20190709 Ver 1_Shoreline Stabilization_20190528

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
20190709
Three copies of the application (includin aitments) and the application fee should be sent to:
If sending via US Postal S icP P1.11 If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR—401 & Buffer Permi ting 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)] '� � LJr e id �a�ll,•_
1. Owner Information "I
Name: 11‘IE.tr1 1ct QU4t4iecl P nalFie5idence.TK, Fred KleAr\
Mailing Address: 301 50u4h CD l lecce S*. 4t t{"e 2800
Char I d{-e , 1JG 7.8 202,Telephone Number: 704. Ci04• C1055 Fax Number: '104.34 2- ct039
E-mail Address: Fred. Klein @C.h1 ldres3 teen. C orn
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.armv.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: DO lirla P t-lr YID II I
Company Affiliation: ` Q.r1G^i 4eJr's CU��m �rX Y �' IJ f T Sy5]-erns Inc .
Mailing Address: I t,o er+h Rd
-1-i-ou-I-man , >J G 2$I loco
Telephone Number: . `04:G02 :(o0We Fax Number: 704- ,52f3-3400
E-mail Address: ( 1h ' flO. . tar) CCt.4)-1 erdoc 1) , 311Ylat I•CO YYl
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: 'cede l l Nearest^ r Town: l`1bbre3V I l le,
V Lake/ river/ocean adjacent to property: / o rr))QY1
Property size (acres): • 9 I acres
Subdivision name or site address (include phase/lot number): (reSCe.n.1- Land
\ o+±k I4P, 52,P 5nernctd4er Rd 1`j10re5vi)le, NCZ8117
Directions to site - please include road names and numbers, landmarks, etc.:�ront. I•ll SS
1� �Icieal 35, Righ*onBraw ley.choo1 Rd, )i�b1 cv 5farierxarlierRd,
�Vr'o erfy isorP4heri hi-.
Latitude (in decimal degreesf 35. 521373 Longitude (decimal degrees)"8O q 543,54
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Pe51de.n+lA
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): ,Re e511 e.Xi s-li► qci 51ooreli ne S+c bi I i ZA-
-ho►') for 5-bloi li z.ciFion F, erosion Con'(ro1.
7. Will work be conducted from land? f 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:
IONX2,32; = Z32,O4-)f. roc- re-Fresh
Temporary impacts in square feet:
0
9. Total amount of impacts above the normal pool lake level/ Normal Water Level and 50 feet
land-ward
Permanent impacts (including back fill, excav tion, rip rap, retaining walls, etc.) in square feet:
0 Temporary impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ Norm I Water Level and 50
feet landward to be impacted (number of trees, for instance):
11. Signature
5-22 /9
Owner/Agent's Signature* [15A NCAC 02H .0502(f)1 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)
Pbo oL
► ethti k1L� o ,AR
Full Pond Normal Water Level�"' r"""••• A"r',YAA*
l ! ��r �1A OIe•:r1Yh yiaor,-.4.1•;1 2 - rta)i
Shoreline
Plan View
Lake
(At Full Pad/Normal Water Level)
Existing Dock
/30 ftx 7 ft
lWiLlI<•a IV ��• � aebw full 1�d/ft NWL
♦. ���••r.��".r it • ve
Full Pond/Normal Water Level�.....-4,.........."..,41, .411 P.,AA
•—nnOreline �ii�iW� • • a ftx SSnft
Riprap �� Above full pond/NWL
2 ft.x150 ft. 1
addl7lonal clearing
•If necessary
f
FORM:SSGP 02-2017 AMPLE Page 3 of 4
Plan View

yk(`a 10
—J
Lake
(At Full Pond/Normal Wate
•Ir�� �
0
13
Side View
LI-
3 ft.below full pond water level 4 ft.above full pond water level 2 ft.additional clearing
if necessary
I 1 I I
Existing bank ,
,'
''r
10 ft.bank , a
height ,,► oyO
o(:?
*1;
Q
id! AMPLE
Side View • qty
FORM:SSGP 02-2017 Page 4 of 4

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KI.1 US, na.,,,,Is.ea-wsp..Ir.i.elq.11 Courr , N.C.,
1.... REVISIONS 5,..orvsy For
=1 7117/r447rat,:70-.-
.........,/,. 11/a/L:
FRED KLEIN
R.B. PHARR a ASSOCIATES
SURVEYING Et MAKING
nt.111,11WITTCEC.EOM H CARLOTTE N.C. zg204
scA
... "IS',/SW .7Ol•.3f..,:•1
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Type:CONSOLIDATED REAL PROPERTY
Recorded:6/14/2018 11:45:38 AM
Fee Amt:$26.00 Page 1 of 3
Revenue Tax:$0.00
Iredell County,NC
Ronald N.Wyatt Register of Deeds
BK 2561 PG 356.- 358
This conveyance is without consideration.Therefore no revenue or
excise tax stamps are required for recording this deed pursuant to
N.C.G.S.Section 105-228.29(See N.C.Attorney General Opinion in
43 N.C.A.G.79(1973)).
Excise Tax$0.00
Parcel Identifier Nos:4615805214 and 4615805410
Verified by County on the day of ,2018.
by
Tax Mailing Address: Landon R.Wyatt,Trustee,301 South College Street,Suite 2800,Charlotte,NC 28202-6021
Mail after recording to:Mark R.A.Horn,Esq.
Moore&Van Allen PLLC
100 North Tryon St.,Suite 4700,Charlotte,NC 28202-4003
This instrument was prepared by:Moore&Van Allen PLLC,Mark R.A.Horn,Esq.
Brief description for the Index Lots 148 and 149,Section 6 NO TITLE WORK PERFORMED
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 9th day of June,2018,by and between
GRANTOR GRANTEE
Landon R.Wyatt,as Trustee of the Klein 1998 Qualified Landon R.Wyatt,as Trustee of the Remainder Trust created
Personal Residence Trust under the Klein 1998 Qualified Personal Residence Trust
301 South College Street,Suite 2800 301 South College Street,Suite 2800 f}
Charlotte,North Carolina 28202-6021 Charlotte,North Carolina 28202-6021
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,as a transfer without consideration,has and by these presents does grant,bargain,sell
and convey unto the Grantee in fee simple all of the Grantor's undivided interest in those certain lots or parcels of land
situated in Iredell County,North Carolina,owned by the Grantor,and more particularly described as follows:
BEING Lots 148 and 149 in Section 6 as shown on map recorded in Map Book 14 at Page 22 in the
office of the Register of Deeds for Iredell County,North Carolina.
1
Page Count:
DNS OPQ OS1
Book:2561 Page: 356 Page 1 of 3

