Shoreline Stabilization Application Form

15A NCAC 02H .0500 – Water Quality Certification, Shoreline Stabilization FORM: SSGP 10-2013

The Shoreline Stabilization form should be used to apply for a 401 Water Quality Certification for activities eligible for coverage under U.S. Army Corps of Engineers Regional General Permits 30, 79, or 80. This includes, but is not limited to, shoreline stabilization on Federal Energy Regulatory Commission (FERC) regulated lakes, Tennessee Valley Authority (TVA) regulated lakes, and certain private lakes. This form does not apply to property within the twenty coastal counties that are affected by the Division of Coastal Management (CAMA) rules.

I. Applicant Information [15A NCAC 02H .0502(a)]

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.
Is this application for a project associated with emergency response/repairs from Hurricane Helene impacts to your project or property?*field type radio button
Is this application for a project associated with emergency response/repairs from Hurricane Helene impacts to your project or property?YesNo
Primary Contact Email*field type single line
Please provide an email address for payment and requests for more information here.
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Owner Information:
×
- Name:*field type single line
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- Email:*field type email
- Phone Number:*field type single line
  (xxx)xxx-xxxx
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- Mailing Address:*field type address
  Street Address
  Address Line 2
  City
  State / Province / Region
  Postal / Zip Code
  Country
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Is there an agent working on the project?*field type radio button
Is there an agent working on the project?YesNo

Project Information [15A NCAC 02H .0502(a) & (b)]

Project Name:*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
If your project has a formal name please use this. If your project does not have a formal name, please identify your project by the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any other names that have been used to identify the project in the past.
1. Provide 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.*field type radio button
1. Provide 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.Upload FileLook up address
Upload Map:field type file upload
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Property Address Lookup:*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Latitude:*field type number
Longitude:*field type number
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, and construction access corridors. You may use the diagram under section 12.normal pool lake level/normal water level*field type file upload
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Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/DocView.aspx?dbid=0&id=2223962
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a yard stick, shovel handle, etc.)*field type file upload
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4. Location of the property (where work is to be conducted)
Nearest Town:*field type single line
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County:*field type drop-down
Lake/ river/ ocean adjacent to property:*field type single line
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Subdivisions name or site address:*field type single line
Include phase/lot number
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Directions to site:*field type multi line
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*field type multi line
Residential, undeveloped, etc.
6. Property Sizefield type single line
Acres
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7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary):field type multi line
8. How will the work be done?*field type checkbox
8. How will the work be done?From LandFrom Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*field type single line
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)square feet
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10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet land-ward:*field type single line
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)square feet
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11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet landward to be impacted:*field type multi line
(number of trees, for instance)
Sketch:field type file upload
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Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The application fee is as follows (pursuant to G.S. 143-215.3D):
- $323 for impacts to lake (below normal water level) of less than 1 acre
- $767.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
- I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief
- I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
- I agree that submission of this Shoreline Stabilization online 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 way as a written signature; AND
- I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:*field type single line
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Signature:*field type signature

Shoreline Stabilization Application Form

I. Applicant Information [15A NCAC 02H .0502(a)]

Owner Information:

Project Information [15A NCAC 02H .0502(a) & (b)]