20190772 Ver 1_Shoreline Stabilization_20190611

State of North Carolina
vrDWDepartment of Environment and Natural Resources
"' Division of Water Resources
15A NCAC 021-1 .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:
if sending via US Postal Service
Karen Higgins
DWR-401 & Buffer Permittin�rWc�®
1617 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Nelson & Barbara Talley
Mailing Address: P 0 Box 160
Stanfiled, NC 28163
201
e0?T2
W
Telephone Number: 104 -TO V — 8484 Fax Number:
E-mail Address: nelson [e-mail], [e-mail]
2. Agent/ Contact Person Information ;t
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htt www.saw usace army mil/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: Fax Number:
E-mail Address:
Person to receive the Certification Approval:
II. Project Information [15A NCAC 02H .0502(x) & (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: Stanl
Nearest Town: Norwood
Subdivision name or site address (include phase/lot number):
Edf;ewater on Lake Tillery 226 Clearwater Court Norwood, NC 28128
Directions to site - please include road names and numbers, landmarks, etc.:
From Highway 52 in Albemarle,- travel to Norwood. Turn left onto Bowrs road. Go to Stop
sign. Turn left onto Indian Mound Road. Then turn right onto Randalls Church Road in
ap. rep �xirnai:ely 1 mile. Turn into Edgewater Development. Turn on third road to the right
and house is on the right. Lot 151
Latitude (in decimal degrees) 35.276773 Longitude (decimal degrees) -80.098298
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Developed residential
6. Property size (acres): .54
7. Lake/ river/ ocean adjacent to property: Lake Tille
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): New Boathouse and rip rap sea wall
9. Will work be conducted from land? xM From water? 1-1
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:
1.35' of shoreline x 6' below full pond is 864 sq. ft.
11. 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: 135' of shoreline x 6' above full pond is 864 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): normal and native
vegetation
JAIM11111 1'4,�
,.
Owner/Agent's Signature [15A NCAC 021-1 .0502(f)] Date
Agent's signature is valid only if on authorization letter from the owner is provided.
FORM: SSGP 10-201:3 Page 2 of 3

wpr -
m °
FIRI SIAIION ¢ Lf7
�... S Gr un m
I O y x� i
O�jc V., 9Ac�`9 m / M0/VSEVEN OAKS
(i OR
CREIii O O d QO �� a 9F BNNtl." CMFR r
a C A
J 2
ac 70 0 4~
C OAs UUC/ry m O a
+. At
H0 -e n+ Aja
I ,t�
lcam, i
ciUB c ? r
/ ¢ /
SlEW
[T'
cru T 0/T R °° ALC
c, cr'
MoNSB9c�y
T W 00 P� v+ Lv
Q� 0 1742
rr\ wgrFROgK m
FT
ti o AN jU
ARROW HE44) IMBERLAY.E ELp -
ORO t `t -X
CT
co
c: llqt
73
0 I8 qN LL S i , j. =` BK i ��X\
C � n p
/
3 SHORE5
S SNUGGS
RO p V9 ISE/) w ;, LN1� TWIN HARBOR
. o OR �. , ZION
RgNDALL S '. '
FF a TWl NAR��O�
WT O O C� RD. CAMPING RESORT
IRE STATgd�V �? POPOP ��., Pee
S PO c, J,
v STON o Dee
S P ON c `",, T '� nig' N' "' � e\ z
RD )
TRACE'
A 1 N
F QQ• to (�-: � a rICT � '7r
A R.qo �PKE z o s Fq RM QQ M
M R� cj
oa ? oR
HIGH SHORES w o SANDPIPER l<P�Q,\
MARATNF 2� 04� R \ I �0 �'� c COVE
7 f R _ c�Z g FBG
N,- z EMER LDS °s °
��'F' �PK�' 20 DR. >• �
NI( oy SHO
o v �� o d� n �O�Sn \ $A, t

North Carolina, Stanly County
I u+. R r;_; . cera', —1 um pial .e. a,.,,.
weer my ,Leet auperrbbn from a 1 -y male
under my diner rvp.rvi.bn Item aced de.cr+Punm
ro.etd.d
Potvon of;
D.B. 1225, PG. 102 / P.B. 25, PG. 29
PIN -6575-01-27-4 26
TWL tlr bau.dariw mt .urwy.d .n c ly In-—
.. daawd awe w ,rove mom Inkmnatlm of
,hewn Levo. Teat tb. Rath of Pt m w e.lemt.a
la 1/ MAGILL.TWt thla plat aa. P,aPa� In aeewN.00s
with C.9. 47 -SO u ..e attae.. my band end
Offklai Stamp or Real.
