20190249 Ver 1_Shoreline Stabilization_20190221

State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Division 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 r
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: Harrelson Farms, LLC ------------Seth Harrelson
Mailing Address: 810 Baxter Rd
Cherryville, NC 28021
2 0 1 9 0 2 4 8
Telephone Number: 704-692-3815 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:
E-mail Address:
Person to receive the Certification Approval:
Fax Number:
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: Catawba Nearest Town: Denver, NC
Subdivision name or site address (include phase/lot number):
3806 Landmark Dr, Sherrills Ford, NC 28673
Directions to site - please include road names and numbers, landmarks, etc.:
From the Marshall Steam Station: continue west on Hwy 150 approximately 2.7 miles
to Little Mountain Rd - turn right on Little Mountain road & continue for approximately .9 miles
Turn right on Landmark Drive
Latitude (in decimal degrees) 35.588335 Longitude (decimal degrees) -81.013745
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential
6. Property size (acres): .47 acres
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): Newly purchased property with steep shoreline.
Desires to put rip -rap along shoreline or construct shore wall
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:
100 sq ft
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: 450 sq ft
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):
Just grass
Owner/Agent's Signature* [15A NCAC 02H .0502(f)l
2/6/19
Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

La ke
(At Full Pond/ Normal Water Level)
Dock
Full Pond/
Normal Water Level
Shoreline
Rip Rap
1 ft x 100ft
below full pond/NWL
Rip Rap
4.5ft x 1 00f
above full pond/NWL
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
k--
S
X) SIT ► N G►
FORM: SSGP 10-2013 -.W - Page 3 of 3

View from Lake

C
:v '�
,n
ac
;0
�Q
Total view of 5.5 ft shoreline (1 ft in water)

w '
�� � SAF 11��P�111,U111 � d � � � �• -
ir
�I':I
• • 5F
i
' v ,> E
ir
-T r• � � .1

VICINITY MAP - 3806 Landmark Dr, Sherrills Ford, NC 28673
17861

Real Estate Search
c at awb a county c•� 0 6Identify s�«tey Met � a Pirint meallre by
Yat i16. urMG- ItriIl.
i 4
Sear � t [Lad Swch
Fdul Serle: lin=75r!
Parcel ID: 46070115:099
Search by
UWREID.13291
DR
3806IRFIS
�—
S[�R.RII.IS FDRD.2Pb^3
OR
lei Address'
JABS OYSAN
'
Acreage:.4?
ORTer Name
Fdreel R`Xit
* '%'; #
ILS dl CNflIE45
i�
. OR'aet Name (aay portbn)
w
Geed Hmo y Repoc:
i
' SlibdlVliion �, � �.. ' �,
Pssessme:MRepat
1
'e
hiutljrle Partes Repxt
Parcel ID C
gcug:e bine csm
j LRNIREID
Map Layers
Plat BookrPage
` s
[3 ! Selected Parcels
&:sinessll.andmark
y, 0
QLLi Ip-,"Mely
mead eraii
:.:nett
GIs
121 ParceMinewicns
-i Digit Pine
- Lot i
... Misc. Lures
Axial 2018
Aara 2014
Structures
Addresses
_ contours 5K
Zoll ry
Cities
Cities ERJ
Fire Districts
— 7JpCode
tNater Features
Food Zone
ADrtctilnu8 Districts
arm Distric"