20190705 Ver 1_Shoreline Stabilization_20190528

State of North Carolina
Dia/I Department of Environment and Natural Resources
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
to:
Division of Water Resources
401 & Buffer Permitting nip AID20
8 0 7 0
1617 Mail Service Cente Jr
Raleigh, NC 27699-1617 "�i �
�I
I.
Applicant Information 15A NCAC 02H ��
.�5�2(a)1
1. Owner Information
Name:
Mailing Address: LL,�C
/l C p
Ip
Telephone Number: Zt!-( 4'•0 961 I S Fax Number:
E-mail Address: Ltr w' c S
2. Agent/ Contact Person Information C c �cv ) ✓ti. M
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htt : www.saw.usace.arm .mil Portals 59 docs re ulato re docs Permits SAMPLE AGENT AUTH
ORIZATION FORM. df) must be attached if the Agent has signed this application form.
Name: /�� I l 1 ,ai'I..
Company Affiliation �1c.N e 7-7
�'
Mailing Address: c
7 kI(t( 5 C L-14A,E.
tit la-E-5 a c s r 17
Telephone Number:7 -5- - �
�7 Fax Number:
E-mail Address:
Person to receive the Certification Approval: ��w�1 i f—
—I`aMcve"\. z ��
Il. Project Information [15A NCAC 02H 0502 a) & (bll
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: L.A4 Nearest Town: D O Vt-✓
Subdivision name or site address (include phase/lot number): L(;T&_ S
Crns-er1 1- lei Nd Ti
Directions to site- please include road names and numbers, landmarks, etc.:
NrjAt NOD
Latitude(in decimal degrees) 3S• • 5-Lib ` 4 Longitude (decimal degrees) - .) D'. 1/ / s-1-1 L &
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): . 5i O) 17/f2
6. Property size (acres): r78 k S
7. Lake/ river/ocean adjacent to property: 1\J LJC' uAA A-/\./
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): et g Ar -eiod Ca-c<<
9. Will work be conducted from land? ,
From water? X. ,1� E LCNc.)
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.�eAcl-f
below the normal pool lake level/ Normal Water Level in square feet or acres:
r\r C NE. - 5\1 13 4 L
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: NOIV,1:
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):
}JDi'J G -
g
912A
Own r/Agent's Signatu✓e` [15A NCAC 02H .0502(f)) Date
-Agent's signature is valid only if an authorization letter from the owner is provided.
FORM:SSGP 10-2013
Page 2 of 3

Lake
(At Full Pond/Normal Water Level)
Full Pond/ �ELE\A'
Normal Water Level
Nu mier —
Shoreline Ili .. if MC —
0
AgOVE-
1ve) t-4t�S jZtn11c
C 1 j e Avviik-tkL DISTug-L-"ht
c L31,C-r-Fe-2
Lt. I Zj L°Ai67 laL
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

`,./)CLLkC L , GIVE
LAKE NORMAN DREDGING INC. AUTHORIZATION TO OBTAIN THE NECESSARY
INFORMATION FOR STABILIZATION AND DREDGED PERMITS.
I AG REE: X Atally
DATE: L -2_1 1 Cj

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: — 1 L�
�' l�`Q C� ��P�`Coun
Owner; ty: l __
Print , /J i
•
Contractor/agent: S. / `-``~
Signat "
Print
Signature
The approval is for the
purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the
application. [15A NCAC
02H .0506 and 15A NCAC 02B.0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer(within 30 ft of the full
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. pond elevation), unless
(15A NCAC 02B.0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover.
Beaches, impervious patios, impervious walkways,etc.are not allowed (15A NCAC 02B.0243 (6)]
by the Division. There are limitation on size for decks. (15A NCAC 02B .0243(4) and unless specifically p Y approved
and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are
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 02 (6),
be removed. The
),
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed
discharges must be at the natural elevation and discharged prior to enteringthe buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake. (15A NCAC 02B .0243 S 6 stormwater
Acknowledgement of Notification
" -17" hereby state that I have been
Riparian Buff r Rule. Any work conducted in the buffer, not specifically stated yin the applicationnformed the Catawband
by the Division of Water Resources (DWR), is a violation and subject to enforcement.
taken such that the construction will be built within substantial compliance and approved
Quality that
and Buffer Rules,will the approvedp ( ) Due dof iligence willbe
Quality
C.
Ian s and spec fication(s) and other supporting
mSignature(owner ;/, I
`/
Date: L' Z CG

