20190816 Ver 1_Shoreline Stabilization_20190617

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
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery se e.;.:' , etc.)
Karen Higgins Karen Higgins
DWR—401 & Buffer Permitting Branch DWR—401 & Buffer Permitting Brandi
1617 Mail Service Center 512 N. Salisbury Street 2 0 1 9 0 8 1 6
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)] 4�
1. Owner Information
Name: To.rne.S LjtSP
Mailing Address: 1215 l4a Char PIac.P_ ' i l" I 1
t1\0ore sv► 1 I P, i�C 28117
Telephone Number: 104-g - (oO Fax Number:
E-mail Address: J I ItSey@pcir►f blan C(W
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.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: Mpnr' kr\1C)
Company Affiliation: Letylenthert5 Cj1S+o1/Y1DccA4 U-P+5 4-erns, Inc.
Mailing Address: 1 15(2 Per+h Rd
Trc u+rrla 1, NC, 281(iolP
Telephone Number: o• ( Zq-101q(D Fax Number: 104'5Z8- 4Do
E-mail Address: donna. 1ancaa4-erdoCKs @ nia, 1. corn
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: I rerjeA Nearest Town: t4tore5Vi I 1 e,
Lake/ river/ocean adjacent to property: /JormaY?
Property size (acres): -ell OaCreS
Subdivision name or site address (include phase/lot number): Cre5Cen4 Latid+1i WAN'r
Corp. 583\/:)+314 12)5 Charf'erPace I` Oorrsv,11 e,NC ZS 117
Directions to site - please include road names and numbers, landmarks, etc.: Vrom I-71584
Et135,R 311+on)rovt ley 1Rd, R+ on tkale ree Rai R►rch#on Diq) Ctre Les
2t ,} h-!ofl Grier131cc�tt��... FFovne t ov,-I4he IcI I
Latitude (in decimal degrees)3C3. .±0co i Longitude (decimal degrees)-80.C133519
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 'ie51dey1bcd
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): J1lorekine r'e�r'e5h - r 'S+a.bi 11 Z�'l'on
and erosinrl Congo l.
7. Will work be conducted from land? 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:
tc4'X4` = 17'7L Sc 511DrediVIP rPfi-e h
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 (includin ack fill, excavation, rip rap, retaining walls, etc.) in square feet:
Temporary impacts (temporary clearing, construction corridor) in square feet:
?40` X 10' - 2A00 Cobi*ud-ioi eorr, dor
10. 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): ..,!
11. Signature
Ap
.A/
Owne gent's Signa r
(j)- I1- 19e* [15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM:SSGP 02-2017 Page 2 of 4

s .d V r �!•a sP . r,
1 11 ` ♦ a-S •a c . .' e. 4 1 ) • • , ;a
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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)
kltn5
Full Pond/ Normal Water Level - �� 2M.-.kawi ; • 4*- 1�"x4 ��P'
Shoreline
r.,-; - ‘01)
OS
Plan View
Lake
{At Full Pond/Normal water Level) Existing Dock
_A/30ft47ft
•$' IS+'••$s$Ui .�.��.� 3ftxisoft
err. Below full pond/NWL
Full Pond/Normal Water Level 111"01:44...,��0..ia), PirdI��
MOM c4 3i:, 4 ft x 150 ft
�hore�ne •.ai�ai� ��
�� Riprap � Above full pond/NWL
2 ft.x 150 ft. ���..�. �1-] OW- �
additional clearing '
'If necessary
E AMPLE
FORM:SSGP 02-2017 Page 3 of 4
Plan View

C.J) ov'
Lake C9r dor
(At Full Pond/Normal Water lievel)
c
a�
L
0
Side View
D
LL
3 ft.below full pond water level 4 ft.above full pond water level 2 ft.additional clearing
'if necessary
I I I I
Existing bank
ji?IF
10 ft.bank a
height �,r Die'
OQ
ftW
erA
p E
Side View
FORM: SSGP 02-2017 Page 4 of 4

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 1lU /25 Charley-Race. re'S- County: I rec e g
IIe,/ NC. 2$I11
Owner: —36.1 YI e4D L i+.5 P_\/
Print Signature
Contractor/agent:, V M rr ill Leiv CC�S4"P_," Jr 0/1
Print (.j Signa ure
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 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
(6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically
approved by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4)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 1SA 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)]
Acknowledgementno of Notification
I, . )O.YY)es L I ey , hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work cohducted in the buffer, not specifically stated in the application and approved
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 intent of the 401 Water
Quality Certification and Buffer Rules,the approved plan(s)and specification(s),and other supporting
materials. Cy
Signature(owner): Date: (Q'1/