03/0-4/19
Professional Land Surveyor # L 4171 Date
I I I I
State of North Carolina, County of: Stanly, Review Officer Certificate of Approval for Recording Watershed, Cetificate of approval for recording
I 1 I hereby eedify that the ."llwism" plat .how. hero.. Lea been found I 1 cetify that the plat .howm ha—m compnea with
4
------- Review Officer of Stanly County, W comply with the Subdivlalo. Regulatbw W the Town W Norwood, NC the Retanhed Prolecti.v 0tlmance and la approved
Certify that thu Map or Plat to which thla Cerllrle.tio. la of bad I and that this plat has bee. approved by the T.— Board o1 C.—aiknan I by the yaterohed Review for rocording in the Offke
I meet, an Statutory Re9Wro O, for Rac.rdieg. I lar recording in the office .1 lbe Regiatar of Dead. of Stanly Co..ty. I .f the Palliate, of llK .f Stanly C.nnty.
I I I I
I Review OM—r Dds
I I Data Town Clerk Town of Norwood I I
________________ _____________- p_-__ _ _ _______p—_-________ ___________p__
Certificate of Ownership and Dedication iw
1 hereby certify Leet 1 am the awn r of the properly shown and
ae.nribed here.. and that I hereby adopt the plan e1 t Mlvlaion with /
my fm ...sent Eatabuah minimum building line,. and dedicate all /
.troela .alley,, wall., parlu a.d other site. In the public or Privet we `
wted. Further I cedily the Lana ea shown hereon M althln tha
Planning Jurhdietian of the City of Norwood. NC.
-A- a. That the survey cmatw a aubdiWiov of laud within
DATE
the am* of a onnly or mtmlcipenty that hw ordlmnro that
rcrvW p.—W .f land: DATE
r 1
C
f 3 I
a
i � I
I F /
r— —
OWNEN
OWNER
IRF
CLEARWATER COURT L-5729
R-65.00'
J �...................�.-` ` L.t 51
t C LEN-.....
.......-...........
1 i �
I _ . 'RF -
LEGEND L I
Thex .mndetd aymbom will 1 !
be bund m Ne dmwing.
0 IRF - hon Rod Fouts L
0 IRS - Iron Rod Pct L
0 IPF - hon Pipe F..M L _
0MNF - Mag Neil F.YM _
0MRS - Mag NailSet
0NSCL - Neil Set Ce Ln,
® NFCL - Nail Fouts Centerline
CMF - Cotwma Monument Found
CMS - Con Monument Set
0 CC - Computed Comer Not Set
NJ, - Now or F.rmcry
OHP - OverheM Power Line
LOCATION MAP (N.T.S.)
Notes: (x if applicable)
X L N. NC Grid -Fouts• withal 2f1I)0' of t . Site
X 2. All damnma arc h. imnw &M me..uromena
and are wt adiu.ad by. OM faro.,.
3. Thio Pmpem ge. within a FbM Naw Ates,
Effective Dea.
X 4. Arca amPuted by CoOtdinatea.
Scale: I inch - 40 ft.
0' M -P. 4U 80, jrl'
+t
,4
wG,f v`Et 1�
Dixie Land Surveying, PLLC
License No. P-0335
4278 Country Club Road Wadeebom, N.C. 28170
Ph— (704)-695-2729
email: dizielw@*ndetream.net
����
Undeveloped Lot 50
EDGEWATER DEVELOPERS INC.
