20220193 Ver 1_Shoreline Stabilization_20220208

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: *
Tommy Fraley
Please provide an email address for payment and requests for more information here.
Ron Flormann
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
2791 Beechwood Rd
Address Line 2
City
Denver
Postal / Zip Code
28037
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: *
Company Affiliation:
Email: *
Phone Number:*
Tommy Fraley
Foothills Dock & Shoreline LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
North Carolina
Country
United States

Mailing Address: *
Street Address
7923 Houston Ave
Address Line 2
City
Hickory
Postal / Zip Code
28602
A signed and dated copy of the Agent Authorization letter:
01212022 Dock - Agent Authorization
244.831CB
Form.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Flormann Shoreline
State / Province / Region
North Carolina
Country
United States
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
Property Address Lookup:*
Latitude: * 35.768605
Street Address
1841 Waters Edge Drive
Address Line 2
City
Granite Falls
Postal / Zip Code
28630
State / Province / Region
NC
Country
US
Longitude: *-81.509143
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*
proposed work.pdf 2.22MB
Please use the diagram at the link below:
https:Hedocs.deq.nc.gov/WaterResources/O/edoc/616616/Shoreline%2OLayout.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 8.49MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Sawmills

County: * Caldwell
Lake/ river/ ocean adjacent to Lake Rhodhiss
property:
Subdivisions name or site address: * Waters Edge
Include phase/lot number
Directions to site: *
From Exit 113 off Of 140 go north for 4.5 miles to Dry ponds road. right
on Dry Ponds for .9 miles then right on Liberty Rd for .7 miles then right
Waters Edge for appox 1 mile
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:
Vacant Land, suppose to start building any time as of 1/27/2022
Residential, undeveloped, etc.
6. Property Size 1.51
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Shape the bank and add Rip Rap to the shore. The lot is on the main
channel with have boat traffic and is eroding.
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.)
440
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.)
440 rip rap 1100
construction
corridor
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)
small trees and under brush
Sketch: DWR Pre -Filing Meeting Request Form.pdf 112.76KB
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $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:* Tommy Fraley
Signature:
Submittal Date: 1/31/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220193 Version: *
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Amy Annino:eads\amannino
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
• Need Fee - send electronic notification
• $240.00
$570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO: 66 PLAN NO:
STREET ADDRESS:
1814 Waters Edge Dr
Granite Falls NC 28630
Please print:
Property Owner: Ronald C Flormann Jr
Property Owner: Candice K Flormann
PARCEL ID: 08 57B 2 66
The undersigned, registered property owners of the above noted property, do herebyauthorize
Tommy Fraley , of Foothills Dock & Shoreline LLC
(Contractor/Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owners Address (if different than property above):
2791 Beechwood Rd Denver NC 28037
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate tothe
bes r knowledge.
Authorized Signature `� _ uthorized Signa
/--'2/ - 2-1- -
Date Date

AGENT AUTHORIZATION FORM

Proposed
(Plan View)
La ke
(At Full Pond/ Normal Water Level)
Full Pond/ Normal W -A
Shoreline
ve addi
lent to
At Full Pond
May need to clear as much as
10' in order to get equipment of thl waters edge
102; two foot above full pond
4'above full pond
4' below full pond

w4ma

Contact Name* Tommy Fraley
Contact Email Address*
[e-mail]
Project Owner*
Ron Flormann
Project Name*
Flormann
Project County*
Caldwell
Owner Address: *
Street Address
2791 Beechwood Rd.
Address Line 2
City
Denver
Postal / Zip Code
28037
Is this a transportation project?*
Yes No
Type(s) of approval sought from the DWR:
401 Water Quality Certification - 401 Water Quality Certification -
Regular Express
Individual Permit Modification
Shoreline Stabilization
Does this project have an existing project ID#?*
Yes No
State / Province / Region
NC
Country
Caldwell
Do you know the name of the staff member you would like to request a meeting with?
NO
Please give a brief project description below and include location information.
Add rip rap to approx. 110' of shoreline. This property is on Lake
Rhodhiss, as of right now there has not been a 911 address applied to
the property. Lot 66 off of Waters Edge Dr. Waters Edge drive is off of
Liberty Road. This property is on Lake Rhodhiss.
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.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 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 11/17/2021