20202023 Ver 1_Shoreline Stabilization_20210809

Shoreline Stabilization Application Form
15ANCAC 02H .0500 — Water QualityCertification, 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:
20202023 Ver 1 PreFiling Email 30-Day
1.02MB
Clock Reached Email 20210127.pdf
Pre -fling Meeting or Request Date 12/27/2020
ID# 20202023
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 *
Owner Information:
Name: *
Email: *
Phone Number:*
Mailing Address:*
[e-mail]
Rease provide an email address for payment and requests for more information here.
Timothy C Rhodenbaugh
timrhod@gmail. c om
[phone]
(xxx)xxx-xxxx
Street Address
8243 Clipper Court
Address Line 2
City
Lincolnton
Rasta) / Zip Code
28092
State / R-ovince / Region
North Carolina
Country
United States

Is there an agent working on the
project?*
Agent/Consultant Information
Name:*
Company Affiliation:*
Email: *
rr Yes
r No
Beth Mosteller
Dale & Beth's Lake Use Permit Service
[e-mail]
Phone Number:* [phone]
(x)(x)m-
Mailing Address:*
Street Address
988 Clear Creek Circle
Address Line 2
City State / Province / Region
Lincolnton North Carolina
Fbstal / Zip Code Country
28092 United States
Asigned and dated copy of the Agent Authorization letter:*
agent.pdf 544.8KB
catawba.pdf 1.1MB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
Rhodenbaugh 8243 Clipper Court
If your project has a formal name please use this. If your project does not haw 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 haee 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.*
C' Upload File
C Look up address
Upload Map: Vicinity.pdf 443.59KB
plat.pdf 1.49MB
lat long directions.pdf 469.64KB
Latitude:* 35.657140
Longitude:* -80.973970
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*
drawing.pdf 94.03KB
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.)*
pictures.pdf 1.79MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Sherrills Ford
County:* Catawba
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* Long Island Airport PH4, 8243 Clipper Court Catawba NC, Lot 16
hclude phase/lot nurrber
Directions to site:*
from 526 S Church St Charlotte NC, get on I-277S, follow I-77N to NC
150W/W Plaza Dr in Mooresville, take exit 36 from I-77N, follow N-
150W Plaza to Mooresville, take exit 36 from I-77N, follow NC 150W,
Sherrills Ford Road and Molly's Backbone Rd to Clipper Ct in Lake
Norman of Catawba
Rease include road naves and nurrbers, landrrerks 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
2.69
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
wave action exposing tree roots, place rip rap shot rock -hammer rock
following shoreline contour
8. How will the work be done?*
17 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.)
308.05
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.)
308.05
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)
trees with root exposed
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
• I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:*
Signature:
Beth Mosteller

Initial Review
Is this accepted into the review fr Yes 0 No
process?*
Project Number:* 20202023
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

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 16 PLAN NO. PARCEL ID: 461901396934
STREET ADDRESS: 8243 Clipper Court Catawba, NC 28609
Please print:
Property Owner:
Timothy C RhQden augh — Joint Trust Agreement
Z=i /5e dam' ,ti4, .41 i
The undersigned, registered property owners of the above noted property, do hereby authorize
Beth Mostelier
of Dale & Beth's Lake Use Permit Service
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take ail actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 8243 Clipper Court Catawba, NC 28609
Awa- , .o
/
Owner: Timothy C Rhodenbaui
Print
Contractor/agent: Beth Mosteller
7--frorAst
Print Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. 115A NCAC 02B .0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
i, Timothy C Rhodenbaugh hereby state that I have been informed of the Catawba Riparian Buffer Rule.
Any work conducted in the buffer, not specifically stated in the application and approved by the Division of
Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be taken such that the
construction will be built within substantial compliance and intent of the 401 Water Quality Certification and
Buffer Rules, the approved plan (J yrrrt j sp9cifictio(s), and offer supporting materials.
Signature (owner):
Date: /Z/4 J

Strickland, Bev
From: [e-mail]
Sent: Wednesday, January 27, 2021 12:01 AM
To: [e-mail]
Cc: Johnson, Alan
Subject: Pre -Filing Time Clock has been reached for Shoreline stabilization - 20202023 Ver 1
Attachments: DWR Pre -Filing Meeting Request Form.pdf
The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request Form for Shoreline
stabilization that you submitted on 12/27/2020. The ID number for that project is 20202023, Version 1.
Your Pre -Filing Meeting Request has now reached the 30 calendar days' requirement and your application can now be
accepted.
When you submit your application please upload a copy of the attached document in this email.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored.
i

DWR Pre -Filing Meeting Request Form
NORTH CAROLINA
EnOnonfrwera Qumftry
ID#*
Regional Office *
Reviewer List*
20202023
Version *
1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 12/27/2020
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Timothy Rhodenbaugh
[e-mail]
Shoreline stabilization
Timothy Rhodenbaugh
Catawba
Street Address
8243 Clipper Court
Address Line 2
Oty State / Rovince / Region
Catawba NC
Fbstal / Zip Code Country
28609 Usa
Is this a transportation project?* r Yes c: 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
IW Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes 6' No
Do you know the name of the staff member you would like to request a meeting N.)
Please give a brief project description below.*
Shoreline stabilization of private property on lake norman
Please give a couple of dates you are available for a meeting.
1 / 11 /2021

1/12/2021
1/13/2021
1/14/2021
1/15/2021
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.
• 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.
Signature
Submittal Date 12/27/2020

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Get Lat Long from Address
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would include the name of the city/town, state and street name to get more
coordinates of the address will be calculated below.
Address
8243 Clipper Court Catawba, NC
Write city name with country code for better results.
Latitude Longitude
35.657140
Find
-80.973970