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• 1 SITE w t.
SECTION 8 LOTS 241-250 tine Bearing Distance QI 0•0
47.
L1 N 24' 18' 44' E B9.69'
PLAT BK. 15 PG. 73 L2 N 45'30'00"E 54.68'
L3 N 8B'47' OD" E 50.18'
L4 S 14'38' OD" E 3.24' ti8
o
TREES w�
A m 1.0'DIA MAPLE gcr
C= 1,0'
9 > 1.0'DIA OAK
OIA POPLAR VICINITY 760'CONTOUR AS FIELD LOCATED MAP -NTS�_
rel p 1.0'DIA HICKORY ELEVATION or LAKE= 758.54' _
N SHORELINE IS IMPROVED W11H RIP-RAP ,�
E= 1.1' DIA HICKORY /, Michael R.Bowden, certify that
O. F=1.1'DIA POPLAR this plot was drown by me from
G= 1.0'DIA HICKORY on actual field survay mode undue
H = 1.Y•DIA HICKORY L3 my direct supervision; ;hat the
•
m I= 1.3'WA POPLAR i f ,/' boundaries shown ore from the
F rt record information noted hereon
that the actual ratio vi precision
exceeds 1:Pfl,00U and that this
0 J \,'ti, ' - _ plot represents On extsr/np pares'
of fond Witness my or/PMOI sig-
Z d I'A ,', nature. seat, and Hoene number
LAKE o Ths the 21 f do of July. 20/3
? � ht,U
�77117' Notes , r..`., '.,��3B1f
' �•i a .,, ,_,J.....1 J ,�y0 ff,tf11f11f/rrr ,�''i
•
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� • `2.: ?';L�-;., StraArr �.% E
• LOT 379 fr y\ e,E/ s IA �-,?:-u <% S
f �, �.
/ 38652 Sq.Ft."11 "•V,r
L.-Jo PROPOSED ' ti .�9°'`f...11• Q C •
/'v 0,89 AC. EXISIrnO HOUSE ,,, c. , 4y'19 '0 �S! °
• NORMAN / TANK 15 4y`4,•
�ej`plUitIas, .`,T .fre
E%ISiINC k/'i ,Rr $O`,s
1'PIPE F', r
r "K \ 1n /
� •,� , iii, n
/ Z �,..11 9 1 e z... E%ISITNC CONCRETE /
MONUMENT
75 ^ Q� ```, V,WoY /
0—WELL is \ ,'ta ' I//'U `� =1r/ // GC�,�Q�
•
0= PT- POINT NOTHING SET , ® ,
0=EXISTING IRON AS NOTED ., \ d \`B /, 0 �,Pok
o= 1/2' REBAR SET $ , Q
8= DIG PITS � \`` ,y ``'%- Z\
LOT 378 / • 1 To 4 `4,��G
R \ , /: by C,
e � 1 °, G�J
TREES \ ` i 4 0 Q Qv /
J= 1.4'DIA HICKORY \ �, '
4 raft /� i
K= 1.2'DIA HICKORY °p / r
L> 1.0'DIA POPLAR °O
,u = 1.4'DIA HICKORY /
( N = 1,1'DIA h /
{ p m 1,2'DIA J /
p > 1,5'DIA POPLAR O /
li o= t,s'DIA OAK j LOT 379
R= 1,8'WA EXISTING
S- 2.5'DIA DOUBLE POPLAR VS"REB / VJILLIAM K. QUERY Jr. and
fF T=1.0'DIA OAK / wife GWENDOLYN S. QUERY
u= 1.o'DIA HICKORY / / DEED BK. 1402 PG. 2452
Va 7.7' DIA OAK
/ PIN #4627--51-1717
fl w= 3.4'DIA DOUBLE POPLAR /
K= 1.0'DIA POPLAR tunr,re"
Y®1.3'DIA HICKORY
40 20 0 40 80 JIM LITSEY
NOTES! SCALE OF DRAWING 1S 1 INCH = 40 FEET 125 CHARTER PLACE
1. TRAVERSE ADJUSTED BY COMPASS RULE ADJUSTMENT METHOD. DAVIDSON TOWNSHIP
. 2.AREAS DETERMINED 8Y COORDINATE COMPUTATIONS. IREDELL CO„ N. C.
3.AU.DISTANCES ARE HORIZONTAL GROUNO DISTANCES.
• 4. THIS PLAT IS OF A SURVEY OF AN EXISTING PARCEL OR PARCELS OF LAND. Project 1'130017-1 Oola: 29 MAY,2013
If REFERENCES: DEEDS AND MAPS ARE SHOWN HEREON BOWDEN SURVEYING 704 691-5258
ORIGINAL SURVEY 5/29/13
• REVISED- 7/2/13 TO SHOW TREES- SPOT ELEVATIONS & MAPPING 317 SOUTH LAUREL ST.
REVISED- a/23/13 TO SHOW NEW AND EXISTING SEPTIC LINCOLNTCN,N.C.28092

