAC 02B .0243(8)] ation. [15A NCAC
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.0243(6))
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B.0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described_ The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B.0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notifrcotion
K
axe4j 10-! Y' hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (owner): Date: I I I `� 76 1-7
state of North Carolina 1 Environmental Quality i Water Resources
512 N. Salisbury Sheet 11611 Avail Scrvicc Center I Raleigh. NC 27699-1611
919.707 9000

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Radius Length
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204.50' 177.36'
Chord
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171.85'
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PARCEL 00144175
by the Cornelius Flood Damage
MARTIN & CARPENTER
Pruention Ordinance."
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L2 S 49'51'31" E 76.05'
L3 N 86'04'22" E 24.96'
L4 N 84'49'04" E 11.82'
NOTES:
• PROPERTYRAY BE SUBJECT TO RECORDED OR
UNRECORED RIGHTS OF WAYS OR EASEMENTS
NOT OBSENED
• OWNER TOVERIFY ALL SEIBACKS AND ZONING
REGULATIaRS PRIOR TO ANY PUNNING OR
CONSIRUEION.
• DIMENSIO16 OF ALL MPROVEME4TS SHOWN ON
THIS PLAT SHOULD NOT BE SCALED OR RELIED
UPON FOI DESIGN OR CONSTRUCTION WITHOUT
A FIELD WRIFICATION OF ALL DIMENSIONS.
• DIGITAL CAES OF THIS FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED ECR DESIGN WORK.
• ALL UNDBDROUND UTILITIES ARE NOT SHOWN HEREON.
I 3
"Alq construction or use within the
-
areas delineated as iloodway are
sUE;ect to the restrictions imposed
by the Cornelius Flood Damage
N
Pruention Ordinance."
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APPROX. FEMA FLOODPLAIN
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ANY POCKS, PERS OR OTHER-
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^. BAR NOT SH& ON THS r.
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..SURVEY PLAT --
S 81.07'04'i
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EX. #4 PIN
40 0 40 80 120
GRAPHIC SCALE —FEET
PRELIMINARY SITE PLAN
FOR
LOT #12
KEEL BAY
L07 #12 OF KEEL BAY
AS SHOWN IN PUT BOOK 61 PAGE 868
LEMLEY TOWNSHIP - MECKLENBURG COUNTY
SCALE: 1" - 40'
DEDMON SURVEYS
CHUCK POOVEY, PLS #3762
ROBERT DEDMON, PLS #3899
3704 NC HIGHWAY #16 NORTH
P.O. BOX 494 . DENVER, NC 28037
PHONE: [phone]
FAX: [phone]
SEAL
L-3762
I, DAVID C. PaovEY, CERTIFY _TI156( THIS PUT WAS
DRAWN FROM AN ACTUIL SU MADE UNDER MY
SUPERVISION (DB , PO XPB 61. PG 868; TNAT THE
RATIO OF PREOSION AS CALCULATED EXCEEDS
1:10000; THAT THIS PUT WAS PREPARED IN
ACCORDANCE WITH ES 47-30 AS AMENDED,
WITNESS MY ORIGINAL SIGNATURE, REGISTRATION
NUMBER
�AND
� SEAL THIS 1 DAY OF OCT., AD 2017.
7tJ L-3762
PROFESSIONAL LAND SURVEY LICENSE NO.
SURV. BY: NOT DRAWN: CP JOB/ K NEEL12
VICINITY MAP
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Cornelius, NC 28031
Map data ©2017 Google 100
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OW[ OSS AS%.NSp.E
AN OPD E01o2`D31. 30102/038 k ]1871/021
AS SOURCE Or ]RLE
• TNA E MPC°OE SUS0.m1EC� 10 <IN[E^ O A LM ONIgNS Of NC 10YM ORM1LlIlM150
WE
LOT 9 10,000 SF
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(NE w" C%PMSOH)
O
/
• PROPERTY MAY 8C W54CT TO RECORDED OR
UNRECORDED RIONIS W WAYS OR wrl'tNIS
NOT ED
SANDRA SAME
28987/012
LOT 10 10,000 SF
SEMACP5: FRONT - 25'
REM - SO' IRON WE
�L
• ONN[A f0 LTAPY ALL SEIBACXS MO 2WIW
To
OR
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PIP
REGULATIONS PRIOR f0 AM PLANNING
CCwSTRI1C"o".
