20190284 Ver 1_Shoreline Stabilization_20190304

State of North Carolina
' Department of Environment and Natural Resources
DWI -R Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 020.0502(a}]
1. Owner Information
Name: I nl) I>
Mailing Address:
C7
20190284
h 1 OD6Z CSoli i_/= N C Z-121) / L7
Telephone Number:(5'% ] - 1'], ']_ Fax Number:
E-mail Address: _ 6r -h Lit lord m Nell XD- CA
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/reguIatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: C 1v S /�y % 1 ,/->'
Company Affiliation: ['7 _ __Q,4-6, A,/(' d- f*tu,�/�
Mailing Address: ]ci I IAC, 5 C V_L�,5 L_ &X_
F LC- (1.7
Telephone Numb�r:7ihh S'75_ Fax Number:
E-mail Address: kG.6re- - Cc �-e PC-rvu I4-
Person to receive the Certification Approval: --1 Cln�c%.
II. Project Information [15A NCAC 02H .0502(a) & (b)l
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: Nearest Town: AJoL)r"bi
Subdivision name or site address (include phase/lot number):
0 2_C"F)1117 i Atjnj -1im rzf_ / Lor �. ZqS
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees)JS_ S'7rL5 5 3 Longitude (decimal degrees) — (? 17 `7 4 rf
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): DIE)i7A2
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: Wof yu A,I%j f j :A-Wj3 A
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): V l P �,(NO Q AJ_' L_)?WM A70.-� -To
C F h�✓1 AAJ1s .rI i1tiST .M.�
1 ft"i 1 —rz
9. Will work be conducted from land? From water? (� [ ,� UJINC)
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etcf
below the normal pool lake level/ Normal Water Level in square feet or acres:
ryb NL d y BAC24C
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:
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):
U DN G - 13 q J -3-A V_ C,
g 4l f,
er gens i ature` (15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
N o rm aON MW aLevel
Shoreline
La ke
,At Full Pond/Normal Water Level)
G
N -o f 41 --FPS 2L,rocvQ)
76- 13u��
Please approximately sketch the following information on this plan
item, such as 10 ft x 100 ft) *: (provide dimensions for each
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/Normal Water Level elevation
I 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

Project Name/address: Cof-bbr3
County:
Owner: C C
Print
Contractor/agent: C Sign
Print
Signature
The approval is for the purpose and design described in your application. Impacts not indicated
application is a violation of the Buffer Rule. Site specific work should be provided in the application. 15A'n the
02H .0506 and 15A NCAC 02B .0243(8)] [ 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
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless(ed
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243 4 specifically approved
{ )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 Notification
state that I have been
ereby
Riparian Buffer Rule. Any work conducted in thehbuffer, of specifically stated informed the application cat onof thea and
ap
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 i p nand approved
f the 401
Quality Certification and Buffer Rules, the approved plan(s) and specification(s)po, and other su Water
materials. pporting
Signature(owne
Date:

I aoil i) 1 wq , GIVE
CTC GRADING LLC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
I AGREE: X
DATE: �� /

