20200589 Ver 1_Shoreline Stabilization_20200505

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/4/2020 1:32:59 PM (Submittal)
Approve by Montalvo, Sheri A 5/5/2020 2:36:45 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 5/4/2020 1:33 PM

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.
Owner Information:
Name:*
Email:
Phone Number:*
Mailing Address:*
Is there an agent working on the
project? *
Agent/Consultant Information
Name:*
Company Affiliation:*
Email:
Phone Number:*
Robert Blevins/ President HOA
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
101 North Cove Key Lane
Address Line 2
City
Mooresville
Fbstal / Zip Code
28117-7504
r Yes
r No
Terri Kindley/Shannon Miller
Lake Norman dock and dredge
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Frovince / Fegion
NC
Country
us

Mailing Address:* Street Address
PO Box 3156
Address Line 2
city
State / Rovince / Region
Mooresville
NC
Fbstal / Zip Code
Country
28117
US
Asigned and dated copyof the Agent Authorization letter:*
2020-05-04 13.13.51. pdf 747.65KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* COVE KEY COMMUNITY/ Robert Blevins president HOA shoreline
stabilization
If your project has a formal name please use this. If your project does not hake 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.*
r Upload File
r Lookup address
Upload Map: 488F127F-090A-48E1-915B-
305.39KB
7DD989FE69DD.jpeg
Latitude:* 35.520540 Longitude:*-80.866800
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*
35A1F35E-A79F-42E5-B520-
1.62MB
0054276F171BJpeg
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.)*
42 EBB E2 E-E74 F-47AC-9A22-
5.18MB
664546F910EC.jpeg
01 613B C F-760 F-4289-8AF E-
4.57MB
4BAD21333416.jpeg
4. Location of the property (where work is to be conducted)
Nearest Town:* Mooresville
County:* Iredell

Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* Cove Key
Include phase/lot nunber
Directions to site:*
177 to exit 31 Langtree Rd
Exit traffic circle onto MeckLynn Rd
Turn right onto Cove Way
Left onto S. Cove Key Rd
Rease include road naves and nunbers, Iandnarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential/ Condos
Fbsidential, undeveloped, etc.
6. Property Size 12.3673 Acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Refurbish washed out sections of shoreline where black mat is
exposed using Rip Rap all work to be done by water/barge and
long reach.
8. How will the work be done? * r From Land
W 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.)
600 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.)
None
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nurrber of trees, for instance)
None
Sketch: D567BB2B-B3F3-485D-8056-
4.13MB
6413175E60670.jpeg
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):
$240.00 for impacts to lake (below normal water level) of less than 1 acre
$570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• 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 this form.
Full Name:* Terri Kindley
Signature: C;�� � VLI�

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200589
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
r Yes f No
Version:* 1
Alan Johnson:eads\adjohnson1
Mooresville Regional Office - [phone]
r No Payment Needed
f Fee Received
r Need Fee - send electronic notification
* $240.00
f $570.00

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12. Please approximately sketch the following information on this plan and provide dunmriars for
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a All proposed vegetation clearing
b. Location ofrip rap or fill to be placed above the Full Pond" NomW Water Level elevation
C_ Locatioo of tip rap or fill to be placed below the Full PaxV Normal Water Level elevation
d. Location of any proposed structures such as bwldixgs retaining ualls. docks etc,
e. Location of any excavation or dre4ng below the Fall Fond+ Nonni Water Level elevation
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