BY PK SOWN OF CORNCUUS OR uccn IIBURD COUNTY. YAx
E IN" 9 IS 2<2 AND PER LOT ALLOWABLE INPCMIWS
LOT 12 10,000 SF
an I i4
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• C1KNS0115 M All INPNOVEAIwTS SNOTN ON
THIS PLAT SHOULD NOT a SDIED OR pELEO
UPON For, DESIGN 011 [OAASSRUCnON MINOUT
A FIELD VERIFICATION Or ALL NUENSIONS.
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S:I' 10 �I',1
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AGENCr. ...
• ALL MEA CALCULATED OY THE COORDINATE UETIOD. 10 R ]0 SOI, TR
• NO xQS CONTROL NMUMDITS FOUND MTM" 2000'
• ALL D3TMCES SNONN ME GROUNO DISTANCES I 33' SNR, TRI
• THE PURPOSE Of TWS YM IS FOR NCM LOT RCCO(ROAT17OH
32948 SF I Ord,
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POST-CONS'FUCnON StOnM WATER ORNNMC OUmNO oEvfIOPNU<T ANO REOLVELOPMEM
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PARCEL 001/4150
• TOTAL ACREAGE OFPgOIECT - 16.008 AC,1-
• "IN. A,P EACE Or PHASIC I NM 2 (TNN SHEET) 4.101 AC..-
SANDRA SAME
28987/012
• TOTAL KREAGE N SMMI R/W TWS SHEET - 0.4AI AO.H-
• FROPERTr ZONED CR PB 21-321 LAT #'3
SEMACP5: FRONT - 25'
REM - SO' IRON WE
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AND AN6 SUBJECT 70 ANT RESFPFCLIMS AS DESCJRBED
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BY PK SOWN OF CORNCUUS OR uccn IIBURD COUNTY. YAx
E IN" 9 IS 2<2 AND PER LOT ALLOWABLE INPCMIWS
PB 21-321 LOT y8
PMDtL ON44177
BRUCE NARSCHNSR
10697/940
PO 91-321 ]LOT 14
1 2
B61 - PBBS
16.998 KC-.+- TOTAL PHASE 1 DEED 3i0
10 t 7D 6NNR ,R. 4 192 AC +- TOTAL THIS MAP MECKLEN
•
32948 SF I Ord,
2132/019 $I&
FPC 7422'
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PLA7 BOOK 38 PAGE 151
PARCEL 01141 VS
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CURVE TABLE
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PUT BOOK 59 PAGE 469
MARTIN & CARPENTER
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CALL TABLE
ARLES MLC "'E' " IN TABLE OELOW. E
• ITECIPAIED DRINNIND WATERSHED: WE 14R IN WA1E115HED D � C2.
