HomeMy WebLinkAbout20201954 Ver 1_Shoreline Stabilization_20210121 Shoreline Stabilization Application Form
15ANCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
FORM SSGP 10-2013
DRAFT-NOT FOR USE AT THIS TINE
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 view the form.
Attach documentation of Pre-Filing Meeting Request here:
DWR Pre-Filing Meeting Request MR
52.11(B
GLOVER.pdf
Pre-fling Meeting or Request Date 12/14/2020
ID# 20201954 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* todd@lwdcllc.com
Rease provide an email address for payrrent and requests for rrore information here.
Owner Information:
Name:* William Glover
Email:* bglover@texlonplastics.com
Phone Number:* (704)650-5892
(xxx)xxx-xxxx Address:* Street Address
3332 Randolph Park Circle
Address Line 2
City State/R-ovince/Region
Tega Cay Select...
Ebstal/Zip Code Country
29708 US
Is there an agent working on the a Yes
project?* a No
Agent/Consultant Information
......................................................................................................................................................................................................................................................................................................................................................................................................
Name:* Todd Flowers
Company Affiliation:* Lake Wylie Dock Construction
Email:* todd@lwdcllc.com
Phone Number:* (803)431-9584
( )m-
Mailing Address:* Street Address
19012 Kailua Circle
Address Line 2
City State/Rovince/Region
Tega Cay Select...
Ibstal/Zip Code Country
29708 United States
Asigned and dated copy of the Agent Authorization letter:*
AUTORIZATION FOR MR GLOVER.pdf 33.97KB
Link to: Sample Agent Authorization Form
Project Information[15A NCAC 02H.0502(a)&(b)]
Project Name:* 3173 South Point Road
If your project has a formal name please use this. If your project does not haee 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.*
0 Upload File
CS Look up address
Property Address Lookup:* Street Address
3173 South Point Road
Address Line 2
City State/Bovine/Region
Belmont NC
Fbstal/Zip Code Country
28012 US
Latitude:* 35.160099 Longitude:* -81.015026
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*
Shoreline Mr.Glover.PDF 949.05KB
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.)*
PIcture of Shoreline.pdf 152.81 KB
4. Location of the property(where work is to be conducted)
Nearest Town:* Belmont
County:* Gaston
Lake/river/ocean adjacent to Wylie
property:
Subdivisions name or site address:* Gaston County Wildlife Club
hclude phase/lot number
Directions to site:*
Head east on NC-273 N toward S Point Rd,Turn right onto S Point Rd go
1.4 mile lot on right
Rease include road narres and rxarrbers,landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential-vacant lot
Residential,undeveloped,etc.
6. Property Size 0.0787
Acres
7. Describe proposed work(include discussion as to how hardening of shoreline has been
avoided,or why it is necessary):
Need Rip rap Shoreline has never had any stabilization. It has a 5 foot
straight shot down with no vegetation because the lake is winning
8. How will the work be done?* ❑ From Land
17 From Water
9.Total amount of disturbance below the normal pool lake level/normal water level:*
(including all clearing,back fill,excavation,rip rap,retaining walls,etc.)
300
square feet
10.Total amount of disturbance above the normal pool lake level/normal water level and 50 feet
land-ward:*
(including all clearing,back fill,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:*
(nurrber of trees,for instance)
NONE..By water only
Sketch:
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):
o $240.00 for impacts to lake(below normal water level)of less than 1 acre
o $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");
o 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 Shoreline Stabilization online form.
Full Name:* Todd Flowers
Signature:
Initial Review
Is this accepted into the review C•' Yes r No
process?*
Project Number:* 20201954 Version:*
Select Reviewer:* Alan Johnson:eads\adjohnsonl
Select Reviewing Office: Mooresville Regional Office-(704)663-1699
Has payment been received?* r No Payment Needed
r Fee Received
C•' Need Fee-send electronic notification
What amount is owed?* 0' $240.00
r $570.00
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO: 3 , ':q(A /cis( PARCEL ID: /CAI a�
01 odo tOd kir
&dcS nni t., G. (24.eact
Please print:
Property Owner: Willie 6 ibvs°i"
Property Owner:
P e je k,%6e5.s
The undersigned, registered property owners of the _ it property, do herebyauthorize
Tt'J FlbWWVS , of Lake le e Vair cot/0444/0 1 LIZ,
(Contractor/Agent) (Name of consulting nrm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Prt9,) CLJAlqj
173 5i4, 4 44f'
Telephone: 7c'L (")Sb
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowledge.
