20220912 Ver 1_Shoreline Stabilization_20220707

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
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.
Pre -Filing Meeting Date Request was 7/6/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Brendt T & Tammy L Garlick
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
201 Woodstream Circle
Address Line 2
City
Mooresville
Postal / Zip Code
28217
State / Province / Region
North Carolina
Country
United States
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * Saundra B Mosteller
Company Affiliation: * Dale & Beth's Lake Use Permit Service
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
988 Clear Creek Circle
Address Line 2
City State / Province / Region
Lincolnton North Carolina
Postal / Zip Code Country
28092 United States
A signed and dated copy of the Agent Authorization letter:*
agent.pdf 1.09MB
Catawba Buffer.pdf 2.39MB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Garlick 201 Woodstream Circle
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:
Latitude: *
directions.pdf 8.51 MB
lat long.pdf 50.21KB
vicinity.pdf 356.71 KB
plat.pdf 3.63MB
35.554750
Longitude: *-80.891920
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*
stabilization drawing.pdf 192.62KB
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.)
pictures.pdf 1.46MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Mooresville
County: * Iredell

Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
201 Woodstream Circle Mooresville NC - Wildlife Bay - Lot 33&34
Include phase/lot number
Directions to site: *
from 526 S Church St Charlotte NC, head SW on @ 1 st St toward S
Church St, Turn right onto S Church St, take the ramp on the right and
follow signs for I-277 S/US74 W. at exit 1 C, head right on the ramp for I-
77 N/US-21N toward Statesville, at exit 25, head right on the ramp for
NC-73 toward Concord Huntersville, take the ramp on the right, merge
onto I-77N, at exit 35, head on the ramp right and follow signs for
Brawley School Rd, turn left onto Stutts Rd, turn left onto Woodstream
Circle, turn right to stay on Woodstream Circle, turn right onto island Ln,
arrive at Island Ln 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: *
residential, house, water side dock and brick wall
Residential, undeveloped, etc.
6. Property Size
0.94
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
rip rap needed in -front of existing brick wall to maintain structure due to
wave action of lake
8. How will the work be done?*
(v From Land
(v 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.)
1004
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.)
500
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)
no trees will be removed
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:

a 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.
a 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
• I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* S Beth Mosteller
Signature:
Submittal Date: 7/6/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220912 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
C Fee Received
C• Need Fee - send electronic notification
What amount is owed?*
C• $240.00
C $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION :
LOT NO . 33 & ,34 _� PLAN NO . PARCEL ID : 4636723117
STREET ADDRESS : 201 Woodstream Circle, Mooresville NC 28217
Please print ;
Property Owner : Brendt T & Tammy L Garlick . _ _
The undersigned, registered property owners of the above noted property, do hereby authorize
Beth Hosteller ._ _ _ _ .," of Dale & Beth 's Lake Use Permit Service
(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 Owner's Address ( if different than property above) :
same
Telephone : ZC.4. 5.85099
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge .
1 ,36../
,,, /ii ii iif ,
..„..
, (7T ,. -)
Brendt T Garlick
Au horizeci Sigrjtur
. ,i : ‘ 4 // i
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Tammy L Garlick
Authorized Signature
Date : 1_ ,_ D ;;,2_,2,

cATAWBA . . RIPAJ . NL. BUFFER NOTIFICATION CORM
Project Name/address : 201 WopdstremCircI.e . Mooresville NC 28217 County: Iredell
Owner BrendtTGarlick --j(C‘)
Print Signature
Tammy L Garflck
Print Signature
Contractor/agent : Betb . . Mostefler ' � � � , _ _
Print Signature
the approval is for the purpose and design described in your application . Impacts not indicated in the
application is a violation of the Buffer Rule . Site specific work should be provided in the application . [ 15A NCAC
02H . 0506 and 15A NCAC 02B . 0243 ( 8 ) ]
Trees are not allowed to be removed from Zone 1 of the Buffer ( within 30 ft of the full pond elevation ), unless
approved . Exception, those trees that are severely undermined along the immediate shoreline can be removed .
Minimal shaping and sloping along the immediate shoreline is allowed . [ i5A NCAC 02B .0243 ( 6 )]
Benching, grading in the buffer is not allowed . Excessive disturbance of ground cover . [ 15A NCAC 0213 . 0243 ( 6 ) ]
Beaches, impervious patios, impervious walkways, etc . are not allowed in the buffer unless specifically approved
by the Division . There are limitation on size for decks . [ 15A NICAC 02B . 0243 (4 ) and { 6 }]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed . The
work corridor should be described . The approved access corridor shall be restored . Staging, spoil, construction
material must be outside the buffer. ( 15A NCAC 02H .0502 and 15A NCAC 02B .0243 ( 4 ), ( 6 ) , ( 8) ]
Stormwater cannot be piped or chann & ed for direct discharge to the lake . Al ! constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake . [ 15A NCAC 02B . 0243 ( 5 ) , ( 6 ) )
Acknowledgement of Notification
arrLdtTamn1.. arIick ____hereby state that I have been informed of the Catawba Riparian Buffer Rule .
Any work conducted in the buffer, not specifically stated in the application and approved by the Division of
Water resources ( DWR ) , is a violation and subject to enforcement . Due diligence will be taken such that the
construction will be built within substantial compliance and intent of the 401 Water Quality Certification and
Buffer Rules, the approved plan ( s) and specification ( s) , and other supporting materials .
Signature (owner): (Ae3...,...."420,0,-. ( • Date : � �. d ,
rendt T Garli•
. k 4117
• . . . ..__ Date : \ . 1� . r
Tammy L Garlick , � . �� , ,

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A 526 S Church St. Charlotte, North Carolina , United States
t 1 Head southeast on W 1st St t owa rd S C h u rc h St 253 ft
r> 2 Turn right onto S Church St 0.2 mi
r�s Take the ramp on the right and follow signs for 1 -277 South / USJ4 0. 6 mi
3. West
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4. towardStteilie 15.6m1r14m1n
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to* At Exit 25 , head right on the ramp for NC-73 toward Concord f O. 3mi
5• Huntersville
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to* 6 Take the ramp on the right 0.4 mi
7. Merge onto 1 -77 N 9.0 mi
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I � IP 12 Turn right to stay on Wo-odstream Circle 0..3 mi
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B 201 bloodstream Circle, Mooresville, North Carolina, United States
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Latitude and Longitude Finder
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Place Name
201 Woodstream Circle Mooresville NC 2821
Add the country code for better results. Ex: London, UK
Latitude Longitude
35.554750 -80.891920
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Side View
Lake Norman 760 Elevatio
(At Full Pond/Normal Water Level)
4 ►
4 foot base below full pond lake bottom
Top View
Shoreline
Lake
(At Full Pond/Normal Water Level)
251 feet following contour of shoreline
401
ft41011A9140.e11.-1!".f494111,1PAI1
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i_xx,..,, May .
50 foot land in ward corridor access x 10 ft wide = 500 sq ft
4 foot base below full pond lake bottom x 251 ft along shoreline = 1004 sq ft
1504 square feet total