20200813 Ver 1_Shoreline Stabilization_20200623

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/19/2020 1:48:26 PM (Submittal)
Approve by Montalvo, Sheri A 6/23/2020 2:35:55 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 6/19/2020 1:48 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: *
Stephen Joyce
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Address:*
Street Address
110 Stat Circle
Address Line 2
City
Mooresville
Postal / Zip Code
28117
Is there an agent working on the r Yes
project?* r No
Agent/Consultant Information
Name:* Terri Kindley/Shannon Miller
Company Affiliation:* Lake Norman dredging
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
US

Mailing Address:* Street Address
PO Box 3156
Address Line 2
city
State / Province / Region
Mooresville
NC
Fbstal / Zip code
Country
28117
US
Asigned and dated copy of the Agent Authorization letter:*
2020-06-19 13.42.34.pdf 263.7KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
.....................................................................................................................................................................................................................................
Project Name:* Stephen Joyce/shoreline stabilization to existing rip rap
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.*
F Upload File
r Lookup address
Upload Map: C138031350-01305-41)5A 8128-
344.89KB
502E4FE3A575. jpeg
Latitude:* 35.628270 Longitude:*-80.906550
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*
36AAF6C2-CA9C-4922-9A79-
874.27KB
51563DE4E715. jpeg
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.)*
F9C 1 A069-93 F2-4C82-94FE-
4.92MB
7EACBDCA4E2B. jpeg
E 19C6BAD-B5 DA-4620-9A9 8-
6.5MB
B8E3ABDB7854. jpeg
4. Location of the property (where work is to be conducted)
Nearest Town:* Troutman
County:* Iredell

Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* 110 Stat Circle Mooresville NC 28117
Include phase/lot nunber
Directions to site:*
177 exit 36 Highway 150 towards Lincolnton 2.3 miles
Right on Perth Road 4 miles
Left on Fern Hill 2.2 miles
Left on Bagby Road 1 mile
Right on Kenway loop 0.2 miles
Left on Stat Circle 200 feet
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
Residential, undeveloped, etc.
6. Property Size 0.61
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Maintenance to existing Rip Rap for shoreline stabilization.
All work to be done by water using barge and long reach.
8. How will the work be done? * r 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.)
570 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, backfill, 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:*
(nunber of trees, for instance)
None
Sketch: 1A9A01713-1351A 4E02-889A
635.06KB
134A54771IE91.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');
I 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 this form.
Full Name:' Terri Kindley
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200813
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTiOM:
LOT NO: '93 PLAN NO:
STREET ADDRESS:
Please print:
Property_ C..I
11��Owner: 1`1 ') O
Property
Owner:
PARCEL b O uo
ID: q�,3y31 7�.
The undersigned, registered properly owners of the above noted property, do hereby
authorize
of J�2 Do d- Cic
eontractor/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 Owners Address (if different than property above):
Telephone: ^ �W es
We hereby certify the above information submitted in this application is true and
accurate to the best of our knowledge.
` lJf•1elfli111" .J fI

1324
Troutman
�c
3m
Q
QatK Rd
1322
Aft
Zootastic Park
1314
1321
1322
1403
1400
�a
r
Vd
110 Stat Cir _
yOo
sA% n
C

Temporary impacts (temporary clearing, construction corridor) in square feet:
10. 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):
11. Signature
Owner/Agent's Signature 115A NCAC 02H .0502lf11 Date
Agent's signature is valid only if an authorization letter
from the owner is provided.
12. Please approximately sketch the following information on this plan and provide &numims for
each item;
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
C. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining wal"�oU etc.' 7 I
e. Location of any excavation or dredging below the Full Pond No Water Leve�ev '0tq _ f�
i3
(hrFull Pond/
x
Full Pond/
Plan View
View -r��-
(Ct04
itips://files.ne.govincdeq/WateP/2OQuality/Surface%2OWate ... OPermits/SSO P%2002-2017Y2OShorellne%2OForm final.docx 5/4/20, 3:03 PM

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Lake
At Full Pond/ Normal Water
J
io
Side View0.
3
u..
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
'if necessary
Existing bank
10 ft. bank
Side Vi
MI D