•
ell
'CON NECTGIS ; Ir2019
N°'�1QO"�'O � li{:i>i.i l- Printed June
WEB HOSTING Iredell Count See Below for Disclaimer
' Addresses
A Infrastructure
NonResidential Use
Residential Use
Streets
—Interstate
Ramp
4627-51-0929 —US Hwy
„1"'*.o Alirr
.A. ' r State Hwy
—Main Road
- .r� '+iw, • --- — Local Road
13
462751-281 - • — Residential
=�•••,.{ r'1 ` ;+.r� H Private
* 'f' * '`- 4627-51-483 — Inactive
• '
/ • Parcels Hooks
462?" 1 l' _
• I
r Parcels
, )41,0f. 411
--ft ►` --` ,. a t. • «, Parcel Labels
lielkv : 1 462751-4720
,14
00 , ' • a�a6` City Limits
" Lake Norman
, , if '110/r ; 4627-513587 ,1 Iredell Countyline
.ti - r aZ
l• l l / NC Counties
i ' t,w ' , u
e" 4627-51-3415
IN •
4627-51-1399
k
«- _ E.,.
,• � 4627-51-0309
•S 11 :92 Feet r
he 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
•rovided 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
ny of this information is at their own risk.All maps on this site were prepared using a 1000a€"Grid based upon the North Carolina State Plane Coordinate System from
he 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
•fflcial notice of tax liens.For additional information re•ardin•delin•uent taxes,contact the Iredell Coun Tax Collector's Office.

Type:CONSOLIDATED REAL PROPERTY
Recorded:9/9/2013 2:26:28 PM
Fee Amt:$741.00 Page 1 of 2
Revenue Tax:$715.00
Iredell County,NC
Matthew J.McCall Register of Deeds
BK 2264 PG 1280 - 1281
Excise Tax$715.00 Recording Time,Book and Page
Tax Lot No. Parcel Identifier No.4627511717
Verified by County on the day of
2013
Mail after recording to:Grantee at Address Below
This instrument was prepared by Lutzel,Broadway&Associates,PC,3430 Toringdon Way,
Suite I05,Charlotte,NC 28277
Brief Lot 379 Section 8;Map Book 15 Page
Description for 73;Iredell County
the index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this 6th day of SEPTEMBER,2013,by and between:
GRANTOR GRANTEE
WILLIAM KRESS QUERY,JR JAMES W.LITSEY
AND SPOUSE AND SPOUSE
GWENDOLYN S.QUERY JANA J.LITSEY
Seller(s)Forwarding Address: Property Address:
14117 SPRING WATER DRIVE 125 CHARTER PLACE
MATTHEWS,NC 28105 MOORESVILLE,NC 28117
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors, and assigns, anti shall include singular, plural, masculine, feminine or neuter as
required by context.
WITNESSETH,that the Grantor,for a valuable consideration paid by the Grantee,the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey
unto the Grantee in fee simple, all that certain lot or parcel of land situated in the County of
IREDELL,State of North Carolina and more particularly described as follows:
BEING all of Lot 379 in Section 8,as shown on map recorded in Map Book
15 at Page 73, in the Office of the Register of Deeds for Iredell County,
North Carolina.
Being the same property acquired by Grantor by instrument recorded in Book 1402 Page 2452 Q
1 REDELL County Register of Deeds. PageCount: (i`
DNS DPQ•
l]SI
• ROTC
All or a portion of this property herein conveyed includes or does not include the
nrimary residence of a Grantor.
Book:2264 Page: 1280 Page 1 of 2

•
A map showing the above described property is recorded in Plat Cabinet/Map 15 at
File/Cabinet/Page 73.
Il:\VF AND TO HOLD the aforesaid lot or parcel 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:
Enforceable easements,restrictions and rights of way of record.
Current Year Ad Valorem Taxes
All matters revealed by an accurate survey of the property
IN WITNESS WHEREOF,the Grantor has hereunto set his hand and seal,or if corporate,has
caused this instrument to be signed in its corporate name by its duly authorized officers and its
seal to be hereunto affixed by authority of its Board of Directors, the day and year first above
written.
GRANTOR(S):
X Gl here,,,,. 4 uo Qq , (SEAL)
WILLIAM KRESS Q ERY,.YR.
X "4 e' C' • (SEAL)
GWENDOLYN S.QUERY
•
•
STATE OF NORTH CAROLINA
SEAL- COUNTY OF 4.eje.t(
SLAM!' I, - 1,,,}.._ C , a Notary Public of the State of NORTH
CAROLINA,County of =uc-l•--►l certify that WILLIAM KRESS QUERY,JR.
AND GWENDOLYN S. QUERY who is known to me or proved to me on the basis of
satisfactory evidence to be the person described,personally appeared before me this day and
``. Pro-1 -�� '� acknowledging to me that she/he/they voluntarily signed the foregoing instrument for the purposes
'2, Ile" stated therein,and in the capacity indicated..Witness my hand and official stamp or seal,this 6th
Zer NOTARY s Day of SEPTEMBER,2013. '
PUBLIC 1 My commission expires:
• � Glyn-lLG
' .4,4/ii.w-,4 ,`� / --.- Notary Public
Printed Name of Notary: 12�c J• w
i
SI
NOTARY
S9 PUBLIC =v`
F
Book:2264 Page: 1280 Page 2 of 2