20200623 Ver 1_Shoreline Stabilization_20200509

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:*
Mike Clendening
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
7701 Cervin Drive
Address Line 2
City
Amarillo
Rbstal / Zip Code
79121-1203
Is there an agent working on the r Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Clendening Shoreline stabilization
State / Frovince / Pegion
TX
Country
US
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: Reflection Pointe.pdf 252.53KB
Latitude:* 35.157157 Longitude:*-81.019841

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*
4105 Arbor Spring Ct.pdf 484.28KB
Please use the diagram at the link below:
https://edocs.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.)*
4105 Arbor Spring Court shore line.jpg 458.64KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Belmont
County:* Gaston
Lake/ river/ ocean adjacent to Lake Wylie
property:
Subdivisions name or site address:* 4105 Arbor Spring Ct Belmont NC 28012 Reflection Pointe
Subdivision Lot 54
Include phase/lot nunber
Directions to site:*
Enter Reflection Pointe Subdivision by turning right on Reflection
Pointe Blvd from South Point Road. Turn left onto Lake Pointe Dr.
Turn left on Beechwood Spring Ln. Turn left on Arbor Spring Ct.
Rease include road naves and nunbers, landnarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
residential- lot to be built on
Residential, undeveloped, etc.
6. Property Size 0.48 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Building a residence on the lot, need to protect against erosion
8. How will the work be done? * 17 From Land
r- 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.)
184
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.)
276
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*

(nunber of trees, for instance)
As shown in picture, light underbrush, logs on ground from years
of fallen trees. 5 trees impacted- 3 dead trees hanging on
shoreline with all roots exposed(not sure howthey are standing), 2
dead trees one about 6 ft in from lake , the other one about 20 ft
in
Sketch: sketch.docx 504.08KB
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');
• 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:* G. Michael Clendening
Signature:
rsfrrl��?l�r�r>i�rrr�

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200623
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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