• M. WATEPSNCD: LMC NDRUW WATE-ED PARCEL 00113203 a
` COMPLw M THE POST -CONSTRUCTION STORM WATER ORDINMCE
Gr RCDVRFD. DAVID BEATTY c
• UAINTNYEO m SPACE
IC XNKOWPIIER5ELNEA�EOR ASSlPIs OWNED ANN 12611/519 - m
10
49,90
PAROLE 00113213 ,
SHARLJNE m ,
BE 7 1
3007/178 '
-- - -COS GREENBELT^b
PARCEL WTI 207 - 0.472 AC +- - y
- '20567 SF
BEATTY TRUST E '
29148/213 so. plri
OJ. PINCI¢O PIPE 5 66'2934 -Rj of
PARCEL ON13S08 7jr r)
LiLLY MCCOY N N
27924/990 EE &
/4 PW
IA•M RWAv4:D or 6M Ai-w<t ✓ - -�-� � PARCEL 0011.1111 +
ETHYL BEATTY 0 ANE
-E ff4 Irl
0.781 AC.+-
�' 33102 SF
32948 SF I Ord,
2132/019 $I&
FPC 7422'
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Ler•4r�t`
TOWNSHIP
MECKLEN RGCOUNTY, NC
\\00
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! -
ARLES MLC "'E' " IN TABLE OELOW. E
• ITECIPAIED DRINNIND WATERSHED: WE 14R IN WA1E115HED D � C2.
• M. WATEPSNCD: LMC NDRUW WATE-ED PARCEL 00113203 a
` COMPLw M THE POST -CONSTRUCTION STORM WATER ORDINMCE
Gr RCDVRFD. DAVID BEATTY c
• UAINTNYEO m SPACE
IC XNKOWPIIER5ELNEA�EOR ASSlPIs OWNED ANN 12611/519 - m
10
49,90
PAROLE 00113213 ,
SHARLJNE m ,
BE 7 1
3007/178 '
-- - -COS GREENBELT^b
PARCEL WTI 207 - 0.472 AC +- - y
- '20567 SF
BEATTY TRUST E '
29148/213 so. plri
OJ. PINCI¢O PIPE 5 66'2934 -Rj of
PARCEL ON13S08 7jr r)
LiLLY MCCOY N N
27924/990 EE &
/4 PW
IA•M RWAv4:D or 6M Ai-w<t ✓ - -�-� � PARCEL 0011.1111 +
ETHYL BEATTY 0 ANE
-E ff4 Irl
0.781 AC.+-
�' 33102 SF
1201481
2132/019 $I&
1- -
PHYSICAL SURVEY/ FINAL PLAT
FOR
FEEL AY
PHASE ONE -MAP 2
INVOLVING PARCEL 00113202, 00113229 h 00113224
OWNER: KANEEL BAY DEV., LLC
19926 SCANMAR LN
CORNELIUS, NO 2803E
1 8
L/ -y-.•,' ae3�D 11i 114350
/7S0
1,772"_
10 1
N /
2`• 3� JQ /
1
\ xt\
0,752
C
32774 SF
\ FPC 782.2'
N BB'J '09-E 214.22'
---._-----
-- - --
I2o5o47
O % PIN
1.008 AC.+- / cx. w
43934 SIF 15 PN
FPE 762.2' _ ppEx15
A. Ytt ALMIu ew svWvw wM .1
1201481
2132/019 $I&
1- -
PHYSICAL SURVEY/ FINAL PLAT
FOR
FEEL AY
PHASE ONE -MAP 2
INVOLVING PARCEL 00113202, 00113229 h 00113224
OWNER: KANEEL BAY DEV., LLC
19926 SCANMAR LN
CORNELIUS, NO 2803E
1 8
Ex.
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TOWNSHIP
MECKLEN RGCOUNTY, NC
SUF1V. BY: CP
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LEGEND
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MAPS AS NOTED
FILED FOR
REGISTRATION
SEP 19 201
Ai
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STATE OF NORIII CAROUNO
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SCALE: V. WA 60'
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OWNER: KANEEL BAY DEV., LLC
19926 SCANMAR LN
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PHONE: 7o4/483149o8
FAX: [phone]
WWW.DEDMONSURVEYS.COM
TOWNSHIP
MECKLEN RGCOUNTY, NC
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B61 - P869
FOR REGISTRATION
Fredrick Smith
REGISTER OF DEEDS
Mecklenburg County NC
2017 SEP 19 12:25:0 PM
BK:61 PG:868-869
FEE:$21.00
INSTRUMENT # 2017126620
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