TDcnari rnrsuTV
2/22/2019 3:03:49 PM
RDON TODD GORDON AMY Retum/Appeal Notes: Parcel: 4627-50-3752 . 000
121 LANGDON RD PLAT: 15/70 UNIQ ID 382876
0016997 ID NO: 1702L02000A395
COUNTY (100), COUNTY FIRE (100), SOLID WASTE (1) CARD NO. 1 of 1
eval Year: 2019 Tax Year: 2019 L395 CRESCENT LAND & TIMBER *8 PB 15-70-85 0.770 AC SRC= Inspection
raised by 18 on 01101/2019 17226 BRAWLEY POINT CENTRAL TW -17 CI -00 FR -58 EX- AT- LAST ACTION 20190117
CONSTRUCTION DETAIL
CORRELATION OF VALUE
MARKET VALUE DEPRECIAIRESIDENTIAL
oundation - 3
Stand
ontinuous Footing5.00
S
MO
Eff.
Area
UA
BASE
RATE
RCN EYB AYB
EDENCE TO MARKET
ub Floor System - 4
OB10117,298
108
169.56 1124164J201
201
% GOODPR. BUILDING VALUE - CARD 1,191,98C
wo 8. 0
erior Walls - 07
emen Wood Fiber Siding40.00
PR. OB/XF VALUE - CARD 31,37
TYPE: SFR EXCEPTIONAL SINGLE FAMRKET LAND VALUE - CARD 380,00toneor
3 - 2.0 Stories TAL MARKET VALUE - CARD 1,603,35
Walls - 22
0.00STYLE:
oofing Structure - 06
rreoular 13.00
TAL APPRAISED VALUE - CARD 1,603,35
TAL APPRAISED VALUE -
oofing Cover - 10
-omposite SHG heavy 5.00
1,603,35
PARCEL
nterior Wall Construction - 6
ustom Interior 32.00
TOTAL PRESENT USE VALUE -
nterior Floor Cover - 12
ardwd Heart Pin Laminate 9.00
"r5 PARCEL
nr OTAL VALUE DEFERRED - PARCEL
nterior Floor Cover - 14
r t 0.0
a x v TAL TAXABLE VALUE - PARCEL 1,603,35
r� y u It
eating Fuel - 04
lectric 1.0 0,
xt 1 rr KO a to u v PRIOR
a r v UILDING VALUE 892,08
eating Type - 04
r Air - Duct4.00
u u n* XF VALUE 34,48
r 4 w x elc am, LAND VALUE 320,00
it Conditioning Type - 03
ntral 4.00
r u r PRESENT USE VALUE
w a r v DEFERRED VALUE
edrooms/Bathrooms/Half-
athrooms
u u
Trr VALUE 1,246,56
413 7.0
rTOTAL
u u
x v �' r
edrooms
AS - 1 FUS - 3 LL - 1
rrrr o u s -r
r us r x rr
athrooms
AS - 1 FUS - 2 LL - 1r
x u v r PERMIT
rr w u u u u r CODE I DATE I NOTE NUMBER AMOUNT
alf-Bathrooms
AS-1FUS -ILL- 1
x
u• u
i
ce
AS - 0 FUS - 0 LL - 0 0
u to ROUT: WTRSHD:
SALES DATA
r FF. INDICATE
RECORD ATE DEE SALES
OTAL POINT VALUE 128.000
BUILDING ADJUSTMENTS
rket/Design 4 FACTOR 1.1000
04
A BOO AGE R TYPE PRICE
r 2305 417 6 0l WD* Q V 35000
r 00619 820 6 1978 WD* X V 950
al 1 MINIM M 0.7500
i:e ize Size 1.0200
OT ADJUSTMENT FACTOR 0.840
OT QUALITY INDEX 108
HEATED AREA 6,726
Click on image to enlarge NOTES
1 CB PMP HS IH '92 NC HEARING 12-21-83 NC
BD
E&R 7/8/92 NC HSE 100%'16 PIER '17
SUBAREA
UNIT
ORIG %
ANN DEP % OB/XF DEPR
TYPE GS AREA % RPL CS OD DESCRIPTION
COUNTLTH
N
PRICE
GOND
BLDG
AYB EYB RATE V COND VALU
AS 2,394 10 40592 7 IERS 48 192 40.00 10 _ 201 016 S 9 699
GO 1,36 04 10444 7 IERS 20 1 20 40.00 10 _ 201 016 5 9 728
OP 368 03 2187 ALKWAY 20 8 30.00 10 _ 201 016 S 9 218
SP 334 04 254 6 PIER/COVER 10 1 10 50.00 10 _ O1 016 S 9 455
us 2 117 09 32301 8 AT DOCK - 1 1 1 30.00 10 _ 201 016 S 9 382
FLOATING
2 215 09 3567 2 OAT SHELT 20 1 24 30.00 10 O1 016 S 9 655
_
REPLACE 4 - 2 Story Single/1 420 TAL OB XF VALUE 31 37
StoryDouble
UBAREA 8,796 1,241,64
OTALS
UILDING DIMENSIONS FOP= SE@45-8SW@45-IINW@45-8NE@45-IlArea:88;FGD=S2E24N2E12N22W12N1W24S23Area:864;FOP=NW@45-4SW@45-145E@45-4NE@45-14Area:56
;FOP=SE@45-4SW@45-14NW@45-4NE@45-14Area:56;BAS=SW@45-12SW@45-14NW@45-6SW@45-18SE@45-6SW@45-14SE@45-14SW@45-6SE@45-4SW@4 45-1SE@45-7NE@45-
1SE@45-4NE@45-2SE@45-6NE@45-8SE@45-10NE@45-2SE@45-2NE@45-1ONW@45-2NE@45-2NW@45-14NE@45-16SE@45-2E4NE@45 5-6N4NW@45-2NE@45-
ElONIOW6NW@41.67-26.8Area:2393.71;FSP=SE@41.79-26.56E6N9W7NW@45-6NE@45-9NW@[e-mail]:33 33.67;LLF=WIOSW@45-4SE@45-2S4SW@45-
W4NW@45-2SW@45-165E@45-14SW@45-2SE@45-2SW@45-IONW@45-2SW@45-2NW@45-10SW@45-8NW@45-65 SW@45-2NW@45-4SW@45-lNW@45-7NE@45-lNW@45-
NE@45-6NW@45-14NE@45-14NW@45-6NE@45-185E@45-6NE@45-14SE@45-14NE@45-12SE@38.04--12.85E6SSOArea:2214.81;FOP=SE@45-14NE@45-12NW@45-14SW@45-
12Area:168;FGD=SIOS2E24N2E12N12W12N1W2453Area:504;FUS=N9W12N10 OW14S14W17N14W14S32E14N12E13S9E6S11SE@45-4E6NE@45-4N6E4NE@45-4SE@45-7SW@45-
SE@45-11SW@45-7SE@45-16NE@45-7SE@45-16NE@45- -12NW@45-16NE@45-7NW@45-16SW@45-7NW@45-11SW@45-4NW@45-17NE@13.13-
10.OlArea: 2116.73.7 (Area : 8794.92
AND INFORMATION
OTHER
ADJUSTMENTS
IGHEST
AND
NOTES
TOTAL
ND BEST
USE
LOCAL
FRON
DEPTH
LND
COND RF
AC LC TO
ROAC LAND
UNIT
LAND UNT TOTAL
ADJUSTED
LAND OVERRIDE LAND
SE
CODE
ZONING
TAGE
DEPT
SIZE
MOD
FACT OT
TYPE
PRICE
UNITS TYP ADIST
UNIT PRICE
VALUE VALUE NOTES
FR WATER
0122
RR
0
0
1.0000
0
0.8000
475,000.00
1.000 LT 0.800
380,000.00
38000
RP
LOC
OTAL MARKET LAND
DATA 380 00
OTAL PRESENT USE DATA

