20191160 Ver 1_Shoreline Stabilization_20190829

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form
0� 8 1
X60
One copy of the application (including attachments) and the application fee should be sent to:
Division of Water Resources t
401 & Buffer Permitting Unit
1617 Mail Service Center 49 /40e
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information II
Name: 1 V1cjm&--3 aLrnci L--Qu+h Stsson
Mailing Address:
Telephone Number: JUil- y0A - alyU Fax Number:
E-mail Address: -t-Si5SaOOQDr©aArunJ0e_r.Com
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.armv.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:
Company Affiliation:
Mailing Address:
Telephone Number: '10y - Ls, tob - 5111 Fax Number: -1C)LA - (_n60 - 5q U9
E-mail Address: 0_L)0_SeaU10_((-'�_J t►�'re_c��nn.,ne-i—
Person to receive the Certification Approval: Sn n', c e 5 S -i e4 c
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,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10-2013 Page 1 of 3

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: Tr 1 e.l t Nearest Town: �r�t�kYYl[� Yl
Subdivision name or site address (include phase/lot number): 1I -i vin sed- l�1�r.
I romcri, l�lC_ �Q,ILo� Lof # lo. �u,nse+tau 5����I',v�slop
Directions to site - please include road names and numbers, landmarks, etc.:
see-
Latitude
ee
Latitude (in decimal degrees) 35. ULA S603 Longitude (decimal degrees) - 8b. 9 321 a (.0
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): T_ -,k AexnLn_i
6. Property size (acres):
7. Lake/ river/ ocean adjacent to property: VAn rff)ay %
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Ln sA-atl 6otcler r', n r,,n o-4 %:5e of
ALOl 5r_41on o� exp-A;no wa.11 _Zn4all MnISS 1113M r',o ,rnjQ n�- base oy IUl Se&'ion
%of PXisFi n wall
9. Will work be conducted from land? F1From water? 9
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:
oil 6aow ( SCSIP 09 %rn►�2Q61
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: Q 1 C�,b0VQ.
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): o mss 6ogipec-0
LJ
v�o -gees �-emaved, ino ci►5k�r�c�.�nc�-�a %��'�er
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
Lake
(At Full Pond/ Normal Water Level)
OoGk
I q' a L91
Class"C3" �ovl�er
r ra
qv� �en�
do +roes re.nrnoved
TAO disfUrlDa.nc-e-
+o 60�kr
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
Thomas & Leruth Sisson
177 Sunset Bay Dr.
Troutman, NC 28166
FORM: SSGP 10-2013 Page 3 of 3

WSM19 610 Fast Center Aente, MwesWle, NC to 177 Sunset Bay or, Troutrnan, NC 26166 - Google Maps
G;. gfe Maps 610 East Center Avenue, Mooresville, NC to 177 Drive 13.9 miles, 26 min
Sunset Bay Dr, Troutman, NC 28166
610 E Center Ave
Mooresvi'!e, NC 2°' _i `'
t 1. Head south on Evergreen St toward E Center Ave
14 s (197 ft)
Take Cornelius Rd and Perth Rd to Morrison Farm Rd in
Fallstown
21 min (11.5 mi)
r' 2. Turn right onto E Center Ave
381 ft
Ir' 3. Turn right onto E Statesville Ave
1.2 mi
fw 4. Slight right onto NC -115 N/N Broad St
O Continue to follow NC -115 N
1.4 mi
41 5. Turn left onto Connector Rd
0.8 mi
t 6. Continue onto Cornelius Rd
2.4 mi
h"JAw .google.caNrreps/dir/610+Fast+Center+Avenue,+Mooresville, +NC/177+Sunset+Bay+Dr,+TroLMw,+NC+26166'@35.6301666; 80.9027496,14537rri r Vdata=! 3m211s3!4b114m1414ml311 m5l.1ml11... 12
826/2019 610 Fast Center Avenue, Mooresville, NC to 177 Sunset Bay Dr, TroWnan NC 2B166- Google Maps
F* 7. Turn right onto Judas Rd
1.2 mi
r 8. Turn right onto Perth Rd
3.0 mi
9. Turn left onto State Park Rd
1.4 mi
Continue on Morrison Farm Rd. Drive to Sunset Bay Dr
4 min (2.3 mi)
4'1 10. Turn left onto Morrison Farm Rd
2.0 mi
f' 11. Turn right onto Sunset Bay Dr
8 Destination will be on the left
0.3 mi
177 Sunset Bay Dr
Troutman, NC 28166
These directions are for planning purposes only.
You may find that construction projects, traffic,
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.
MpslMy ..google.con*rs s/din610+Eeat+Carter+Avenue.+Moore ,Alle,+NC/177+Sunset+Bay+Dr,+TroLman,+NC+281661@35.6301686,-80.9027496,14537MarTpVdata=!3m2!le314bll4ml4!4ml3!tm611ml!1... 212

