20200669 Ver 1_Shoreline Stabilization_20200521

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/20/2020 3:08:13 PM (Submittal)
Approve by Montalvo, Sheri A 5/21/2020 2:40:07 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 5/20/2020 3:08 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:*
Tiffany and John Vestal
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
4005 Hiddenwood Court
Address Line 2
City
Greensboro
Fbstal / Zip Code
27407
Is there an agent working on the r Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Vestal Shoreline Stabilization (Rip Rap)
State / Frovince / Fegion
NC
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 acti\ity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that ha\e 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: Google Earth 334 Fiddlers Ghost.jpg 370.43KB
Latitude:* 35.320899 Longitude:* 80.079443

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*
334FG Survey.pdf 1.26MB
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.)*
Shoreline Photo 2.jpg
Shoreline photo.jpg
968.47KB
1.51 MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mount Gilead
County:* Montgomery
Lake/ river/ ocean adjacent to Lake Tillery
property:
Subdivisions name or site address:* Woodrun/334 Fiddlers Ghost Circle
Include phase/lot nun ber
Directions to site:*
From River Road turn onto Woodrun Drive; take a left onto
Skyland Court; take a left onto Sleepy Hollow Lane; take a right
onto Fiddlers Ghost Lane which turns into Fiddlers Ghost Circle
and the house on down on the left.
Rease include road nacres 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 0.31 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Rip Rap installation needed; no dredging necessary; current
wooden sea wall is almost completely gone.
8. How will the work be done?* V 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.)
1 to 2 feet x 92
feet
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 w alls, etc.)
3 to 4 feet x 92
feet
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunter of trees, for instance)
2 maybe 3 trees will need to be removed and 1 - 2 shrubs. No
other significant vegetation will be disturbed.
Sketch: Shoreline Layout Diagram.pdf 494.96KB
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:* Tiffany Vestal
Signature:
7,9 Yworl_

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200669
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
r Yes f No
Version:* 1
Chad Turlington:eads\ccturlington
Fayetteville 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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George W. Simpson, R.L.S.
5031 Woodrun on Tillery
Mt. Gilead, NC 27306
[phone]
DATE r
PROJECiNO,
PROJECT I
NA— T !N t.
ENDING DATE (SUNDAY'S DATE)
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LOCATION
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OWNER
APPROVED RY-

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George W. Simpson, R_I—S.
5031 Woodrun on Tillery
Mt. Gilead, NC 27305
[phone]
DATE
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PROJECT NO.
PROJECf NAME
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WK. ENDING DATE (SUNDAY'S DATE)
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LOCATION
CONTRACTOR
OWNER
APPROVED BY.

FIDDLE
GHOST
OCIRCLE
SITE
OCONEE CT.
VICINTY MAP
not to scale
AREA OF BOAT HOUSE
1200 SQUARE FEET
�. N❑TESF
I BOUNDARY PREDICATED ❑N EXISTING
M❑NUMENTATI❑N FOUND IN THE FIELD.
2 AREA COMPUTED BY COORDINATE COMPUTATION,
3 PROPERTY IS NOT LOCATED IN A FLOOD
HAZARD AREA.
4 THIS PROPERTY IS IN A COUNTY WHICH
REGULATES THE SUBDIVIDING OF LAND,
5 THIS IS A SURVEY OF AN EXISTING PARCEL
OF LAND,
PINCHED PIPE
ALLOCATION
LINE L-2
SHORE ARE
LIN
COURSE BEARING
L---1 N 20'15'07"W
L-2 N 02.09.48"W
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LOT 1300
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DISTANCE
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COURSE RADIUS CHORD CHORD BEARING
C-1 264,57' 10.58' S 26'30'53"E
LEGEND:
0 EIP — EXISTING IRON PIN (As Described)
0 SIP — SET IRON PIN (1/2" IRON REBAR)
o CM — CONCRETE MONUMENT
NPS — NO POINT SET
PROPERTY LINE
— — — ADJACENT PROPERTY LINE (NOT SURVEYED)
-- RIGHT OF WAY
POWER LINE
BUILDING SETBACKS
30' FRONT
10' SIDES
10' REAR
I, George W_ Simpson, certify that this C C7 N \/ E Y A N C E F' IL A TSURVEY OF
map was drawn from an actual survey PROPERTY OF : FURMANRAY GREEN, JR. & WIFE DAWN W. GREEN
made error ofnclosurer e aspcalculatedhat by the � '�� ��
° °���� LOT IN UWHARR]E Ty,�p„ MONTGOMERY CO, NC
latitudes and departures is 1:10,000+, ,�`,,•••'••••••.., �•,, IN THE CriY OF MT. GILEAD
that the boundaries not surveyed are `"� �••` �ESS� �/ ON FIDDLRES GHOST CIRCLE
� �" O O HOUSE NO. IN BLOCK NO. ON MAP OF W❑❑DRUN
shown as broken roes, and the an Liar++ 'R� .�
error was seconds per tam s Q �- •.p ' MAP RECORDED IN CABINET A SLIDE 680 DEED RECORDED IN
SDI_ : BOOK 560 PG 758 OFFICE OF THE REGISTER OF DEEDS
aO = L-34,91 -SURVEY FOR: �N 0M _VESTAL do TIFEMY NOULE5 VESTAL
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t ,orb ' , scAIJ ' DATE: MAY 0112020
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