County Home Page(https://www.lincolncounty.orgl)I Data Download(https://www.lincol
Lincoln County GIS
Search Results Layers
Results List
Details
Tax Parcel ID: 32190
PIN: 4615273487
Address: 5035 SHADY MEADOW LN
Sub or Condo:CRESCENT LAND&TIMBER CORP
Township: CATAWBA SPRINGS
Plat Book- E-57(http://72.15.246.181/1incolnncnw/application.asp?
Page: cmd=image_link&image_link_book=E&image_link_page=
Deed Book- 2679-693(http://72.15.246.181/1incolnncnw/application.at
Page: cmd=image_link&image_link_book=2679&image_link_pa
Historical
Deed(s): View
Tax District: DENVER
Legal CRESCENT 52 SEC 37
Description:
Lots: 52
Neighborhood:0515
Previous ' •
Parcel ID: ''
C•
��� �t�
' '�
Owner(s) WALLACE JEFFREY SCOTT ��/ \
WALLACE HOLLY LYNNE ter: \-"N.
Mailing S
Address: 11211 MCCLURE MANOR DRIVE
Mailing City,
CHARLOTTE NC 28277 '• ��
State Zip:
Acres: ��
0.78
Land Value: $364,066
Improved
4Z1Rz Rn)
Buffer
Map Scale:1 inch= feet

Lincoln County Summary Property Record Card
2019 Tax Values
Parcel 32190 Map 4615
Pin 4615-27-3487
Acres 0.78
Subdivision CRESCENT 52 SEC 37 Plat Book-Page E - 57
Esri., Inc.Lin r County.t,lC
OWNER INFORMATION
Owner Name: WALLACE JEFFREY SCOTT
WALLACE HOLLY LYNNE Deed: 2679-693
Mailing Address: 11211 MCCLURE MANOR DRIVE 2017
CHARLOTTE NC 28277 Deed Year:
Account: 0263289 Deed Acres:
Fire District: DENVER Mapped Acres: 0.78
Township: CATAWBA SPRINGS
Neighborhood: 0515 Land Market Value:
$364,066
Description: CRESCENT 52 SEC 37 Improvement Market Value: $163,802
Category: REAL Total Market Value: $527,868
Sales History
Deed Sales Date T Sale
Ype Price Qualify Stamp Deed Name
2679 07/20/2017 WD WALLACE JEFFREY SCOTT AND HOLLY LYNNE
693 $565,000 B 1130
WALLACE
-769 01/01/1992 CVT $0 2 PITTMAN ERIC W & BETTY S
655-769 00/00/1986 CNV $0 2 127.5 HOYLE DAVID W
515-743 00/00/1975 CNV $0 2 7.5
Land Segments
Segment Zone Code Land Type Land Code Quantity Land Use Acres

