20201705 Ver 1_Shoreline Stabilization_20201208

Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
MOLINA DWR.pdf 49.44KB
Pre -fling Meeting or Request Date 11/6/2020
ID# 20201705 Version 1
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.
Primary Contact Email * [e-mail]
Rease provide an email address for payment and requests for more information here.
Owner Information:
Name: * ALAN MOLINA
Email: * ALAN@ALANMOLINACOM
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
34 MOUNT PLEASANT RD
Address Line 2
city
State / Frovince / Region
SPARTA
NJ
Fbstal / Zip Code
Country
07871
UNITED STATES

Is there an agent working on the F Yes
project?* r No
Agent/Consultant Information
Name: * TAMARA HAGER
Company Affiliation:* LKN DREDGE & MARINE CONSTRUCTION
Email:* HAGER@LAKEPERMIT. COM
Phone Number:* [phone]
(XXX)XXX-XXXX
Address:* Street Address
PO BOX 5335
Address Line 2
City
State / Province / Region
MOORESVILLE
North Carolina
Fbstal / Zip Code
Country
28117
United States
Asigned and dated copy of the Agent Authorization letter:*
MOLINA AUTH.pdf 546.36KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* MOLINA
If your project has a formal name please use this. If your project does not hake 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.*
r Upload File
r Lookup address
Upload Map: MOLINATOPO.pdf
Latitude:* 35.571489
1.38MB
Longitude:*-80.950420
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*
MOLINA SKETCH.pdf 236.74KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a
yard stick, shovel handle, etc.)*
MOLINA PICS.pdf 1.03MB

4. Location of the property (where work is to be conducted)
Nearest Town:* MOORESVILLE
County:* IredeU
Lake/ river/ ocean adjacent to NORMAN
property:
Subdivisions name or site address:* LOT 239/ CRESENT LAND & TIMBER
hclude phasellot number
Directions to site:*
FROM MARSHALL STEAM STATION HEAD SOUTH ONTO HWY
150 FOR 5.4 MILES, TURN RIGHT ONTO MORRISION
PLANTATION PKWY GO 1.1 MILES TURN RIGHT ONTO BRAWLEY
SCHOOL RD GO 2.7 MILES, TURN RIGHT ONTO MCKENDREE RD
GO 1.6 MILES, TRN RIGHT ONTO LAKEVIEW SHORES LOOP .10
MILES, TURN LEFT GO .10 MILES ONTO ABBOT RD, CONTINUE
ONTO LAKEVIEW SHORE LOOP FOR .60 MILES PROPERTY WILL
BE ON RIGHT.
Rease include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
RESIDENTIAL
Residential, undeveloped, etc.
6. Property Size .95 ACRES
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
DREDGE AREA OF 40X40X4'
AND
REFURBISH RIP RAP TO SHORELINE FOR STABLIZATION
8. How will the work be done? * r From Land
17 From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
0
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward:*
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
0
square feet
11. 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)
NONE
Sketch: MOLINA SKETCH.pdf 236.74KB
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):

0 $240.00 for impacts to lake (below normal water level) of less than 1 acre
0 $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
o 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.
o 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');
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');
0 1 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 Shoreline Stabilization online form.
Full Name:* ALANMOLINA
Signature:
� VIP

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201705
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

Project
Cor'tl 2Ct
The approval is for. ire he6u Si natr,r
t-Pulse 2nd
aPplirarianisaviOlatiDn'7;ierP lc.SiLEspeciisworkshould l7,avi
esign EiESCrFiJc�d in your =APi � ion. #r,�pars not indic2ted in th=
QH .OSOS and ]SA NCAC 0?B .02T3{8j
ded in the aP611CeLIDn- ! tSp il�Cfiv Trees are riot allowed to ear
amav-d r'ro E
uPpr€�vCrl �, m Zone -I ar'ihE � ==_
cczp ion th Psno alon hd� zr r,r r (within 30 0; 1 un,ess
liinim2#shaping and sla s=u�reiv undermined along -' herull Bond a1evation', i
neimmediaiasharpfine can be remov`c:.
d fie immediate shoreline is al#a,ec, i? 5� i+tCnC 025 .02e3l6)1
0enchin_, _r2di
- nRinLha.yu„erisnota
tixcessi+f2 ciisZrhancE a.round cover_ r 5 lil
C 3c Ciiw.ii niz ErvIo,-is pailOS - CACC7'
o .O2C.� (e)J
ythe E?iwiCiVed
on ih_ imp2rvinus�alkwal,s etc are nntailoj
irr- pre limi 2tionansi<e ordec#,s.L+SAArCACO?g rqZ 3t�,ndn "he bUffar Us `sssptGiIPcalt,
{ ii S =,proved
cr#: ha candurte
Work ca d rpm land crust indird
rridnrshould be des ca 2n access and i
Mr cribed. i he a ndie anY tre s th^cat arc o .
my 6e OLI side ,Proved erc=ss Cori ipor_ 'E r�rnovad, Th=
"ate burrr- F=SA iUC?CO2 `hell p= rc5iared. Sia in- s.
-OSp� and 5fi v n Q ? 0z�5 rF� C • ao{I, Construcier. Starmv✓ I C-.0 7.
a ier cannon `oa PiPce or . - ,
discharges must be [hanneled so; direr
the naiur , dis[hzr;e
shear Iot, - f elevBti6n amdiscio the lake- a.Jf cons; u
=t non-erasi re vE har - prior to --d stor-mwz ar
loc�cies to he lace- C=SR iNCRC07 R `n`=rind 2 bu„er direc ed
-07 3l5}, (aj; as di�c<s� o-
.�l c1rnD � fle�te,�en
DI l�DilrrG_fIIr;
#,orlon 3ur�'arr?ui � 1 borsht•
by the i}ivis' 2. Work [Onducead in =' r Ena02 i 1 have OFen in{Orned
a{crn such ih2thVra�con— c°urges (3ilvR) i ne Nation z and r toi}staiad in the application a`ad pProvaL
Quality cer— on a ifOn Vils - uiii+Nlii7i Sim r?;orceMenc. Due dili�a
= �irtCeti sub MPI be
m'_t�ri2lS. nL+` $iJ iiEr i'i the Eppr �rti 'J#2nis� Gn21, cPl'iip#inn Cc aT]G' iilte!?� oT'the ^(}11Sr�icr
- and Othersunport n.
Sign2lur {OLVFt c,