Said property is subject to easements,reservations,conditions and restrictions as described in deed
recorded in Book 668 at Page 414 and deed recorded in Book 603 at Page 857 in the office of the 1
Register of Deeds for Iredell County.
And being a part of the property conveyed to Crescent Land&Timber Corp.by deed of Duke Power
Company recorded in Book 481 at Page 91 in the office of the Register of Deeds for said County.
BEING the same property conveyed to Gene R.Klein by deed recorded in Book 982 at Page 710 1
from Lucille Grandmaison,Independent Special Trustee,and dated April 22,1996(Lot 149);and
deed recorded in Book 668 at Page 414 from Crescent Land&Timber Corp.and dated September
• 16,1981(Lot 148). By deed dated April 29,1998,Fred W.Klein conveyed all of his interest in Lot
148 to Gene R.Klein.
The property hereinabove described was acquired by Grantor,by instrument recorded in Deed Book 1084 at Page 0042
in the office of the Register of Deeds for Iredell County.
The property herein conveyed does not include the primary residence of Grantor.
A map showing the above-described property is recorded in Map Book 14 at Page 22.
TO HAVE AND TO HOLD,the aforesaid lots or parcels 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:
1. Ad valorem taxes for the year of conveyance and all subsequent years,not yet due and payable.
2. All valid easements,restrictions and encumbrances appearing in the public records.
3. All matters that would be revealed by an accurate and current physical survey of the property.
7
[SIGNATURE PAGE FOLLOWS]
1
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Book:2561 Page: 356 Page 2 of 3

1
1
IN WITNESS WHEREOF,the Grantor has hereunto set 1 and and se—Val the day and year first above written.
(SEAL)
LAND R. ,not individually but solely
as Trustee of the Klein 1998 Qualified Personal Residence
Trust
STATE OF NORTH AROLINA
COUNTY OF eG ae.,b0 i.5 i
i
I,c- 218 a/21,(1.1.176e2
a Notary Public of the County and State
aforesaid,certify at LANDON R.WYATT,not individually but solely as the Klein 1998 Qualified Personal Residence
Trust,Grantor,personally appeared before me this day and acknowledged the execution of the foregoing ins et for 1
the purp:301ed therein and in the capacity indicated. Witness my hand and official stamp or seal,thi
day of on 2018.
Of
No blic
SEAL-STAMP
My commission expires: 3- 0
F.s a°4a°�\& F�o Z El i
Q. �` G �o ,yo —r
'1,.r
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Y
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3
CHAR2t2024849v2 ;
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Book:2561 Page: 356 Page 3 of 3

Iredell
'CONNECTGIS -�• 4 Printed May 20,2019
WEB HOSTING Iredell County See Below for Disclaimer
itt. 4 Addresses
4615-80-3860 `
t• • Infrastructure
4615-805717 .
NonResidential Use
1
.r r1 ' Residential Use
4615-80-6656 • Streets
Interstate
0 4b1c.-i-8-,Id
— Ramp
4615-8n-3599 —US Hwy
. —State Hwy
t
. �°s 71 6 ' —Main Road
y
1 �� — Local Road
r. ! Residential
kr- . : ,
t
` v Private
.. `,'- * i. Inactive
2T 4615-80-8346 Parcels Hooks
:ice Parcels
....• , ,',4 .7.1rit, ' 0
1" If I Parcel Labels
` '~ art ' S,:i 4615-80-8234
ti. C' u City Limits
l� ti Vl
P !.21 V.1-,Fn - '14 = -
>!' Lake Norman
? „,I_ . it. e�drke� Iredell Countyline
A NC Counties
. .., . •. ..:.., 41 1 5-8051 70
$AO
'0 / o7o14
R.-.Alh \� A `420
S1 :100 Feet I
The maps prepared for this website are generated from recorded deeds,plats,and other public records.Users of these maps are hereby notified that the information
provided herein should be verified.Iredell County assumes no legal responsibilities for any of the information contained on this site.Users are advised that the use of
any of this information is at their own risk.All maps on this site were prepared using a 1000a€TM Grid based upon the North Carolina State Plane Coordinate System from
the 1983 North American Datum.The delinquent real property tax overlay is updated monthly.The information presented is not intended to be used or relied upon as
official notice of tax liens.For additional information regarding delinquent taxes,contact the Iredell County Tax Collector's Office.

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