20191128 Ver 1_Shoreline Stabilization_20190822

lic- State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
bVater Resources 15A NCAC 02 � lity Certification, Shoreline Stabilization
ENVIRONMLN t AL Quay , r t FORM: SSGP 02-2017
WWShoreline Stabilization Application Form 2 0 1 9 1 1 2 8
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
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)] ��� L� ` G.
1. Owner Information
Name: William Houston
l
Mailing Address: 9745 Riviera Drive Sherrills Ford NC 28673
Telephone Number:
E-mail Address:
7043019775 Fax Number:
[e-mail]
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:
httr)://www.saw.usace.armv.miI/Portals/59/docs/reguIatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
8. Project Information [15A NCAC 02H .OS02(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: Catawba Nearest Town: Sherrills Ford
Lake/ river/ ocean adjacent to property: Lake Norman
Property size (acres): .5
Subdivision name or site address (include phase/lot number): 9745 Riviera Drive
Sherrills Ford NC 28673
Directions to site - please include road names and numbers, landmarks, etc.:
Latitude (in decimal degrees)_35.618220 Longitude (decimal degrees)_ 80.931510
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): undeveloped
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): New boulder stone wall to prevent erosion of shoreline
7. Will work be conducted from land? X 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:
0 so
Temporary impacts in square feet:
0 sq
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
210 so 30 feet long 7 feet high boulder retaining wall
Temporary impacts (temporary clearing, construction corridor) in square feet:
90 sq
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): Grass and light brush
11. Sigat e
$/19/2019
Owner/Agent's Signature` [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

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
Full Pond/ Normal Water
Shoreline
7x30 Boulder Retaining wall
Plan View
Full Pond/ Normal Water
'Ihore7"ine
2 ft. x 150 ft.
additional dearir
if necessary
Plan View
La ke
(At Full Pond/ Normal Water Level)
Lake
(At Pull Pond/ Normal Water Levey Existing Dock
3x30 additional clearing if
necessary
I Existing Dock I
3ftx 150 ft
Below full pond/ N WL
4ftx 150 ft
Above full pond/ NWL
FORM: SSGP 02-2017 Page 3 of 4

3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
V necessary
Existing bank
10 ft. bank a
height
I I rc�
FORM: SSGP 02-2017 Page 4 of 4
3 feet from full pond 3 feet clearing
HII
I if necessary
7ft Bank Hight
N
N
J
Lake
(At Full Pond/ Normal Water Level) M
C
tp
—'
E
a
z(A
Side View
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
V necessary
Existing bank
10 ft. bank a
height
I I rc�
FORM: SSGP 02-2017 Page 4 of 4

8/19/2019
20190719_180049.jpg
https://mail.google.com/mail/u/0l#inbox/QgrcJHsTgFgCdhrzS4nkSfMvgCbfwQgv?projector=l &messagePartld=0.1 1/1

8/19/2019
Go gfe Maps 9745 Riviera Dr
9745 Riviera Dr - Google Maps
Imagery 02019 Google, Map data 02019 200 ft
https://www.google.com/maps/place/9745+Riviera+Dr,+Sherrills+Ford,+NC+28673/@35.6190059: 80.933701,638m/data=13m 1 !l e3!4m5!3m4!1 sOx88... 1/1

8/19/2019
9745 Riviera Dr
9745 Riviera Or - Google Maps
Map data ©2019 200 ft
https://www.google.com/maps/piace/9745+Riviera+Dr,+Sherrills+l=ord,+NC+28673!@35.6190059; 80.933701,17z/data=!4m5!3m4!1 sOx885153a7e75... 1!1