20181571 Ver 1_Shoreline Stabilization_20181114

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State of North Carolina
Department of Environment and Natural Resources
Division.,of Water Resources
Water Resources 15A NCAC 02H .0500 —Water Quality Certification, Shoreline 5tabihiation
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form 2 0 1 8 1 5 7 1
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: David A Drapalik
Mailing Address: 8870 Graham Point Lane
NOV 1 4 2018
Denver, NC 28037
Telephone Number: 541-777-0202 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Matt Sorensen
Company Affiliation: Sorensen Landscaping
Mailing Address: 20604 Church St
Cornelius, NC 28031
Telephone Number: 704-458-2032 Fax Number:
E-mail Address: [e-mail]
B. 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, buildings, retaining walls, docks, impervious surfaces, 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.
FORM: SSGP 02-2017 Page 1 of 3

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: Lincoln Nearest Town: Denver
Lake/ river/ ocean adjacent to property: Lake Norman
Property size (acres): 0.604 acres
Subdivision name or site address (include phase/lot number):
8870 Graham Point Lane, Denver, NC 28037
Directions to site - please include road names and numbers, landmarks, etc.: NC HWY 16 to
Unity Church RD to Graham Rd to Graham Point Lane to property
Latitude (in decimal degrees) 35. 470071 Longitude (decimal degrees) 80. 964135
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): occupied residential
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Remove existing rip rap; rake, grade & compact soil;
lay & fasten fabric;install natural rock stairs;replace rip rap. New soil & rock
added as necessary. Previous installation lacked fabric causing erosion..
7. Will work be conducted from land?x❑ From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
7.82ft diagonal x 186ft linear = 1,455sf permanent impact below
Temporary impacts in square feet:
Same as above.
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
7.82ft diagonal x 186ft linear = 1,455sf permanent impact above
Temporary impacts (temporary clearing1ccopstruction corridor) in square feet:
Same as above plus approximate Or adjacent construction perimeter and access lane
along side of home to shoreline.
10. 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): Grass lawn fronting shoreline
and access lane repaired after shoreline stabilization is completed. Five trees within
within 50' of shoreline not impacted. No permanent impact to vegetation.
11. Signature
(_=:)C �:� 11-2-18
Owner/Agent's Signature* [15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/ Normal Water Level)
existing pier
5ft x 60ft
II Full Pond/ Normal Water Level
whore
Ir
2 ft. x 1 8 6 ft.
additional clearing
if necessary rock stairs rip rap
Plan View
7 ftXia6ft
Below full pond/ NWL
_ 7 ft X186 ft
Above full pond/ NWL
FORM: SSGP 02-2017 Page 3 of 4
Lake
(At Full Pond/ Normal Water
level)
Existing Dock
30 fta 7 f
3ftr 150 ft
Full Pond/ NormWater Level
Below full pond/ NWL
t — n orelln— —
�e
RI
Rip
_al
4f .lsoft
ra
rap
Alo v full pond/ NWL
2 ft.r 150 ft.
additional clearing
' if necessary
E�'<AMPLE
Plan View
7 ftXia6ft
Below full pond/ NWL
_ 7 ft X186 ft
Above full pond/ NWL
FORM: SSGP 02-2017 Page 3 of 4

2ft add as necessary
7ft above FP
991111— 744 L..J..... CD
Proposed
Side View
U-
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
if necessary
Existing bank
10 ft. bank a
height e
I I rc(40/
i►r
FORM: SSGP 02-2017 Page 4 of 4
P,
fabric
rip rap
2h:1v pitch
7ft bank
Lake
(At Fu I Pond/ Norma
I Water •' M
N
'
M
Eo .
L
L
O
Z
Ln
Side View
U-
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
if necessary
Existing bank
10 ft. bank a
height e
I I rc(40/
i►r
FORM: SSGP 02-2017 Page 4 of 4

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SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 2 PLAN NO. PARCEL ID: Ds:2754-327, unrecorded Plat
STREET ADDRESS: 8870 Graham Point Lane, Denver, NC 28037
Please print:
Property Owner: David A Drapalik
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Matt Sorenson
(Contractor / Agent)
of Matt Sorenson Landscaping
(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):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
`::; �W- C ,
Authorized Signature Aut orized Signature
Date: 11-2-18 Date

NOTES:
• PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED
• OWNER TO VERIFY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
CONSTRUCTION.
•
DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THE PIAT SHOULD NOT BE SCALED OR RELIED
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION OF ALL DIMENSIONS.
• DIGITAL COPIES OF THE FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DESIGN WORK.
• THE PROPERTY E NOT LOCATED IN A 100
YEAR FLOOD PIAN.
DEAN BLACK
DB: 631-811
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NL O TALL BENT 05 PIN
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Course Bearing Distance
L1S 34°56'46' E 25.06'
L2 S 28°17'00 W 1 94.86'
L3 1 6 04°43'52' W 1 60.66'
LEGEND
RSM RINIf-OF-WAY
RL ""°"°IT
POE PERMANENT DRAJI EASEMENT
x UTILITY POLE
A LIGHT POLE
a SANTART SEWER MNaIOLE
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NEIGHBOR'S
CONCRETE DRIVE
WAYNE MUIL
DB: 2751-970 ��it�L�ivl
14 REBAR 226,56'm /4 REBAR 13.98
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2 CONCRETE IVE
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AARON FRAZIER
DB: 2302-37
40 0 40 BO 120
GRAPHIC SCALE — FEET
PORCH
PHYSICAL SURVEY
FOR
DAVID DRAPALIK
8870 GRAHAM PT. LN, DENVER NC 28037 I
LOT R2, UNRECORDED PLAT
CATAWBA SPRINGS TOWNSHIP, GNCOLN COUNTY, NC
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]o8
FAX: [phone]
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SEAL
LEAL
4-327
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DOCK
I, ROBERT J. DEDMON, CERTIFY THAT THIS PLAT WAS
/
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
APPRO%IMA1E 760' CONTOUR
SUPERVISION (DB 2754 , PG 327 )(PB C PG 4);
THAT THE RATIO OF PRECISION AS CALCULATED
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EXCEEDS 1:10,000'; THAT THIS PLAT WAS PREPARED
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IN ACCORDANCE WITH GS 47-30 AS AMENDED.
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WITNESS MY ORIGINAL SIGNATURE. 10-10-2018.
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PROFESSIONAL SURVEYOR LICENSE
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SURV. BY: MP
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