20190220 Ver 1_Shoreline Stabilization_20190214

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 applicatioeep /` I �_
should be sent to: $�
1"/'�'i
Division of Water Resources
401 Et Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
2 0 1 90 2 2 p
I. Applicant Information
1. Owner Information
Name: 1�i1 t
[15A NCAC 02H .0502(a)]
* a0 r- a-, S' 06 A
Mailing Address: \'2_y W cL_S h&_rV1 lilt
, ►WC_ Z_ce 1c)
Telephone Number:,7Uq-x4n2_-ZFaxNumber: 7J2q-(a&q—Cl99r
E-mail Address: S7CCj -f' .� L _C) l LO M
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.mit/Portals/59/docs/regulatory/
rep
,docs/Permits /SAMPLE AGENT AUTHORIZATION_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: r
II. Project Information [15A NCAC 02H .0502(a) 8t (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, etc.), rip rap, excavation or dredging below Full Pond/
FORM: SSGP 10-2013 Page 1 of 3

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. l,� �r•�A
(Include a scale of some sort- a yard stick, shovel handle, etc.) 070411 �
4. Location of the roperty ( here work is to be conducted) �'
rr FO rCounty: v9 C- Nearest Town:�I
Sub 'vision name o s'te addr ss (include Phase/lo n tuber :
�SZ i � �' �.e_.1��n-t— N_I 11 I _ , c����� ��c r� NC,
ections to site - please include road
141) r e v l n )+1 1 I.
numbers, landmarks, etc.:
&lv il�+
Latitude (in decimal degrees)J�# Longitude (decimal degrees) — 90, -t ` �✓�
5. Describe the existing land use or condition of the ite at the time of this
application (residential, undeveloped, etc.): 6�_61 8•PF1
6.
7.
L-11
Property size (acres): ° % 9 a C re.
Lake/ river/ ocean adjacent to property: Z�lGZK109, jl%OFM44
Describe proposed work (include discussion as to how hardening of sh reline has
been avoided, or why it inecvssary) _
et►rlEL
9. Will work be conducted from land? From water? 1.3 C)
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: �/ -5 Q
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: c29a S 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): _
Owner/Agent's Signature` [1 5A NCAC 02H .0502(f)l Date
FORM: SSGP 10-2013 Page 2 of 3