Iredell County
Property Data
Parcel Number: 4627503752.000
Inquiry Date: 2/22/2019
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not
certify the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping
data herein, or for their use or interpretation by the User.
Property Map
Owner/Property Info
Tax Account Number: 80016997
Old Parcel Number: 1702LO2000A395
Owner Name: GORDON TODD+AMY
Mailing Address: 121 LANGDON RD MOORESVILLE NC 28117
Property Location: LANGDON RD
Lot Number: 395
Legal Description: CRESCENT LAND+TIMBER CORP S8 PB15-74
Municipal Information
Township Code: 17
City Code: 00
Neighborhood Code: 17226
Value Information - Current Year Property Record Card (PRC)
Building Value: 1191980
Other Building Features: 31370
Land Value: 380000
Tax Assessed Value: 1603350
Deferred: 0
�ouc>otA
Land Information - Register of Deeds Online Search
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning

20140626 WD
2305 2417
15-74 0.77 AC RR
Tax Information
Exemption Tax Code 1
Tax Code 2
Tax Code 3 Tax Code 4 Tax Code 5
Null C ADVLTAX
Null
FR04ADVLTAX Null Null
Current Zoning
Contact Info.
Iredell County
704.878.3118
Harmony
704.878.3118
Love Valley
704.878.3118
City of Statesville
704.878.3575
Town of Troutman
704.528.7600
Town of Mooresville
704.662.7040
Village of Davidson
704.892.7591

Go gle Maps 121 Langdon Rd
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M�tDpo
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14.
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121 Langdon Road, Mooresville, NC, USA O Us O Canada search for rrore mans
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GPS Coordinate of Mouse: 35.5750098, -80.932944 1 CII -q, F--
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GO gle Maes Marshall Steam Station to 121 Langdon Drive 11.3 miles, 18 min
Rd, Mooresville, NC 28117
Sherrias Fo,d
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Map data ©2019 Google 1 mi,
Marshall Steam Station
8320 NC -150, Sheri -ills Ford, NC 28673
t 1. Head south toward NC -150 E
57 s (0.2 mi)
Continue on NC -150 E to Davidson
15 min (9.2 mi)
41 2. Turn left onto NC -150 E
5.4 mi
r' 3. Turn right onto Morrison Plantation Pkwy
l.i mi t05
r 4. Use the right 2 lanes to turn right onto NC -
11 OO/Brawley
C-1100/Brawley School Rd
2.7 mi
Continue on McKendree Rd. Drive to Langdon Rd ' �I
4 min (1.8 mi)
r' 5. Turn right onto McKendree Rd
1.3 mi
r' 6. Turn right onto Digh Cir
0.2 mi

t 7. Continue straight to stay on Digh Cir
0.1 mi
r' 8. Keep right to continue on Langdon Rd
420 ft
121 Langdon Rd
Mooresville, NC 28117
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
'P�O't - 0 1 L), �J -->
C)8(z A)oN

From: TAMARA HAGER
Subject: Gordon pic
Date: Feb 26, 2019 at 3:03:10 PM
To: TAMARA HAGER [e-mail]
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17

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Thank You
LaKe PeRmiT LLC
hag -Q —r@IA-k Qpermit.com
Tamara Hager
704-575-2227
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SECTION 8
LOTS 391-399 1
DAVIDSON TONNSMIP
1REOELL COUNTY, N. C.
SCALE 1'1 : too- JUNE 8. 1077
MIOC- SOON NO. 181.413.411 A 465 SNS- NO- C. F. B r LL