C.. A l Jw
Authorized Signature Authorized Signature
Date Date
o e4
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—D.—uce—.WATER LINE E.= . 6B207.
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HEREBY CM,Met MIS SuvvEY IS OF EAST.°PARCEL OR PARCELS OF LNq_ 1 {{I
I HEREBY DMA,MA,ME S.RdEC,PROPER,.00 IS()NOT LOCATED IN A.'DAL ROW \ \ \ ` \
AZ..RDA AREA AS DETERMINED BY N.D.rEPA PANEL/3Z1035910OL \
FTEcn AR /2/2013(NO ROOD SURREY MADE).
M "N'DE ARUM.A DAD DESDa1PPC.0)AS We.N H' ''"E",o0orr Y \ Ct.\ \ "TOPOGRAPHY SURVEY-
hO Or LAPP/DES AND DEYARnRES IS _ AND \
D.AREA DM 00 D,_N o BY DMOQ 0090 MY NAND AND SEAL.'MI r \ SOUTHPOIN7 TOWNSHIP 4�
R,EY BASED ON PN CAL ENBENCE AND EVSBN6 IRON PINS S \ \ GASTON COUNTY, N.C
DNB-EDT TO RECORDED OR UNRECORDED RIGHTS-OF-NAY OZ t+YLEN15 \ 'f,P Survey made at(Ne re9UYl of
or oBAKo BE BILL GLOVER
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same• I'=20' OCT-M.2019
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` Survey By ONt�
TANNER AND 4kCONNAUGHEY, /
1361 C E.00010M&04 864 2813
(J04)B6fi 6421 OR( )
D.B.P/0 1090 pc. 316 Lot,,31 -`mow-
CASTON COUNTY MtSLIFE 12l
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
L'cateresour ry i5A NCAC 02H.0500—Water Quality Certification,Shoreline Stabiluzation
v3arW il zau € Y FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing Ytinth 0( 1y1 6V/111 i jd,},�r
b. Location of rip rap or fill to be placed above the Full frond/ 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-.hone
Lake
(At Full l Ondi Normal Water Level)
FullPond/ Norma #1 ffLe e fir > t
hore�tne d d / / �Rh r
N �- Lam.... i f z'm,a:... i
rr mew r_
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Plan View
FORM:SSGP 02-
2017
Page 1 of 3
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FORM:SSGP 02-2017
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DWR Pre-Filing Meeting Request Form40
NORTH CAROLINA
ErrOronmrrrtal Quality
ID#* 20201954 Version* 1
Regional Office* Mooresville Regional Office-(704)663-1699
Reviewer List* Alan Johnson
Pre-Filing Meeting Request submitted 12/14/2020
Contact Name* Todd Flowers
Contact Email Address* todd@lwdclIc.com
Project Name* William Glover Rip rap
Project Owner* Todd Flowers
Project County* Gaston
Owner Address: Street Address
3332 Randolph Park Circle
Address Line 2
City State/Rovince/Region
Gastonia NC
Ebstal/Zip Code Country
28056 United States
Is this a transportation project?* C Yes ( No
Type(s)of approval sought from the DWR:
I— 401 Water Quality Certification- I— 401 Water Quality Certification-
Regular Express
I— Individual Permit I— Modification
l Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes ( No
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below.*
16 to 32 tons of rip rap to be installed by water on 30 Feet of shore
line
the Property is lot 31 in the Gaston County wildlife Clubhouse In
Belmont NC PID# 194592
Todd Flowers will be acting as agent for Property owner Bill Glover
All work is done by Barge 100%by water.
The address of the 3173 South Point Drive(this is address for Gaston
county Wildlife club
No house on property yet..
latitude
35.159243
longitude
-81.015343
Please give a couple of dates you are available for a meeting.
1/6/2021
12/30/2020
1/7/2021
Please attach the documentation you would like to have the meeting about.
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.
• !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.
Signature
Submittal Date 12/14/2020