20180489 Ver 1_Shoreline Stabilization_20180405

State of North Carolina
Department of Environment and Natural Resources
DWR
vis Resources
AMI
Division of Water Resources 15A NCAC 02H.0500 — Water Quality CertificattMi SheseJiaeSUbilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form 2 0 f 8
0489
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
RECEIVED
1617 Mail Service Center
SPR 1018
Raleigh, NC 27699-1617
D" -LAND OUAEi�Y
Applicant Information [15A NCAC 02H .0502(a)]
sroRMMk*
1. Owner Information
Name: AIIeyHousellc
Mailing Address: 17626 Randall's Ferry
Norwood NC 28128
Telephone Number: 704 363 8149 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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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 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: Stanly Nearest Town: Norwood
Subdivision name or site address (include phase/lot number): Edgewater Lot 70
Directions to site - please include road names and numbers, landmarks, etc.:
From Norwood, take Indian mound north, turn right onto Randall's Church road.
Take Left into Edgewater subdivision. Follow Edgewater Drive then turn right on to
Old Forest court. Lot 70 is at the end of old forest court.
Latitude (in decimal degrees) 35.279113 Longitude (decimal degrees) -80.099085
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential house under development/construction.
Shoreline is not developed.
6. Property size (acres): 1.17 acers
7. Lake/ river/ ocean adjacent to property: Lake Tillery
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): We will install Rip Rap Shoreline Stabilization.
9. Will work be conducted from land? X❑ 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:
Shoreline is about 160 feet long, we will install about 320 square feet of rip rap
below normal water level.
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: About 450 square feet of rip rap and about 960 square feet
will be landscaped with mulch and plants and trees. We will remove minimum number of
trees.
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): This will impact about 20
trees that we can estimate at this time. We plan to leave as many trees as possible.
Owner/Agent's Signature' [15A NCAC 02H .0502(f)l
FORM: SSGP 10-2013
-/ _,-Z - I Y
Date
Page 2 of 3

"Agent's signature is valid only if an authorization letter from the owner is provided.
Full Pond/
Normal Water Level
Shoreline
VC I)k
�e Ib � �>
�b
Lake
(At Full Pond/ Normal Water Level)
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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Frd 5?A1W O az 25 54 PM BOOK 25 PAGE 22
Suzannew lords. Rwam r D-0 �1) 3975!39
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or:
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Edge Water Developers, Inc.
P.O. Boz 4127 / VdmtnBton. NC 28406
B. Center Twep.. Stanly County. N.C.
t•+� For Reference See;
wlrYrata�+. D.B. 1225. PQ02 / PIN: 6575-01-17-8295
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Filed: 02/06/2018 11:49:09 AM
Suzanne W. Lowder, Register of Deeds
Stanly County, NC
i
REAL ESTATE EXCISE TAX: $190.00
NORTH CAROLINA
BOOK 1637 PAGE
�I 1y3J](2)1111111111
GENERAL WARRANTY DEED
Excise Tax: $190.00 Recording Time, Book and Page
Tax Map No. Portion of 6575-0)-17-8235 Parcel Identifier No_
397618
_s Mail after recording to: Alley House, LLC, 17626 Randalls Ferry Rd., Norwood, NC 28128
This instrument was prepared by: Robert W. Odom, a licensed North Carolina attorney. Delinquent taxes, if any, to be
paid by the closing attorney to the county tax collector upon disbursement of closing proceeds.
THIS DEED made this 5t' day of February , 2018 by and between
GRANTOR
EDGEWATER DEVELOPERS, INC., a North Carolina Corporation
P.O. Box 4127, Wilmington, NC 28406
GRANTEE
ALLEY HOUSE, LLC,
a North Carolina Limited Liability Company
17626 Randalls Ferry Rd., Norwood, NC 28128
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain
lot or parcel of land and more paftularly described as follbws.�
Being all of Lot 70, containing 1.17 acres, as shown on a Plat of Property Surveyed for Edgewater Developers, Inc., revised
February 2, 2018, and recorded in Plat Book 25, page 230, Stanly County Registry.
The above-described lot is subject to restrictive covenants as shown in Master Declaration of Covenants, Conditions and
Restrictions for Edgewater on Lake Tillery, recorded in Book 1250, page 81, Stanly County Registry. Also see Amendment to
Master Declaration of Covenants, Conditions and Restrictions for Edgewater on Lake Tillery recorded in Book 1604, page 135
For reference see deed recorded in Book 1225, page 102, Stanly County Registry.
There is also conveyed a non-exclusive right of way and easement which runs from Randalls Church Road (SR 1743) to the
above-described lot as shown on plat recorded in Plat Book 20, pages 234 and 235, Stanly County Registry.

Al or a portion of the property hereinabove described was acquired by Grantor by instrument recorded in Book 1225, Page
102, Stanty County Registry.
A map showing the above described property is recorded in Plat Book 25 Page 230 and referenced within
this instrument.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the
same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the
title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
THE GRANTOR(S) AFFIRM THAT THE ABOVE-DESCRIBED REAL PROPERTY DOES, X DOES NOT
INCLUDE THE PRIMARY RESIDENCE OF THE GRANTORS.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this
instrument to be signed in its corporate name by its duly authorized officer(s), the day and year first above
written.
(SEAL)
NORTH CAROLINA,
STANLY COUNTY.
I, a Notary Public of the County and State aforesaid, certify that
personally came before me this day and acknowledged that he is
z j�_President of EDGEWATER DEVELOPERS, INC., a North Carolina corporation, and
acknowledged on behalf of EDGEWATER DEVELOPERS, INC., the due execution of the foregoing
instrument.
Witness my hand and official stamp or seal,
My Commission Expires: - 4
thisJte% � day of February, 2018.
(SEAL)
N TAR PUBLIC
rint Notary Name:
NOTARY
PUBLIC

11