•
• E _.,, 5 7
. p_.
. 0
a ��, N39a36'E-41.T9' �'�
a
_p s y - J. W. SIGMON
\`t, NSIe43'E-50.15' /��a�rp REF. MTN.ISLAND DWG. NO. I76-A
�� N76°05'E-43.07'.•. e1 o
N56a17'E-49,99--,.,�a,10�r 6�� mo�^y
N70a40'E-65"B9'l SJ`.- O� PO
`: i
N46°40'E-65,37 N+c!S y6a \'gq• a5 ql
'�J,O"�'' ;a. O• `p?q5y N.658,342.52
N31a04'E-27.31'.� .•FO F�
A� O CO/\ p 5° E.1,412,998.40
G, h 4.
?0, \i 04,A>..
r„• 24 .y S \, 0
�P'},�o y ra C'y� y^q \ CRESCENT LAND a TIMBER CORP.
"'`ro• F m�: \ IE.D.BROTHERTON)
a N50222'E-35.90'_ •2
Co., " REF.MTN" ISLAND DWG.Na 176
N5B°03'E-36.14'-. -N76v51E •.;owP O, S. a \\
/Nfi0al9'E-74.96' 1149 �'`T0 9C0 �q
6, O CO s` Pf4 '06 r
N524ITE-IOO.1T ,,:! y ua. g 6;5 i
668.000 O CO t\ 'Ptf` 2 A'11 r + ,
N31e55'E-78.25' ri `ry Ski, ss AO 60gZ J, G. S(GMON
�. 'iOy ep qE,6` ,Q. A5: °' IDUKE POWER COMPANYI
/� cF\ 'Pe 6Z2 ,. .N REF.MTN.ISLAND DWG"NO,736-5
•
NI6824'E-47 65' v •I'S >;t
N26803'E-60.97' r Osel S 'il,V -' i c ` '
S c
/',:SSG gCRF of,4i, \ o 1 t H t'v w.w,•" Y. .
ti rarq•PS6• Pc: \ p 6 y .. _ I, p.,e.apq:e...
:0 :1426 V Q• \ O P
.p LOT gq Prm •
�\ 4 O
�_� 0.67 ACRE u' -' y0 a
CRESCENT LAND B TIMBER CORP"
N35a22'E-13.95' % 565'124•27243 74' ,t (A. M. LITTLE) J? el....,,WWw u ,-•J,d
I.PIN •. __e.-..%'�.. ,..L1 atAnp
U.M.I.-61-TR.3 �n-,�>. tt
• NB a47'W-26.Bfi 1 1,PIN ••��-
2 N24a39'W=42 96' LOT 53 y y 7 Cxc i:a r,rc s 6 inter
0,77 ACRE 0 o O
Q N69 815'W-71,01' --a. 0
N30803'E-51.07' -• �S ---'t—� -�
- ,'S54a19'E- "' a ----� s0 CATAWBA CO._
/y, N24a25'E-35.:6' "%I.PIN •:22 . , f �- • �_0` LINCOLN CO
K '(, I.PIN r
0` N27a40'W-41.r0' J LOT 52 60 ; ' •. PPP
J L_ .CExvEN _ ` j'5 'SECTION
" •y 0.79 ACRE °' 1111./�rr
665°36'E-56.1e yi d s,01: a 'r9 MCK.
�!� p s�... m woos IRE_OE/L
N60833'E-66.70' 'asp• •rA '(i ' CO.
\ ` L PIN' N.656,O r•. 7 t t
N352O8'E-65"41' ELEY.�".••""60 I.4• 6 :� E.1 •
�964.70 rl �`
%�pJp DATUM 1 :q d 7 O,_.-N,,,,
NNE\a 22 69' r• 4
4
I'e4, o 401. *' ' p0� "� } L• V 9E�
N7253'W-33 53' '�q ,q s i 1
.'•r s 4C0 .�. p.'I' ' t 7'6p?to CRESCENT LAND a TIMBER CORP.
7 1, pH vPj RF ,OJ �, .10.\0 oP9� (NORA CASHION, ET AL.) .
N8°36'E-77.73' •E �•' '2 GEOGRAPHIC LOCATION I
y e ,a 9 45 W U.M.I.-229
O 4 .P 2 4. e A26 10 575 .1 L—— SCALE" 1••.2 MILES —
N23a29'E-66.21' .:p, 66 ry4 \ NOTE:DUKE POWER COMPANY TO CRESCENT
1 4 y LOT 4
9 a oo Roam cuuwa.uYcoEr.C4uNIr
'a.. O,74 ACRE 0 - iro laratlny or.vrnuA nrtAlub-t��� PAGE 300!MMAY I, 1969.BER CORP.DEED BOOK 475,
L PIN 1. , 7� 1 a1.?Y/n.c�lw� moo.JJ•�'.
SGlag2 C 1 4'+n urM a Al.rnr.ea arnemra 1y..yuatbn>b rt.^•'-• LAND a
657.000 , E-213.36 PIN __ to W,m.K.,t w,s- ,a c.57.
t,`1 r -- _ iro2 yr at ,9 m/.'z:.c✓r m. ` 65Lo00
't,\\t LOT 4B w./IWAWU CRESCENT LAND O TIMBER CORPS
rcac,wmUe LAKE NORMAN
li MAP OF
-- RECREATION LOTS
SECTION 37
1S 49-60
.% SOS AT CATAWBALOT SPRINGS TOWNSHIP
••,� o NOTE'CONTINUED FROM DWG.NO.C.F.37-F g 0 LINCOLN COUNTY, N.C. 400
II) w SCALE:I' IDO' SCALE IN FEET •
FEBRUAR7 13, 1975
I v R. MISC. 520K NO 27G DWG.NO C.F.37-G
1111
\ C ��� .
Lb-1" -

Go gle Maps Marshall Steam Station to 5035 Shady Drive 11.9 miles, 21 min
Meadow Lane, Denver, NC
Marshall Steam Station
•
Olwers
Crossroads
Lake
tw of ��,�,.. 411,
ana
•
�--- 21 min
rift
`� 1 f 9mita i
•
eado SLane j
•
Mg Meadow Lane \ r,.
G onsl a
Golf ads Crwlmte
•
taa
Goggle
Map data©2019 Google 1 mi
Marshall Steam Station
8320 NC-150,Sherrills Ford, NC 28673
t 1. Head south toward NC-150 E
55 s(0.2 mi)
Continue on NC-150 W. Take Slanting Bridge Rd,
Campground Rd and NC-16 Business S to Webbs Rd in
Catawba Springs
13 min(8.3 mi)
r 2. Turn right onto NC-150 W
1.7 mi
'1 3. Turn left onto Slanting Bridge Rd
2.3 mi
t 4. Continue onto Campground Rd
2.1 mi
47 5. Turn left onto Will Proctor St
0.5 mi
'l 6. Turn left onto NC-16 Business S DfUG-ft/AL
17 mi

