20191148 Ver 1_Shoreline Stabilization_20190829

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#*
20191148
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 answered.
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: John Boyte
Who is subrritting the inforrretion?
Email Address: [e-mail]
Project Information
Project Name: 127 Ripplewater Lane, Lake Norman
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)
Iredell
Please upload all files that need to be submited.

Click the upload button or drag and drop files here to attach docurrent
127 Ripplewater - Iredell GIS plat.pdf
106.04KB
127 Ripplewater aerial photo.pdf
196.37KB
127 Ripplewater DWR plot plan.pdf
150.39KB
127 Ripplewater DWR repair plan.pdf
197.47KB
DWR application 1.pdf
193.52KB
DWR application 2.pdf
231.04KB
Seawall repair photos 1.pdf
237.05KB
Seawall repair photos 2.pdf
212.14KB
Seawall repair photos 3.pdf
237.05KB
Only pdf or Ivrz files are accepted.
Describe the attachments:
DWR application, DWR plan of repair area, Iredell GIS plat, Plot plan with vicinity map, Google maps aerial
photo, scanned doc with photos of seawall damage and erosion.
V By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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")
o 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 way as a written
signature; AND
o I intend to electronically sign and submit the online form."
Signature:
W
Submittal Date: Is filled in automatically.

State of North Carolina
DW Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources ISA NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSCP 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
I. Applicant Information 115A NCAC 02H .0502(a)1
1. Owner Information
Name: 3oi�►�
Mailing Address: /LS44
Telephone Number: _ fv --J(Z - 90()T Fax Number:
E-mail Address: I IFVww-rvrn Cd. /
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
must be attached if the Agent has signed this application form.
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Person to receive the Certification Approval:
Fax Number:
Project Information 115A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) dearly 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 1

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: � yy--: Nearest Town: r�nd?�SVtL1G
Subdivision name or site address (include phase/lot number):
List 122 V, vow W' Tt-t,2 M, i[
Directions to site - please include road names and numbers, landmarks, etc.:
S2 \to9 —ro ��z�•,L��r �Clycn� Qin Tc.)
!1" LC -T a& [ F F7
Latitude (in decimal degrees) Longitude /decimal degrees)
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): f/ t.Si pia r,-, ra
6. Property size (acres): . U.0
7. Lake/ river/ ocean adjacent to property: bw t�- �1,,),Q -t4 ")
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 0Z NV4 ,F L , �—rla'2 Amo 644JAr
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:
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: Npue
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): 6eL An zA
ww- W T( '(&tv I rJPA CTJE�p .
Printed Name
Date
'Agent's signotbre is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

i • 5x
Iredell County
Overview Map
Quick Smirch
4"j
Clear
Lat Lon
PIN
Owner Name
Address
Street Name
Subdivision
Advanced Search
Search Builder
Coordinate Search - - -
Comparable Search `
Excel2000/2003 Results
1:101
4:
!w1 t,AN
02009-2019 Dude Solutions. All Rights Reserved. I Software N

Go yle 127 Ripplewater Ln
Imagery ®2019 Google, Imagery 02019 Maxar Technologies, Orbis Inc, U.S. Geological Survey
127 Ripplewater Ln
Mooresville, NC 28117
O
O
�
§
O
Directions
Save
Nearby
Send to your
Share
phone

a�
--o
MAI
J
N
�Y.
J

La ke
(At Full Pond/ Normal Water Level)
11(er
�ExIS71Jv�
-To 5CAw1
Full Pond/
Normal Water Level
Shoreline
oil
iE Y2o orb d tehS Gd WAX 1)*W k&"
e7VA �
128
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as loft x 1 oo 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. Locat�iop gf construction access corridors
-lXV?gM Wcoz C' A<*W U_
T.� �c MPMJtO A -Ci
L sv v
�t
FORM: SSGP 10-2013 3
I u
VAtLG IZ -2
� f�x� Szi u V (o2kD�
Page 3 of 3