20211392 Ver 1_Shoreline Stabilization_20210920

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:
Prefile.pdf 47.06KB
Pre -fling Meeting or Request Date 7/25/2021
ID#
I. Applicant Information [15A NCAC 02H .0502(a)]
Version
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 payrrent and requests for pore information here.
Owner Information:
Name:* david andrew layne
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
3135 South Point Rd
Address Line 2
City
Belmont
Rbstal / Zip Code
28012
State / Rovince / Region
NC
Country
United States

Is there an agent working on the
project?*
r Yes
C: No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Layne seawall stabilization
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.*
r Upload File
C: Look up address
Property Address Lookup:*
Latitude:*
35.160828
Street Address
3135 S Point Rd
Address Line 2
City State / Bovine / Region
Belmont NC
Fbstal / Zip Code Country
28012 United States
Longitude:* -81.015262
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*
Sketchl.pdf
Sketch2.pdf
Please use the diagram at the link below:
345.5KB
389.89KB
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.)*
Shorelinel.pdf 769.97KB
Shoreline 2.pdf 700.16KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Belmont
County:* Gaston
Lake/ river/ ocean adjacent to Lake Wylie
property:
Subdivisions name or site address:* Wildlife Club Lot #12
hclude phase/lot number
Directions to site:*

Proceed south from Belmont on S Point Rd to its dead end. Subdivision is
at dead end of road.
Rease include road narres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Lakefront house with seawall that needs rip rap added to the seawall to
help stabilize the wall
Residential, undeveloped, etc.
6. Property Size
0.068 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Add rip rap to the sea wall. Cracks are forming in the concrete patio and
it has shifted mildly. Trying to prevent further subsidence. There is a
small amount of rip rap now but it needs to be brought up to level of the
drainage pipe seen in photo.
8. How will the work be done?*
rJ From Land
r 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.)
90
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:*
(nunber of trees, for instance)
none Juniper bushes on top of seawall but they will not be impacted
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:*
David Layne

Signature:
Submittal Date:
9/19/2021

Initial Review
Is this accepted into the review fr Yes 0 No
process?*
Project Number:* 20211392
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

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Plan View

DWR Pre -Filing Meeting Request Form
NORTH CA:iOLINA
6nvlronmerrtol Quality
Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:*
David Layne
[e-mail]
David Layne
Resident shoreline stabilization
Gaston
Street Address
3135 South Point Rd
Address Line 2
City State / Rovince / Region
Belmont NC
Fbstal / Zip Code Country
28012 Gaston
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
l Shoreline Stabilization
Does this project have an existing project ID#?*
(' Yes c: No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below and include location information.*
I request to add rip rap to existing sea wall. There are two feet of rip
rap present from lake bed and I request to bring that up to
approximately six feet above lake bed at above address to help
maintain the sea wall. We are getting some cracking in our patio due
to subsidence.
We look forward to hearing from you.
Sincerely,
David Layne
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 7/25/2021