Continue on Webbs Rd. Take Webbs Chapel Church Rd to
Shady Meadow Ln
6 min(3.4 mi)
41 7. Turn left onto Webbs Rd
1.7 mi
41 8. Turn left onto Burton Ln
0.4 mi
r 9. Turn right onto Webbs Chapel Church Rd
1.1 mi
41 10. Turn left onto Shady Meadow Ln
°Destination will be on the right
0.2 mi
5035 Shady Meadow Ln
Denver, NC 28037
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.

From- TAMARA HAGER [e-mail]
lakepermit,com
Subject: Wallace pics
Date- Apr 29, 2019 at 2:16:16 PM
To: TAMARA HAGER lager@ lakepermit.com
.3 ....,
4047.
4.1
.�f
r<
� t
3 K
rye }1
y
`Mia'''JEY is > at.

�* .
41>. ors•'�_,'� _._.m�
Thank You
LaKe PeRmiT LLC
hager(TIakep_ermit.Gom
Tamara Hager
704-575-2227

5/21/2019 MyTopo Free Online Topo Maps
mHtopo
A TRIMBLE COMPANY
Home Printed Maps Digital Maps Online Maps About Us My Account Checkout
.4. 1. ��Tnmbk terrain navigator'� o r, , .r ,.
0
Click for FREE Trial :_ -
•+an Desktop&Mobile Mapping Software R : ' ,4 r.`4. -'
5035 Shady Meadow Lane, Denver, NC,USA •
order a print centered here
._� Y11TD _ i /
` -.__-,\.. ..\'(.. -�, '��/ - • _ BOUNDARY � CATA W BA CO 1w�'
- , °a.a,a` INCOLN CO fA ,
1-1,,,r-------.._,..'‘.;:4 )1 '','4 -----, f--j r\ C'cal
• z / /, ,,,
q.- it,
-',\ 43-:,1
s Boot - v " �)
- RmP • , - e 'y• �,�-��r �k 1 \ fit i��
p
f n '.(\ .`` \,t ( t// l
y tick �"s`� ( l' 11" / t , ) -` _ Jq .
•••..(t,,4.,:)-..\-‘1.,':::!... , ,..-•-j \'. • L.• /..... ..:..--,;‘,(\\k\A\ ,..: '.;•_ 1,,,48°° .,,,‘• )1,,,,up-'7‘,.- -- 1 '''---; c'''''1.7-....,,:'r.....,---) i t .
Lam. /, r A V f" \"�•
- - :ma 4 ._ ;.;,(, i _ f �' ,
r , ,r ,•: 4 \ ,• t� Cemn TWe61ps � 1 l i•
Go g1e C=,s „Nit
�� .ci > \ �o (;`�/\\� `}1 1 u ed
GPS Coordinate of Mouse:35.5420374,-80.968596 I Creme Format
Print from your computer:Landscape I Portrait
Link to this map:
Browse and view FREE US Geobgical Survey,US Forest Service,and NRCan topo maps for the US and Canada.
(4()I About Us
Partner Pro ram
Contact Us
����1111 Privacy Policy
qfu
V Return Policy
co2019 MyTopo,A Trimble Company l'"u \(v,� supporicimytopo.com
\ 877.587.9004
406.294.9411
https://www.rnytopo.corn/maps/ 1/1

5/21/2019 5035 Shady Meadow Ln-Goog le Maps
Go gle Maps 5035 Shady Meadow Ln
Y.:25 lief t sy
,.}0 'l iks310.0
110
er:Lto.k.:7:1.9
;-,04474.1
'Go ogle .
p 9
Map data 02019 Goog le 500 ft
C- W
b tele- !Atli°
36. 9-rol-V-31
50. 61-7 -7-1.c9(46
https.//www.goog I e.conlmaps/place/5035+Shady+M eadow+Ln,+Denver,+N C+28037/@35.5402074,-80.9764602,16z/data=!4m5!3m4!1s0k856ad7099eb7fb5:0)41.. 1/1