20200874 Ver 1_Shoreline Stabilization_20200706

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/2/2020 5:26:23 PM (Submittal)
Approve by Montalvo, Sheri A 7/6/2020 11:35:18 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 7/2/2020 5:26 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:*
Steven W Crass
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Address:*
Street Address
7816 Blades Trail
Address Line 2
City
Denver
Postal / Zip Code
28037-9149
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:*
2020-07-02 16.46.46.pdf 258.85KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 021-1.0502(a) & (b)]
.............................................................................................................................................................................
Project Name:* Steven Crass/shoreline stabilization
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.*
6 Upload File
r Look up address
Upload Map: 62D865EF-7770-492F-9A42-
4A7033C577B7. jpeg
Latitude:* 35.512829
Longitude:*-80.986343
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*
EE66EED 1-2B4F-4D 15-93AD-
68DCDE99E9E9. 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.)*
3BD 1942D-96B4-45 D4-8678-
2.31 MB
368808977FC4. jpeg
E8EE188B-6AE7-4FE7-AOlA
2.57MB
1590FE3F12F7.jpeg
4. Location of the property (where work is to be conducted)
Nearest Town:* Lincohiton
County:* Lincoln

Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* 7816Blades Trail Denver NC28037
Include phasellot nunber
Directions to site:*
177 exit 25 NC- 73W/Sam Furr Road 7.6 miles
Right on N. Pilot knob Road 0.9 miles
Right on NC- 16 Bus. N 3 miles
Right on Fairfield Forest 0.6 miles
Left on Blades Trail 0.2 miles
Rease include road narras and nunbers, landr arks 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 0.562 AC
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Shoreline stabilization to existing Rip Rap in eroded areas.
All work to be done by water using barge and long reach.
8. How will the work be done? * r From Land
I7 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.)
460 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.)
O
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: 057CA41F-627D-402A-BFCC-
3.78MB
6636060A3092.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:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200874
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 2
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

"yam-I"1�0N -02A
PROPERTY LEGAL DESCRIPTIOM:
LOT NO: (� 1 PLAN NO: PARCEL
1 o I ID:
,--w c"
Please print:
Property
Property
Owner:
The undersigned, registered property owners of the above noted property, do hereby
authorize
` r
of
I�w ntractor/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: J30 — ;;PS� " _! 7 3
We hereby certify the above information submitted in this application is true and
accurate to the best of our knowledge.

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