Agent's signature is valid only if an authorization letter from the owner is provided.
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ p
Normal Water LLevvell
Shoreline STD f o
.--rCTaL
lyW F+ X
) I � lar-
FA- X
� �� n by J �
IA-)c�A-ej
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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LOT 100 LOT 107 FROM LOT 118 OEOORIPHI{1 LOCA710N
I. N69143'E-36.27' 42. M76r0/'W-]e 9Q' TO LOT 122 LOT 121
2. N7130 E-61.20; {3. N7t3a'M'-29.aq 77. Se0t50,'E-2l.Ij' 110. 240111'10-50.]6'
!. NM11{[-26.06 M. 2431130-1610, 76. !1111]99-]6.41 111. NI31N,'E -30.27' S '•>�:�,
1. N62r01'1-26 l7' 10. f, E-26.92, ». 952473'[-f1 J7' 112. Nl.73 W-16.71
3. N77131•E-27.31' 46 M .901E-11 Y# b. 473117'[-II.OQ' 113. NNt]7'E-40.92'
1, 3»124'9-37.04' Q. /N160'�1'-1209 U 921131;[-]7,OI IYt Y\
1'. 570126[-76.21 N. NMtpO E-33.06' N.-4137[-37.06 _
LOT ql LOT 100 N. S6H]7'E-71.15' IN3. NN 31'E 22. '1
N. S7]12610-00.40' M N7713p'E -77.x7'�0�� 'q,�• • A ' '
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57 -40.12 65 2424100,'9 -19.70' LOT 1294
!. Sa1.DY E -e. w' �. wtY3W-76.09. M. N"' W-13.33 IN 141.06'9-17.37' olxu\ Q• !�. •\ �+N ~
3»103[-36.06' 71. 2471101'10-88.24 67. N»1]6'17-32.99; 111 2434117'[-91.311' \ i\'a� • }�1
I. 6N.21•E-01. N' LOT 110 M. 560101 W-51.31 IB. N29f14'E-19.87'
LOT 102 e2. M&A -004-100 .}1' M. .701]9'10 -36.00' \ C ♦ �•
83. N�W41 W-SV79 9O. W44 -21'W-203 59' y V
2. 112163'9-YY.37' LOT III LOT IL2\�L'
!. of 6tlQ'9-28.64' [ /! yb O r� 'RP.! 1 g7.�"'jQ So 01 W
1. 819111 4-24.61' N. NN[03W-1(1.00' 01. NSIt33W-16.00' I'
3 a6010✓E"-87. N' SS. 2407.01;10-40.11 a
1. Q2.13 E-]1.60' N. NL3tN W-6.86' 87'. 2464111'10-130.0] \ �I
' . LO 123
FROMLOT 102 LOT 112 00' 93 16913610-4 ] N
\ .. •� ; / � O '• 10
TO LOT
10-{6MNISW-a 10-11 67. .142410 N. 70. 73.
-199 al NL6t03'W-3814, 119'37.11'a7' NMN.N. .3
NW32'E-16.17' 27'W -73 'F T •\ '•�
I
_
NO0 JrE-44 .. / r •
1. 24111 E-30.03 LOT II] 97. N00131-65.64' i �' -� FOL ♦'• 1) \
1. 31124044-20. N' 60. 2413113'10-72.8' LOT 121 / 3� \•� '/! 181.8.0. (O�•
I. 11.24[-1700' 61. N9160'E-».19 91. N»146'10-10.10' - -\\ Py // + 10. NI41 \ I \�\•♦
t. 2417.16'9-M.03 dE. 2412424'9-24.]3 M. 8.117'10 -101.98 _ .. \ \/ �.' f7• r6 �\ ��•
LOT 104 LOT 114 100. Ng Y4W-24.50' \� + \ •
S N16t Y0'W-25.02' 13. 24124.1 _24.28' 101. MYTHS W-N.e!' r O `O� + J,• \ \ •
1. NI71 N. .10967 61.24' 102. N14132'E-37.70' /
N'W-30.00' N. N33.694E-47.17 103. N3Yµ6'E-31.6 -/ 1 0 •'ti \°I`
!
M4802 -24.93 s
1 N17.I{ W-60.aJ• N. NJ7184'E-]8.08' IW. 2410113'[-16.63 fp '= LOT III (•'f , • \
1. NIAM•W-N.So' 67. 24/.11 -25,03 LOT 126 0.75 ACRE
1. N01t O7' 5{.66' N. _*21' E-Ya.11p • . \ \
w.:1' -30.11 rob. x1a31'w-16.75' 4 \
1 0324249-69.29' 106. N24t58'E-7972'
002401[-8718' 70. S70. LL[ -51.24' \ (� <O ` \ \ aaltll'W-40.M
I. wt61'[-x1.13' Lor Ile 107. NIt 60'10-17.52 I cbq?' QC�l ps
FROM LOT ICA 71. wt 1Y'E-81.33 LQT Ila \ I, ,4� '6[`1 •Z e• � \\\ `�
70 F7101 ». w.1e'€_70.3T pa. 249116 r'-10.23; 'q K f i 'IP \, A•i0.ii• e�!
!. 2410244 YS00• ». S».N[ 26.94' IW. No145w-111.]6 /nI'�I q !
1. 771101 E-73.31' L4T 116 / A2)1 �� �• 0t \'OFF' \ I LOT 123
1. IMO.ffF-29 ». NORG E-17.13 1,+y \. '� ACRE
I. ML.N10 _124'1 ». ,,OWE-. Co' 06' �16y
1. Mr16044y;W' 50 4' ». 8608N'E-70LOT1/ \
1: M7yalo.3]'W-1 r' \ + l 0'63 ACRE• ,� 1 �I 00'
1. N3A ISW-{0.63 �i • \ \ 11 1 v
). M .01.10-50.19' I � p +•
N14204'W-41,20'
19; 0 1 .r, .prJ
\\ y ` w - \\6 '�
p \ _. ij16 I 0146 i a bOS PONE' .1 LOT 122 IQA 4�?
0.
Qf 9 ACRE w �9
?4r '� \av f0 p \ 1 LOT Ill
0.66 ACRE
/' I CONC. CON 16 p° 62 7791
Q• �•� e� is e \01F•9 k��
w_IN.Io {� )6!°6ATA560
t�yy •! +'' 1 ! .....��o \.00 'O �9 ' \'p6 I`1p2°S{ v�� 0. 9T ACRE aw 7��II E\.
_
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♦ 1 I� / \III OTE:
• ♦ !1 1, li //' `r ,A <• \ / •4 ALL STREET CONNER RADII ARE 20 FEET
PROPERTY LINE DISTANCES ARE COMPUTED T
p u 1 'I� \ •Q' J �0? ►024 s 9e1' 'p\ \ / POINT OF
IN AT STREET CORNERS.
�0 010 P5t\•`N[ R110
XT OF WAY LSETBACMILINES
2400 FREFROM ONTOOUR EL
760 U. 4.0.8. SEA LEVEL DATUM AND ID FT. FROM
i� •e �• ry p 60 110E LOT LINElp .
2411re0 Q' 'i \ LOT 101 I' A I� 1+\ EP60O DUKE POWER COMPANY TO Kill ENT LANG 0
'o•Ie+'47t y 4pQ $ 0.78 ACRE d \� I ' \ Q`�:a•' 4° \ 4 °\,,11�' CORP. DE[D a00K Nl, PAGE eJ2 MAY I, I969
.7 7R7
CRESCENT LAND 6 TIMBER CORP.
o
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• CaA.ti.w �2�'/D . c^; t 0�` f 'Pe�+, ��y� \ _ o. LAKE NORMAN
`..17 papa ,irp. .qy ! �..6• MAP of
J.�-• jam,-��Vi•LL%t+ �' RECREATION LOTS
X -..
a p �M a.KI-- /tLc°'I.'1- �.1•w ?~ Q � 61�� °\ �6 -\�I
� El6,ae, /s at ®'it- �'�- hod `P. J � \• 1�'
SECT ION 32
LOTS 100-102, 104, 107,
109-116 d 122-129
MOUNTAIN CREEK TOWNSHIP
CATAWBA COUNTY, N.C.
SCALE: I" • 100' JUNE 17,
M19C. 8009 240. 290 DWG. N0. C, F
0 1Do 200 300 IOC
SCALE IN FEET

/
00 FOLLOVIS
o <*,Wt
LOT
044
571W.440. �-J2dza'1
it �
to
I. PIN
A=10.8-ro
123