20200821 Ver 1_Shoreline Stabilization_20200623

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/20/2020 12:59:29 PM (Submittal)
Approve by Montalvo, Sheri A 6/23/2020 8:46:00 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 6/20/2020 12:59 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: *
Debra H Love
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Address:*
Street Address
3516 Providence Manor Rd
Address Line 2
City
Charlotte
Postal / Zip Code
28270
Is there an agent working on the r Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Debby Love Shoreline
State / Province / Region
NC
Country
USA
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 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: Debby Love Vicinity Map.pdf 676.97KB
Latitude:* 35.486770 Longitude:*-80.973250

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*
Debby Love Diagram.pdf 206.91KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/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.)*
Debby Love Photo.pdf
881.4KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County:* Lincoln
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* 8227 Deep Water Lane; Denver, NC 28037
Include phase/lot nunber
Directions to site:*
77-N to Exit 25 to L onto Sam Furr Rd/ Hwy 73 to R onto Pilot Knob Rd.
to R onto NC-16 Bus. to R onto Unity Church Rd. to L onto Cherry Ln.
to L onto Deep Water Ln.
8227 is on the Right
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 w/ existing rip rap shoreline.
Residential, undeveloped, etc.
6. Property Size .744
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Install Geo-tech fabric, layer of Class 'U' Rip Rap to approximately 30
linear ft. of shoreline as shown in the photo. Would like the option to
remove tree if considered undermined, as it's leaning over the water.
8. How will the work be done? * m 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.)
90
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.)
30
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)
Yard; 1 tree may be undermined as seen in the attached photo.
Sketch: Debby Love Diagram.pdf 206.91KB
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:* Debra Love
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200821
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

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La ke
{At Full Pond] Norma! Water Level)
Norm
Please approximately sketch the following information on this plan, length of shoreline
{provide dimensions for each item, such as 1 o ft x too ft}*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level eleva ion
I Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level eleva#ion
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5_ Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP Io-2013
Page 3 of 3

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La ke
{At Full Pond] Norma! Water Level)
Norm
Please approximately sketch the following information on this plan, length of shoreline
{provide dimensions for each item, such as 1 o ft x too ft}*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level eleva ion
I Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level eleva#ion
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5_ Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP Io-2013
Page 3 of 3