`t I roar mm wt I w K aro a K waan I •, .
cf} $ snx�wBoa . mxaer.rwsxtroaowms wawrµawtirtt�ax.s,otm, °.u�Oit1em"r"x�R.tirr DEPARTMENT OF nsa .Ro 0RlT),A�110N
DIVISION OF HIGHWAYS 22 �..%, ``\ `,` , •C .�_` „..y. • •Y•,Jp rt•r�warmmuIsBwrrmpnac -tow" axtywmenwAt,wnmr t uoaewo anawnAraRaum ,Kxua
Q w�i:nm r Wase v n•
�xv'E •t .`:i
n � ora se wRa. x -� e.\a //-IL. 7�tI % \ \ .•. .c:. ; ,•` sr Rw s rr � .�mtrR,ei r
e a911fM ♦t.UkBY]4 , \ 'yr6`p •'•:':: 1••• !�',��•
mwn. m—a,\\ `\ 4,,ti E. T•2l•',i ��,�
SIZE °err j \` \, „gnn:au•
a� �-: ow Rwr se•`r[w"s°amc .,tatter., v,,. 1 \ \ t•�- lar
y , n= orate e r .,,:C:,t �::�''•.`% ,� vnri� "rM
p;,, rr
IAaar wnm T F � • 1±. j C t ; � i• \\ad. �N
20 ` t oo� star wr>x ams, wAt e
tRlllO w aV1Y aw \[ Ytrwlbl wor,
NCINITY MAP f iia n.,� .•, ' �,`.��, + / ; . % r `� ,� ` W s Dor. orw vAKaKa , wBa tae.,
T TO SCA + 7 'ej,nita,•, �Lo• / �f S \ „q tlglwi rr Dna woo tr+aao,a r
Lot 192 Lot 183
��J CO3 fb�y ` Y• O`YR
B%1ii`\`, ,` s � `� p, rMu watl tKiri
i �
Lot 191 26 �4d' m 1wa°".ta"N°°"s
1 Recreation Lots
O ss, I PROPOSED .r C>• W ,
MB: 13-60 SUNSET BAY
270R MAP 2 �P -
�1 11 '----------- i ,,, � " ' ' ' ``•
SFT
, w a tw are a Ra eBreirea rr ter l
r„p,esr to twt i' /' m,tw nAr w,t rB,om rrslmmw
`*-.. ' � `\ rB rmrs moor wAtBt mr"Dn. tax
� i �• ,• us" I B , Rs;y„ �,` �r r w.eurw wY • .rr
a t
Lake Norman IfLlBA�,
acral % !__ , �r'4rr � , • 4 I
waFEnn• 04 FQJ=S DUKE POM &AM Act ----'' °pAKI�T• i . "\ LAKE
FA
LAKE LOT r� �' . cm,, \`\ ``\
oorMAara4Fea,Eet Jura st - / SFE °j' • • \t Qtr P
tAJu II(NM arAaewr olBtcY °yr�1'
s oaEtAt DEaoutKa s K oBa w f� Z k _ �jf9 26
, I ,I ~ u 2 I, e +
AnURE ataAaaAt as 01 , n L, \. '4r•Fr
w. ., Fera Wawtp,,o°esEAacrn.J J � yq y ��:''-1p . 5.43e aeRE's
Qy«' Bet i / lqa�' ; +$'.14,• ' ---------
- --- r tom'
--' BLOCK 1
14 1t) �----euFx `' ^
/ bllii I r� ke CCt \` ---- g� ,' HELL LOT !` `
C54 17
/ - 3 and j) xeC '�'EITS
sJRsr t esra•E c" i,S)` �• F -� 1 IDA > 4
iZ� e % a• oelB:¢ r r / ' f,44r T oYDriwn 4 ,
}�'�y ,o SFE , , dl' BLOCK 1 \ `
\ is '^Sd -sw u Cis -- _ QA
Kk, C�\ ptS "� ba "�'
' 3 epi' si
W .. ue .---- ---� _aEw, a „tanomnwKro. COs l lPr`Cta SUNSET �Y yp m�ga�rsnoK. m nn[ east of tNAI
_-- _ 27 i Y _ 8 e �j E[ KenKK nIE Rs-ry aw a m
1.731 ACRES '' 't't'_- + .I ,e CTD ' ,% ¢• : 0� MMM-rATAwt At K9aA,m
"ant HW PRo orAsa aF *F a
u t r-- - Ir , ; m�i•ETat'o� -, -'----- 2,.' 4L rAKAaor[Ht AKo As Anr.Rs a
o�"(%MtYrm FBo,Ea,KB, rAn aF w
Lot 839
' �rq te, / s � '4 1 �'� wr i t i x"0"mwt "oara'"a .uteO's�ear'rtwem`Kaa°
K %g aW�t-�6r' 14 ,0 � ;Recreation Lots Aro"e n„' i
MB: 17-54 Ir%9 Roas+rWV
Lot 1 ' Cy s r1� A% //•n •1
Lot 11 Hawkes Bay---7°--1--- 'rT •'sem c9 , '
MB: 34-57 / c _ ��. 14 %� r" \ GRAPHIC SCALE
Lot 2 ` \% % 00 e m tm ma
Lot to wiln
10 Hawkes Bay �/ r'� tot 83�
`� MB: 34-58 ,`�r . ( IN reel n
. e `t\' 1 mere - loo
KAMM BAUD a r _w
Lot 3 ECM SHEET TITLE
p4tp�
It 'Lot ,ttRECORD PLAT —28.644 ACRES
ta
tot 4 o,00e•B
AOMM
,, UNSET BAY Bmr,e.
® 1 �� D www TNSP., nZEDELL CO., NC
OWNER: PROVIDENT nFw.rnpuRwr t pnrrp mr

