20200905 Ver 1_Shoreline Stabilization_20200713

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/10/2020 6:43:13 PM (Submittal)
Approve by Montalvo, Sheri A 7/13/2020 9:31:04 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 7/10/2020 6:43 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.
Primary Contact Email *
Owner Information:
Name:
*
Email:
*
Phone Number:*
Mailing Address:*
Is there an agent working on the
project?*
kathygardening@yahoo. com
Rease provide an email address for payment and requests for more information here.
Staley & Kathy Keener
kathygardening@yahoo. com
[phone]
(xxx)xxx-xxxx
Street Address
3939 8th Street Court Northwest
Address Line 2
city
Hickory
Fbstal / Zip Code
28601
r Yes
r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Staley & Kathy Keener Home
State / Frovince / Region
NC
Country
United States
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: Google Earth Home.png
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Latitude:* 35.791190
7.44MB
13.02MB
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Longitude:*-81.343760
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*
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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.)*
E72C3749-42E6-4A76-8AO4-
12.87MB
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4. Location of the property (where work is to be conducted)
Nearest Town:* Hickory
County:* Catawba
Lake/ river/ ocean adjacent to Lake Hickory
property:
Subdivisions name or site address:* 3939 8th Street Court NW
Include phase/lot nun ber
Directions to site:*
127 N
Left on 29th Ave Dr NW
Left on 36th Ave NW
Right on 8th Street Court NW
Second driveway on left
Aease include road narres and nunbers, landnarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Home Residence
Pesidential, undeveloped, etc.
6. Property Size approximately 2.2 acres
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Retaining wall is severely necessary. Huge erosion to land has taken away
our children and grandchildren fire pit where they roasted marshmallows.
The cove side is filled as a garbage dump from the lake continually with
plastics, trees, garbage, etc..The boat house dock needs to continue to be
adjoined to our land, not an eroded airway.
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, backfill, excavation, rip rap, retaining walls, etc.)
N/A
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.)
N/A
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)
N/A
Sketch:
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):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $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:* Kathy Rowe Keener
Signature:
A��,-?

Initial Review
Is this accepted into the review
process?*
Project Number:* 20200905
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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5:04 PM Fri Jul 10
To 3939 Eighth Street Ct NW Done
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2915 N Center St, Hickory, NC
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150 ft
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© Shoreline Layout.docx
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions 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 walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
iAt Full Pond/ Normal Water Level)
100 ft lineal
Backfill dirt
Full Pond/ Normal Water
Shoreline
Text
Plan View
Lake
(At Full Poem Normal wal vrep Existing Dock
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5.33 PM Fri Jul 10
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3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
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