20191026 Ver 1_Shoreline Stabilization_20190729

State of North Carolina
pgnartment of Environment and Natural Resources
g DWR 'j." Division of Water Resources
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15A NCAC 02H.0500 — WatdA(WalityDrtification, 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 Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Robert Wilhite
Mailing Address: 201 Cape August Place
Belmont, NC 28012
Telephone Number: [phone] Fax Number: None
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://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: Mike Todd
Company Affiliation: Mike Todd Construction
Mailing Address: 17900 Culross Lane
Charlotte, NC 28278
Telephone Number: 704 996-7646 Fax Number:
E-mail Address:
Person to receive the Certification Approval: Rob Wilhite
II. 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, 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: Gaston Nearest Town:
Belmont
Subdivision name or site address (include phase/lot number): McLean Southshore
Directions to site - please include road names and numbers, landmarks, etc.:
1-85 exit 27, south on NC -273 towards Belmont, right on Shimmerlake Lane,
right on Cape August Place
Latitude (in decimal degrees) 35.158185 Longitude (decimal degrees) -81.036816
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Single-family residence
6. Property size (acres): 1.05
7. Lake/ river/ ocean adjacent to property: Lake Wylie
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Install rip -rap in conjunction with new dock
9. Will work be conducted from land? ® From water? ❑
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:
Aggrox. 4 ft X 103.3 ft. shoreline = 413.2 sq. ft.
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: Approx. 4 ft X 103.3 ft. shoreline = 413.2 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): No additional vegetation
clearing required.
Owner/Agent's Signature* [15A NCAC 02H .0502(f)]
July 21, 2019
Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal Water Level
Shoreline
• Rip -rap
• Dock
• No addih
• Minor sh
• No other
• Cons
Lake
(At Full Pond/ Normal Water Level)
Approx. 103.3 ft. shoreline length
Dock walkway (4 ft. width), under construction
Proposed Rip -rap
be installed along shoreline, approximately 4 ft
hely 4 ft above surface, at full pond water level.
way 4 ft. wide (under construction)
nal vegetation clearing required.
reline slope preparation, plus installation of fou
1roposed structures.
on access will be via vacant lot next door (#17,
surface and
fabric.
Cape August PI.).
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

I, WILLIAM T. POWELL, JR. , CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL SURVEY MADE
UNDER MY SUPERVISION. (DEED DESCRIPTION RECORDED IN BOOK —__ PAGE --, ETC)(OTHER); THAT BOUNDARIES NOT
SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM INFORMATION FOUND IN BOOK B5 PAGE 49-51 ; THAT THE RATIO OF
PRECISION AS CALCULATED IS 1:7.500+ ; THAT THIS PLAT WAS PREPARED IN ACCORDANCE WITH G.S.47-30 AS AMENDED.
WITNESS' MY ORIGINAL SIGNATURE, REGISTRATION NUMBER AND SEAL THIS 21ST DAY OF MARCH A.D., 2019.
WILLIAM T. POWELL, JR. N
I 50
MB. 85 PGS. 49-51 Z —
I
FUTURE DEVELOPMENT
SOUTH SHORE
CURVE TABLE
CURVE 1 BEARING I CHORD I LENGTH I RADIUS
C11 S25'01'59*El 10.401 10.401 425.00
THIS PROPERTY MAY BE SUBJECT
TO ANY AND ALL APPLICABLE DEED
RESTRICTIONS, EASEMENTS, RIGHT—OF—WAY
UTILITIES AND RESTRICTIVE COVENANTS
WHICH MAY BE OF RECORDED OR IMPLIED
IP201 CAPE AUGUST
60 0 60
SCALE: 1" = 60'
EASTOVER
LAND SURVEYING COMPANY, PA
LAND SURVEYORS — PLANNERS (C-1833)
10430 PARK ROAD, SUITE #300
CHARLOTTE, NORTH CAROLINA 28210
PHONE [phone]
FAX [phone]
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SEAL
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FEMA FLOOD
E.I.P IFLOODPLp1N
DUKE ENERGY
PROJECT BOUNDARY
(ELEV.=569.4 MSL)
(FOLLOWS PROPERTY LINE)
IMPERVIOUS SURFACE AREA
DESCRIPTION
AREA
HOUSE w/ PORCH
3,439 S.F.,
DECK/PATIO/HVAC
453 S.F.
DRIVEWAY & WALKS
3,325 S.F.
TOTAL (ALLOWED)=
1 10,500 S.F.
LOT AREA =
45,834 S.F.
TOTAL (ASBUILT)=
7,217 S.F.
LEGEND
E.I.P.
EXISTING IRON PIN
�' Vv
E.C.M.
EXISTING CONCRETE MONUMENT
S.I.P.
SET IRON PIN
P.D.E.
PUBLIC DRAINAGE EASEMENT
P.U.E.
PUBLIC UTILITY EASEMENT
S.S.E.
SANITARY SEWER EASEMENT
FLOOD PROTECTION ELEVATION
CLOSURE EXCEEDS 1' IN 10,000'
PLF.P.E.
PROPERTY LINE
r--- ADJOINER PROPERTY LINE BY DEED OR
PHYSICAL SURVEY
FOR
LOT 16, MCLEAN — SOUTH SHORE, PH 1 MP 4
South Paine Township, City of Belmont, Gaston County, North Carolina
PROPERTY OF: LORI P. WILHITE & ROBERT T. WILHITE
MAP BOOK 85 PAGE 49-51 DEED REFERENCE
DRAWN BY: BUI I DATE: 3/21/2019

7/22/2019 201 Cape August Place - Google Maps
Google Maps 201 Cape August Place
Lot 1 b - Proposed Rip -rap Installation
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201 Cape August Place
Belmont, INC 28012
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Lot 16 — 201 Cape August Place
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Lot 16 — 201 Cape August Place

Lot 16 — 201 Cape August Place
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