8126(2019
CONNECTGIS
wte r;;-)VING
140
•
We:/lfredell.carnecigis.cwAAap asps
Iredell.ConnectGIS
178
•
1 120
•.. '4 � u .ro;';� �c w ..;.a.u»yi, u z ..:. ,.> q a ':.�qy+ �._w.::� ,e.,.sn : ... ... �.. +�.., �.a� i .
26 N
176
,1

8J &M19
Got-1.1gle Maps 177 Sunset Bay Dr
177 Sunset Bay Dr - Google Maps
Imagery @2019 Google, Imagery @2019 M axar Tech nolog ies, Orbis Inc 100 ft
Mtps:/Mm v.google.corrVmaps/place/l77+Sunset+Bay+Dr,+Troutman,+NC+281661@35.643525,-80.9326637,271m/data=I 3m111e314m513m411sOrM153c8af60168f:0x4o97b1aa5o9cee3118m213d35.643425714d-80.9... 1/2

8/26/2019
Go :gle Maps 177 Sunset Bay Dr
0
177 Sunset Bay Dr - Google Maps
1177 Sunsel Bay Drive
Card'\„G\
o' 4
ra r
Su�sc\Da9 o'
AVO v,,
ADM NJ !1401 hprll Od
1J71!
Map data@2019 100 ftL
haps:/Mww.g oog le.corrimaps/place/177+Sunset+Bay+Dr,+Troutman,+N C+28166/@35.6428393,-80.9325241,18z/data=! 4m5! 3n-4! 1 s0)085153c8af60168f:OxA097b1 aa509cee31 ! 8m2! 3d35.6434257! 4d-80.9322868?N. _ . 1/2

_.. �, Er� � �Fha.�a. •.,ar' :. �v � t f �. i yr' rv. � .""" `� F 'Yf"�►'`��k'�+wnrlfYi'.-'
`" �� i' , -'` .�, ♦ 'r y 7'' Legend
i 177 Sunset Bay Dr
w+
N f V%;10
,
R
.
sr,
i eI ILt
� DPA Ramp
' .
71_ 7RRRJI�
♦ « � r`�`+' a �°,..
a
•� qy.'�ii h "viay�;,4 e . a r • ,�t
t ''r ,'' R �' o lmi' t
� l

9
Thomas & Leruth Sisson
177 Sunset Bay Dr.
Troutman, NC 28166
wig
IPi I � -
Thomas & Leruth Sisson
177 Sunset Bay Dr.
Troutman, NC 28166

Y
I Ay,
t
A'
-2P.M
T lIZI!
ZMSZW;�.'
wz
4,4
TP