20220038 Ver 1_Shoreline Stabilization_20220107

Submission Form
I. Applicant Information [I5A 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.
Robert and Janeen Cochran
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
150 Burnett Drive
Address Line 2
PO Box 350
City
Spartanburg
Postal / Zip Code
29302-3402
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
............................................................................................................................................................................
Name: * Kris Carlson
Company Affiliation:
Email: *
Phone Number: *
Carlson -Farmer, Inc
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
SC
Country
US

Mailing Address:*
Street Address
247 Oak Street Extension
Address Line 2
PO Box 350
City
Rutherfordton
Postal / Zip Code
28139
A signed and dated copy of the Agent Authorization letter:
Cochran Authorization Form.pdf 294.75KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
.......................................................................................................................................................................................
Project Name:* Cochran Seawall Footing 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: Cochran Lot.pdf
Latitude: * 35.426806
1.54MB
Longitude: * 82.193207
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*
Cochran - Site Plan.pdf 741.99KB
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.)
IMG_0736.pdf 1.32MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Rutherfordton
County: * Rutherford
Lake/ river/ ocean adjacent to Lake Lure
property:
Subdivisions name or site address: * 165 Storm Ridge Drive, Lake Lure, NC 28746
Include phase/lot number

Directions to site: *
From Rutherfordton, NC - Take US64 W / US74 Alt W 14.5 miles. Turn
right onto Charlotte Drive for .5 miles. Then slight left onto Storm Ridge
Drive .1 mile. - Destination is on the 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:
Older residential. Developed vacation home.
Residential, undeveloped, etc.
6. Property Size .37
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
The existing concrete seawall footing has washed out in places. We
propose to form a new footing in front of the existing, install #4 rebar pins
to the existing footing, place 3,000 psi pump mix concrete in the new
footing and finish flush to the existing surfaces, remove the forms, clean
up construction debris and return the lake bed to its existing condition.
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.)
106
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.)
None
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)
There is no vegetation that will be impacted.
Sketch: Cochran Seawall Sketch.pdf 20.34KB
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');

a 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:* Kris Carlson
Signature:
Submittal Date: 1/6/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220038 Version: *
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Mitchell Anderson:eads\mlanderson
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
• Need Fee - send electronic notification
• $240.00
$570.00

AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
MAP/BLOCK/LOT: 504/1/44 PARCEL #: 223459
STREETADDRESS: 165 STORM RIDGE DR., LAKE LURE, NC 28746
Ppent: ROBERT COCHRAN
Property Owner:
Property Owner: JANEEN COCHRAN
The undersigned, registered property owners of the above noted property, do hereby authorize
KRIS CARLSON
(Contractor / Agent)
of
CARLSON-FARMER, INC.
(flame of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
thls permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
120 BURNETT DR., SPARTANBURG, SC 29302
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
e��S'_j — 'k-6-A _j C__., 1_"' aL,_',
Authorized Signature AlAhorized Signature
Date: Z - f ' Z l Date: / Z , l . -L

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