20211650 Ver 1_Shoreline Stabilization_20211112

Submission Form
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*
Owner Information:
Name: *
Email: *
Phone Number:*
Mailing Address: *
[e-mail]
Please provide an email address for payment and requests for more information here.
Avoneal Ballard
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
926 Belmarrow Drive
Address Line 2
City
Charlotte
Postal / Zip Code
28214
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Ballard Shoreline Stabilization
State / Province / Region
NC
Country
US
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: VacinityMap.pdf 172.28KB
Vacinity Map_000108.pdf 393.5KB

Latitude: * 35.499027
Longitude: *-80.977988
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*
Avoneal Ballard SHoreline_000I07.pdf 985.77KB
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.)*
SHore Pic.pdf 510.29KB
4. Location of the property (where work is to be conducted)
Nearest Town: * Denver
County: * Lincoln
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: * Westport
Include phase/lot number
Directions to site: *
From Charlotte - North Hwy 16
Right Onto Fairfield Forest Rd
Right Onto Lakeshore Rd S
Lots 141-142 is on left
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:
It is a wooded lot.
Residential, undeveloped, etc.
6. Property Size 1.024
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Stabilize eroding shoreline with RIp Rap.
8. How will the work be done?* ✓ From Land
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.)
450
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.)
450
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)
Grass
Sketch: Avoneal Ballard SHoreline_000I07.pdf 985.77KB
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:* Avoneal Ballard
Signature:
Submittal Date: 11/10/2021

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20211650 Version: *
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Alan Johnson: eads\adjohnson I
Mooresville Regional Office - [phone]
No Payment Needed
Fee Received
• Need Fee - send electronic notification
• $240.00
$570.00

Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division
Lincoln County and its mapping contractors assume no legal responsibility for
the information contained on this map. This map is not to be used for land
conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
Date: 11/10/2021
I
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3140 `
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Parcel ID 29947 Owner BALLARD AVONEAL
Map 4614 Mailing 926 BELMORROW DR
Account 0064416 Address CHARLOTTE, NC 28214
i Deed 414 50 Last Transaction Date 01/01/1992 Sale Price $0
Plat C 129 Subdivision W ESTPORT Lot 141 & PT 142
Land Value $385,500 Improvement value $0 Total Value $385,500
Previous Parcel
-----All values for Tax Year 2020 -----
Description WESTPORT #142W-141W Deed Acres 0
Address LAKE SHORE RD S Tax Acres 0.774
Township CATAW BA SPRINGS Tax/Fire District EAST LINCOLN
Main Improvement Value
Main Scl Feet Stories Year Built
Zoning District Cak Acres Voting Precinct Cak Acres
Photo Not R-14 0.77 WP32 0.77
Available watershed Sewer District
0.77 SEWER 0.77
Census County Tract Block
109 071202 2002 0.77
Flood Zone Description Panel
'I AE SPECIAL FLOOD HAZARD AREA BASE ELEVATION 3710461400 0.12
DETERMINED - 100 YEAR
X NO FLOOD HAZARD 3710461400 0.66

State of North Carolina
Department of Environment and Natural Resources
N, Division of Water Resources
Water Resources M 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
ENVIRONMENTAL QUALITY
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ 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.
- I —ntinn of anv PXravatinn or dredein2 below the Full Pond/ Normal Water Level elevation
(Full Pond/ Normal Water
Shoreline
Plan
La ke
(At Full Pond/ Normal Water Level)
(�N'P a-P
FORM: SSGP 02-2017 Page 1 of 3

�r
Lake
(At Full Pond/ Normal Water Level)
Side View
__ __ ____ ______ __ ........ ........ ... ...
Lake
(At Full Pond/ Normal Water L"O Existing Dock
30ftx7ft
3ftx150ft
Below full pond) NWI
Full Pond/ Normal Water Levels
r� ��� 4ftx1Wft
.horeI r Riprap Ab— fullKnd/NWI
2 ft. x 150 ft.
Xl " _
additional clearing
if necessary
E A.M. PLE
I
Plan View
_.... ---.....—...-------..._----- ..... -_._...... _._.___. _._.._._.._.......................... _... _...... _ ................. _.__...._.._..
FORM: SSGP 02-2017 Page 2 of 3

I
f,

State of North Carolina
Department of Environment and Natural Resources
N, Division of Water Resources
Water Resources M 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
ENVIRONMENTAL QUALITY
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ 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.
- I —ntinn of anv PXravatinn or dredein2 below the Full Pond/ Normal Water Level elevation
(Full Pond/ Normal Water
Shoreline
Plan
La ke
(At Full Pond/ Normal Water Level)
(�N'P a-P
FORM: SSGP 02-2017 Page 1 of 3

�r
Lake
(At Full Pond/ Normal Water Level)
Side View
__ __ ____ ______ __ ........ ........ ... ...
Lake
(At Full Pond/ Normal Water L"O Existing Dock
30ftx7ft
3ftx150ft
Below full pond) NWI
Full Pond/ Normal Water Levels
r� ��� 4ftx1Wft
.horeI r Riprap Ab— fullKnd/NWI
2 ft. x 150 ft.
Xl " _
additional clearing
if necessary
E A.M. PLE
I
Plan View
_.... ---.....—...-------..._----- ..... -_._...... _._.___. _._.._._.._.......................... _... _...... _ ................. _.__...._.._..
FORM: SSGP 02-2017 Page 2 of 3