20210646 Ver 1_Shoreline Stabilization_20210504

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:
PRE FILE HAWVER.pdf 51.95KB
Pre -fling Meeting or Request Date 3/29/2021
ID# 20210646
I. Applicant Information [15A NCAC 02H .0502(a)]
Version 1
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]
Reese provide an email address for payrrent and requests for pore information here.
Owner Information:
Name:*
Email:
*
Phone Number:*
Mailing Address:*
J. STEWARD & JEANNE HAWVER
DMHAW V@AOL. COM
[phone]
(xxx)xxx-xxxx
Street Address
8732 HARBOR CIR
Address Line 2
CitY
TERRELL
Rbstal / Zip Code
28682
State / Rovince / Region
NC
Country
US

Is there an agent working on the
project? *
Agent/Consultant Information
.......................................................................................................
Name:*
Company Affiliation: *
Email:*
• Yes
✓ No
TAMARA HAGER
LKN DREDGE & MARINE CONSTRUCTIN
HAGER@LAKEPERMIT. COM
Phone Number:* [phone]
( )m-
Mailing 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:*
HAWVER AUTH.pdf 1.28MB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* HAWVER
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.*
✓ Upload File
✓ Look up address
Upload Map: HAWVER SURVEY.pdf 1016.95KB
Latitude:*
35.558031
Longitude:* -80.959201
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*
HAWVER SURVEY.pdf 1016.95KB
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.)*
HAWVER PICS.pdf 2.23MB

4. Location of the property (where work is to be conducted)
Nearest Town:* TERRELL
County:* Catawba
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:
Subdivisions name or site address:* BLKISERMAP 2 LOT NUMBER 18
hclude phase/lot nurrber
Directions to site:*
FROM MARSHALL STEAM STATION HEAD NORTHWEST FOR .50
MILES, TURN LEFT ONTO KISER ISLAND RD 2.9 MILES, TURN
LEFT ONTO HARBOR CIR .10 MILES, TURN RIGHT ONTO
HARBOR CIR 328 FT, TURN RIGHT 115 FT PROPERTY ON LEFT.
Rease include road nacres and numbers, landrrarks 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 Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
RIP RAP BARE ERODED AREAS FOR SHORELINE STABILIZATION
8. How will the work be done?*
✓ From Land
rJ 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.)
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, 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
Sketch:
HAWVER SKETCHpdf 861.01KB
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:
• 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
• I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:*
Signature:
J. STEWART & JEANNE HAWVER
I nrkbfAr& "Mt WO

Initial Review
Is this accepted into the review fr Yes 0 No
process?*
Project Number:* 20210646
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Version:* 1
Alan Johnson:eads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
C' Need Fee - send electronic notification
C' $240.00
r $570.00

CATAWBA RIIE {A' RI BUFFER NOTIFICATION' FORM
Pro amejaddress: H1'UV / $? 32. 4; r: (A--Pw€A--
Obli eri "dicer r
Prim
Contiractor/@gent: 41/41
Print
frt)0441 334,,c. (# t cf
7T:s cie_
Sijnature
azure
The approval its for the purpose and design described in your 2pplication. Impacts not indicated in the
application is a violation of the Buffer Rule. Site- specific work should be provided in the application. 115A I\.0 C
02H _0505 and 1SANCAC 0?B .02 .3(8))
Trees are not 2llolhfed to b= removed f rom Zone" of the 3u e.r (within 30 ft of the full pond elevation), unless
approved. Eccaption, those trees that are severely under pined along the imrnaclicte shoreline Can be ramovad_
Minimal shaping and sloping a)ong the. immediate shoreline is allowed_ [ SA NICAC EO23 .0243(6)1
3enchiila .grading in ,he buffer- Es not eilowe d. E ccessive disturb_nce of round cover. [ SA NCAC 023.0243 (5)]
Beeches, impervious patios, impervious walkways, etc. ere not allowed in the bonier unless specifically approved
by the Division. I h are ere- limitation on s17e for docks. i?5.-`a I\JCAC 023 _0243(4) and (5)1
Work to be conducted frOrrl land must indicate an access Mild indicate any trees that ere to be removed.
work corridor should dapprovedd' shall spoil, r
be cSGril3ed. The aCCeas corridor _ i_ l he rc_it7rei:. _� �Jel�, -. •il, coOi ��:: _ ..ti4r:
material rust be outsJri C LL l 1'!ter_ [IS:NCAC _0 0 7 Gnd� ;_5"NCAC 0-!, B .0.)-.-.1, (4);(6) , (8);
Siormviater C211not be piped or channeled for direct disclharEa to the lake_ Ali constructed storrnv.)2 r
discharges rn List be at the n=tuIel elevation and discharged prior to entering tfie buffer directed as diffuse or
shest flow at non -erosive velocities to the lake. (15A NCAC 023.0243(5), (0)1
Actin© wiadcement of Notification
A A' hereby state that l have been informed C • S I
I Cl 01 the CCLC_J�e
Riparian Suffer Rule. Any work conducted in the buffer, not specificaiiy stated in the application and approved
by the Division of Water Resources ('tint), is a violation and subject to enforcement. Due diligEnCe will be
taken such that the construction will he built within subst2ntial compliance and intent ofthe 401 Water
Quality Certification and Buffer the approved pi2n(s) and specification(5), 2-n6 other suppor tins
m aterials.
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APPROVED
Cciawba County Planning Board
RECOMMENDED TO C6L)MY
COMMISSIONERS FOR THEII APPROVAA
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APPROVED
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RECOMMENDED TO C6L)MY
COMMISSIONERS FOR THEII APPROVAA
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From. TAMARA HAGER [e-mail]
Subject: Hawver shoreline pics
Date. Mar 31, 2021 at 7:53:41 PM
T : TAMARA HAGER [e-mail]

Tamara Hager
704-575-2227
Lake Permit LLC
[e-mail]

Puff Pond/
Normal Water Level
VW SIM MIN RE OM
Lake
(At Full Pond/Normal WaterLevel)
6r
a-.' g,O\.
PcSoVE-
1iviH1-
MINIff Will UMW NM MU
Please approximately sketch the follovvin information on this plan
item, such as 10 g
fix 7 pQ� �,=: p (provide dimensionsfor each
1 • A11 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 ofany proposed .structures such as buildings; retaining walls, docks,
et
S. Location of any excavation or dredging below the Full Pon d/ Normal Water Level elevation
8. Location of construction access corridors
FORM: SSGP 10-2013
Page3 of3

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office *
Reviewer List*
20210646
Version*
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 3/29/2021
Contact Name * TAMARA HAGER
Contact Email Address* [e-mail]
Project Name* HAWVER
Project Owner* JEANNE HAVVVER
Project County* Catawba
Owner Address: Street Address
8732 HARBOR CIR
Address Line 2
City State / Rovince / Region
TERRELL NC
Fbstal / Zip Code Country
28682 US
Is this a transportation project?* C Yes ( No
Type(s) of approval sought from the DWR:
I— 401 Water Quality Certification - W 401 Water Quality Certification -
Reg ula r Express
I— Individual Permit I— Modification
W 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?
NONE NEEDED
Please give a brief project description below and include location information.*
REFURBISH RIP RAP TO SHORELINE FOR STABLIZATION
Please give a couple of dates you are available for a meeting.

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 3/29/2021