20220322 Ver 1_Shoreline Stabilization_20220301

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* [e-mail]
Please provide an email address for payment and requests for more information here.
Owner Information:
Name: *
Wendell and Melinda Hairfield
Email: *
[e-mail]
Phone Number:
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
2320 Myrtle Avenue
Address Line 2
city
Sullivan's Island
Postal / Zip Code
29482
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Hairfield property, lake shoreline erosion remediation
State / Province / Region
SC
Country
Charleston
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:* Street Address
494 Peninsula Drive
Address Line 2
City
Mill Spring
Postal / Zip Code
28756
Latitude: * 35.334453
State / Province / Region
NC
Country
Polk
Longitude: * 82.202411
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 *
Hairfield Site Plan5.pdf 288.61KB
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.)
Saturday.pdf 415.36KB
Scanned Documents.pdf 521.71KB
4. Location of the property (where work is to be conducted)
Nearest Town: * Mill Spring
County: * Polk
Lake/ river/ ocean adjacent to Lake Adger
property:
Subdivisions name or site address: * Mountain Park
Include phase/lot number
Directions to site: *
From Hwy 9 turn onto Peninsula Dr at the entrance to Lake Adger
Mountain Park. Go to
the end of Peninsula Dr. Entrance to property is at the end of the cul de
sac. 494 Peninsula Dr.
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:
residential
Residential, undeveloped, etc.
6. Property Size 1 acre
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Install rip rap along shore where erosion is most severe.
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.)
approximately 1000
sq ft
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:*
(number of trees, for instance)
0
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');
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:* Melinda Hairfield
Signature:
Submittal Date: 2/25/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220322 Version: *
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Kaylie Yankura:eads\kyankura
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00

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