20191001 Ver 1_Shoreline Stabilization_20190725

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#*
20191001
Version* 1
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Alan Johnson:eads\adjohnson1
Select Reviewing Office:* Mooresville Regional Office - [phone]
Submittal Type:*
Shoreline Stabilization
Does this project require a request for payment to be sent? *
r
Yes
r
No
How much is r $240.00
*
owed? r $570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are ansvwred.
Project Type: r New Project
r Pre -Application Submittal
r More Information Response
r Other Agency Comments
r For the Record Only (Courtesy Copy)
r Stream or Buffer Appeal
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre -Application Submittal - Please check the pre -application submittal if you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an existing project.
Project Contact Information
Name: LKN PERMITS, LLC
Who is subnit ing the inforn Btion?
Email Address: [e-mail]
Project Information
Project Name: Jason Abernethy / Shoreline Stabilization
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Lincoln
Please upload all files that need to be submited.

Oick the upload button or drag and drop files here to attach docurrent
Jason Abernethy Site Survey.pdf
116.13KB
Jason Abernethy Shoreline Photo 1.pdf
4.8MB
Jason Abernethy Shoreline Photo 2.pdf
4.91 MB
7861 Live Oaks Dr, Denver, NC 28037 - Google
469.18KB
Maps.pdf
Agent Auth form.pdf
220.26KB
Abernethy Shoreline Stabilization App.pdf
760.29KB
Abernethy Overview of area where trees will be
1000.75KB
planted.pdf
Only pdf or lain files are accepted.
Describe the attachments:
SGGP Application Form
2 Photos of the shoreline
Location/vicinity Map
Directions
Agent Auth Form
Overview area of plantings
W By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same may as a written
signature; AND
• I intend to electronically sign and submit the online form."
Signature:
e !mow Z& WI?M/T.T £zC
Submittal Date: 07/25/2019
Is filled in autocratically.

AGENT AUTHORIZATION FORM
�OPERTY LEGAL oESMlgrroN_
.JET No. _ PLAN NO, PARCEL ID:
'� lit it' �.♦ �l
'lease Ortnt:
€property R5bi ���'"Aloerr4e-
Property Owner:
=:e undersigned, registered property owners of the above noted property, do hereby authorize
of
(Contractor IWAgent) (Name of &niulting firr�)
to act on my behalf and taste all actions necessary for the processing, issuance and actuante of
this pertnit Or Certification and any and all startdard and special contfrtions atWamc.
�rwerty Owner's Address (if different than property above):
mss_
`We hereby Certify the above "inftii'i'natic n submitted in this application is true and accurate to the.
best of our knowledge,
. -A
Authorized Viature
tftf
Date. I
fi
t tot ized Signature
Efate: 7xz IM

7/25/2019 IMG_20190723_115859.jpg
https://mail.google.com/mail/u/3/#inbox?projector=1 1/1
7/25/2019 IMG_20190723_115853.jpg
https://mail.google.com/mail/u/3/#inbox?projector=1 1/1
I, RUFUS JACKSON LOVE CERTIFY THAT THIS MAP WAS DRAWN FROM AN ACTUAL SURVEY UNDER MY
DIRECT SUPERVISION, THAT THE RATIO OF PRECISION IS 1:10,000+ BEFORE ADJUSTMENTS; AND THAT
THE ANGULAR ERROR WAS < 7.5 SECONDS PER TURN.
12TH JULY, 2018
1 ST MAY, 2019
WITNESS MY HAND AND OFFICIAL SEAL THIS DAY OF
NPPEL Ft0
WEBS -\�--
GQ� N.C.P.L.S. L-2844
0 �GLICENSE NO. PREF SSV L ""isl'OR
Z LI VE _
OAKS - 9 -
�^ = a SEAL
Zo L-2844 w €
WEBB RD. p
�G9ti� SUR`1�'�o
m S+
o S
'i CKSO?``\`,
,,,,l,, 11111111ol\\\
VICINITY MAP
NO SCALE
LOT
MARK J. K
KIM C. KI
DB 2261
PIN 4615-1
MB F-
REFERENCES:
DEEDS AND MAPS AS SHOWN
LEGEND:
PROPERTY LINE
TIE LINE
UNSURVEYED LINE
BACK OF CURB/EDGE OF PAVEMENT
SETBACK LINE
CP COMPUTED POINT
PP POWER POLE
NOTES:
1. THIS PROPERTY IS ON LAKE NORMANAND PARTIS IN A DESIGNATED FLOOD ZONE.
2. AREA DETERMINED BY COORDINATE COMPUTATION.
3. CP DENOTES COMPUTED POINT, NO MONUMENT FOUND OR SET.
4. UNDERGROUND UTILITIES NOT LOCATED AS OF THIS DATE.
5. NO NCGS GRID MONUMENTS ARE WITHIN 2000' OF SUBJECT PROPERTY.
6. ALL MONUMENTS ARE EXISTING UNLESS OTHERWISE NOTED.
D
LAKE
NORMAN
944 SQ.FT
-70
FOUN-DATION SURVEY
PROPE-R�CF
JASON ABERNETHY
�c w f . CA SSIE W. ABERIVE-T
Y
7861 LIVE OAKS DRIVE
DEED BOOK 2604-12, PIN 4615-64-7466, MAP BOOK F-121
CATAWBA SPRINGS TOWNSHIP, LINCOLN COUNTY
NORTH CAROLINA
JULY 25, 2017
REVISED 07-12-18 RJL FOUNDATION SURVEY
ABERNETHY -JASON
20 0 20 40 60
GRAPHIC SCALE - FEET 1 "=20'