etc.), rip rap, excavation or dredging below Full Pondj Normal Water Level elevations,
and construction access application farm. corridors. You may use the diagram provided at the end of this
3. Attach a PhOtograPh of the shoreline/ buffer proposed to be stabilized. (Include a scale
of some sor£- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County:
Nearest Town: jM( 0r,&,�YE ✓'�
Subdivision name or site address (include phase/lot number)_
Directions to site -- please include road names and numbers, landmarks, etc.:
Latitude (in declmaldegmes) ��, Cy Longitude (decimal de rees
5. Describe the existing land use or condition of the site at the time of this --gig plicaio,
(residential, undeveloped, etc.): ,
.--1`�-i
5- Property size (acres):
y. Lake/ river/ocean adjacent to property:It
8, Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessaryj: t4 j� �D 4' _r�
9. Will work be conducted from land? �e
❑ From water?
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Bevel in square feet or acres:
11. Totai amount of disturbance (including ali 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:
12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward t be Impacted (number of trees, for instance):
i i i�i f l; _ ? '� TZ
It 1gz1 Zz
Owner/Agent's nature' 15 iiiC,4C a?la .0502 ; '
Date
Agent'ssi ure is valid onlyij an aurhorization !e«er from the
FORM: SSGP 10-2013 owner is provided.
PaR-e 2 of 3

12/7/2020 MyTopo Search
https://search.mytopo.com/searchplaces 1/3
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668 Lakevi ew Shores Loop, Mooresvi lle, North Carolina…
MyTopo SEARCH MAPS ONLINE MAPS CONTACT US LOGIN 
Lake
(A; Full Pond/Normal Water .1)
+' ;rrc-, Prey
Full Pond/ 5�
Normal Water Level � � �-
no*WON=
Shoreline -
amamamMrMW
Please aPProximately sketch the following information on this plan (provide dimensionsfore�cF.
item, such as 10 ftX100 ftJT:
- All {proposed vegetation clearing
?• Location of rip rap or fill to be placed above the Full Pond/'(Normal Water Level elevation
3. Location 01 rip rap or Rill to be placed below the Fulf Pond/ Normal Water Level elevation
4. Locat€on of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location ofany excavation or dredging below the Full Pond/ Normal Water Level elevation
0. Location of construction access corridors
FORM. SSGP ? D-2013
Page 3 ot3

From: TAMARA HAGER [e-mail]
Subject: Molina dredge pics
Date: Nov 16, 2020 at 10:32:26 AM
To: TAMARA HAGER [e-mail]
rum
D ' TT 4

YL-- .P 4 S

. �bL���
��
r
J� � � LS
��

Lake
(A; Full Pond/Normal Water .1)
+' ;rrc-, Prey
Full Pond/ 5�
Normal Water Level � � �-
no*WON=
Shoreline -
amamamMrMW
Please aPProximately sketch the following information on this plan (provide dimensionsfore�cF.
item, such as 10 ftX100 ftJT:
- All {proposed vegetation clearing
?• Location of rip rap or fill to be placed above the Full Pond/'(Normal Water Level elevation
3. Location 01 rip rap or Rill to be placed below the Fulf Pond/ Normal Water Level elevation
4. Locat€on of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location ofany excavation or dredging below the Full Pond/ Normal Water Level elevation
0. Location of construction access corridors
FORM. SSGP ? D-2013
Page 3 ot3

DWR Pre-Fil ing Meeting Req u est Form
ID#*Ve rsion *
Re gional Office *
Re v ie we r List *
Contact Name *
Contact Email Addre ss *
Proje ct Name *
Proje ct Owne r *
Proje ct County *
Owne r Addre ss:
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low.*
20201705 1
Mooresville Regional Office - [phone]
Alan Johnson
Pre-Filing Me eting Reque st submitte d 11/6/2020
Tamara Hager
[e-mail]
Molina
Alan Molina
Iredell
City
Mooresville
State / Province / Region
North Carolina
Postal / Zip Code
28117
Country
United States
Street Address
668 Lakeview Shores Loop
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
None needed
Refurbish Rip Rap to Shoreline for stabilization
And
Dredge 40x40x4’ cut
Please give a couple of dates you are available for a meeting.
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:

· This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
· I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
· I also understand that DWR is not required to respond or grant the meeting request.

Your project’s thirty-day clock started upon receipt of this application.  You will receive notification regarding meeting location
and time if a meeting is necessary.  You will receive notification when the thirty-day clock has expired, and you can submit an
application.
11/6/2020