D.B. 1225. PG. 102
P.B. 25, PG. 29
PIN:6575-01-27-4626
Z ,-l R-20 / •BSB• Budding Eat Backe
Fm,t, Relarfmnt - 30 K
FY.nt, Inred. - 50 It
Sdeyard - 15 R
Rear, lfetedrent - 11 K
Rear, Inmos, - 40 ft.
1M
NAD 83
P.B. 25, PG. 29
/esti
~ PROPOSED 1200 SF
y �9OATHOOSE, FINAL
pE51GN BY OTNERS
LAKE
TILLERY
-control e.mer
1.25' Iron Pipe F..M
Lake TiOery sigh Water
286 R Con ur Ekv.
NAD 83 /2011 Po.hbn
N: 556,696.42 R
E. 1,697,148.37 D
IRF
Albcetion Line
T .
6.47'
Plat of Property Surveyed For:
M
Edgewater Developers, Inc.
co
P.O. Box 4127 / Wilmington, NC 28406
E. Center Twsp., Stanly County, N.C.
For Reference See;
D.B. 1225, PG. 102 / P.H. 25, PG. 29
PIN: 6575-01-27-4626
Date. 03/01/ 19 Drawn Hv: MRI Pile a : 11519
11/1�'IPF Q
I II
Undeveloped Lot 52
li i
EDGEWATER DEVELOPERS INC.1,
D.B. 1225, PG. 102
P.B 25, PG. 29
PIN: 8575-01-27-4828
'i
IRF
CLEARWATER COURT L-5729
R-65.00'
J �...................�.-` ` L.t 51
t C LEN-.....
.......-...........
1 i �
I _ . 'RF -
LEGEND L I
Thex .mndetd aymbom will 1 !
be bund m Ne dmwing.
0 IRF - hon Rod Fouts L
0 IRS - Iron Rod Pct L
0 IPF - hon Pipe F..M L _
0MNF - Mag Neil F.YM _
0MRS - Mag NailSet
0NSCL - Neil Set Ce Ln,
® NFCL - Nail Fouts Centerline
CMF - Cotwma Monument Found
CMS - Con Monument Set
0 CC - Computed Comer Not Set
NJ, - Now or F.rmcry
OHP - OverheM Power Line
LOCATION MAP (N.T.S.)
Notes: (x if applicable)
X L N. NC Grid -Fouts• withal 2f1I)0' of t . Site
X 2. All damnma arc h. imnw &M me..uromena
and are wt adiu.ad by. OM faro.,.
3. Thio Pmpem ge. within a FbM Naw Ates,
Effective Dea.
X 4. Arca amPuted by CoOtdinatea.
Scale: I inch - 40 ft.
0' M -P. 4U 80, jrl'
+t
,4
wG,f v`Et 1�
Dixie Land Surveying, PLLC
License No. P-0335
4278 Country Club Road Wadeebom, N.C. 28170
Ph— (704)-695-2729
email: dizielw@*ndetream.net
����
Undeveloped Lot 50
EDGEWATER DEVELOPERS INC.
D.B. 1225. PG. 102
P.B. 25, PG. 29
PIN:6575-01-27-4626
Z ,-l R-20 / •BSB• Budding Eat Backe
Fm,t, Relarfmnt - 30 K
FY.nt, Inred. - 50 It
Sdeyard - 15 R
Rear, lfetedrent - 11 K
Rear, Inmos, - 40 ft.
1M
NAD 83
P.B. 25, PG. 29
/esti
~ PROPOSED 1200 SF
y �9OATHOOSE, FINAL
pE51GN BY OTNERS
LAKE
TILLERY
-control e.mer
1.25' Iron Pipe F..M
Lake TiOery sigh Water
286 R Con ur Ekv.
NAD 83 /2011 Po.hbn
N: 556,696.42 R
E. 1,697,148.37 D
IRF
Albcetion Line
T .
6.47'
Plat of Property Surveyed For:
M
Edgewater Developers, Inc.
co
P.O. Box 4127 / Wilmington, NC 28406
E. Center Twsp., Stanly County, N.C.
For Reference See;
D.B. 1225, PG. 102 / P.H. 25, PG. 29
PIN: 6575-01-27-4626
Date. 03/01/ 19 Drawn Hv: MRI Pile a : 11519