7/25/2019 Marshall Steam Station to 7861 Live Oaks Dr, Denver, NC 28037 - Google Maps
https://www.google.com/maps/dir/Marshall+Steam+Station,+North+Carolina+150,+Sherrills+Ford,+NC/7861+Live+Oaks+Dr,+Denver,+NC+28037/@3…1/2
Map data ©2019 1 mi
8320 NC-150, Sherrills Ford, NC 28673
Marshall Steam Station
1.Head south toward NC-150 E
Continue on NC-150 W. Take Slanting Bridge Rd,
Campground Rd and NC-16 Business S to Webbs Rd in
Catawba Springs
2.Turn right onto NC-150 W
3.Turn left onto Slanting Bridge Rd
4.Continue onto Campground Rd
5.Turn left onto Will Proctor St
6.Turn left onto NC-16 Business S
Continue on Webbs Rd. Take McConnell Rd to Live Oaks Dr
58 s (0.2 mi)
13 min (8.3 mi)
1.7 mi
2.3 mi
2.1 mi
0.5 mi
1.7 mi
6 min (3.3 mi)
Drive 11.8 miles, 21 minMarshall Steam Station to 7861 Live Oaks Dr, Denver, NC
28037
7/25/2019 Marshall Steam Station to 7861 Live Oaks Dr, Denver, NC 28037 - Google Maps
https://www.google.com/maps/dir/Marshall+Steam+Station,+North+Carolina+150,+Sherrills+Ford,+NC/7861+Live+Oaks+Dr,+Denver,+NC+28037/@3…2/2
These directions are for planning purposes only.
You may nd that construction projects, trac,
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.
Denver, NC 28037
7.Turn left onto Webbs Rd
8.Turn left onto Burton Ln
9.Turn right onto Webbs Chapel Church Rd
10.Turn right onto McConnell Rd
11.Turn right onto Live Oaks Dr
12.Turn right to stay on Live Oaks Dr
Destination will be on the right
7861 Live Oaks Dr
1.7 mi
0.4 mi
0.4 mi
0.6 mi
0.1 mi
420 ft
7/25/2019 IMG_20190725_125232.jpg
https://mail.google.com/mail/u/3/#inbox?projector=1 1/1
D,
state of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water- Resource- 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
LNVIROMMENrAL OUP,'_::: 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 service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR - 401 & Buffer Permitting Branch DWR - 401 & Buffer Permitting Branch
1517 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27599-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Infnrmatinn
Name:
Mailing
Telephone Number: V(y-Fax Number: WA
E-mail Address: ict s Frr, a. 2br l�
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.miI/Portals/59/docs/reRulatory/rejzdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf) j
Name: 10 i P.i1, w +-- AA-` C3V1_ �-�1 A LJ2 N,1 Pe_P y%A i4---, ]�`>
Company Affiliati
Mailing Address:
Telephone Number:
E-mail Address:
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: SSCP 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: Nearest Town: 1
Lake/ river/ ocean adjacent to property: SIC MQ -n
Property size (acres):
Subdivision name or site address (include phase/lot number):
Directions to site - please include oad names and numbers, landmarks, etc.:
Latitude (in decimal degrees) rJ &U?0Longitude (decimal degrees)(� f 15n
Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): 611 Dr l4
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): �
7. Will work be conducted from land? From water?
8. Total amount of impacts below the normal pool lake level / Normal Water Level 3'
aAentimpacts (i � Iwding_pll excavit
ation, backfill, rip rap,
Temporary impacts in square feet: -pre, v,
ining walls, etc.) in squgre feet:
51 nA
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward 31
Permanent impacts (including back fill, excavation, rip rap, retaining walls_ etc.) in sg4are fe(
Temporary impacts (temporary clearing, co
"t nstruction corridor) in square feet:
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to be implc Jed (number of trees, for instance):
11. Signature
Owner/Ag is Signature' LSA NCAC 02H .0502(f)i D e
`Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017
Page 2 of 4