20201055 Ver 1_Shoreline Stabilization_20200817

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/17/2020 12:23:32 PM (Submittal)
Approve by Montalvo, Sheri A 8/17/2020 4:21:22 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 8/17/2020 12:23 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?*
eastadeena@yahoo. com
Rease provide an enail address for payment and requests for pore infornation here.
Winston and Adeena East
eastadeena@yahoo. com
[phone]
(xxx)xxx-xxxx
Street Address
901 Ridge Street
Address Line 2
city
Albemarle
Fbstal / Zip Code
28001-3017
r Yes
r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* East Shoreline Stabilization
State / Frovince / Region
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 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: shoreline.pdf 288.11KB

Latitude:* 35.260250
Longitude:*-80.108637
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*
Shoreline Layout East -both .docx 232.29KB
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.)*
shovell.jpg
4.2MB
shovel2. jpg
3.88MB
shovel3. jpg
4.2MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Norwood, NC
County:* Stanly
Lake/ river/ ocean adjacent to Lake Tillery
property:
Subdivisions name or site address:* 17188 Randalls Ferry Road, Norwood NC 28128lot 62
hclude phase/lot number
Directions to site:*
Head east on 24-27 from Albemarle, NC (toward Troy). Take a right on
Indian Mound Road. Go approximately 3 miles. Take a left on Randalls
Church road. It will dead end onto Randalls Ferry Road. Take a right on
Randalls Ferry Road. 17188 is a blue house on the right.
Rease include road narres and nunbers, landnaft etc.
5. Describe the existing land use or condition of the site at the time of this application:*
The land is a lake lot with a house and dock. The wooden retaining wall is
in disrepair (missing pieces and rotting). We have been advised to repair
the seawall due to land erosion.
Residential, undeveloped, etc.
6. Property Size .34 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
We want to add boulders across the 130 ft. shoreline to protect it from
erosion.
8. How will the work be done?* W From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*

(including all clearing, backf ill, excavation, rip rap, retaining walls, etc.)
130 feet of boulders
against the shoreline
as a retaining wall.
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.)
130 feet of boulders
along the shoreline
as a retaining wall.
Then landscape the
shoreline with
mulch.
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)
The yard is mostly grass(really weeds). There is 1 butterfly bush at the
yard's edge. There are 3 trees right on the shore. 2 of them are diseased.
We have approval from Duke Power to remove them and replant.
Sketch: shoreline4.pdf 135.9KB
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):
a $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 certifythat:
o I have given true, accurate, and complete information on this form;
a I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the INC General Statutes (the
"Uniform Electronic Transactions Act")
a 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');
a 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:* Adeena Koch East
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201055
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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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY 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
La ke
(At Full Pond/ Normal Water Level)
34'4" x23'6"
Full Pond/
Plan
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.VV
ing below the Full Pond/ Normal Water Level elevation
We plan to add the boulders along the 130 feet of shoreline. Then we will add a 2 feet mulched area
on the edge of the yard next to the boulders. The boulders will run the length of our shoreline. The
addition of the boulders is shown in the yellow diagram.
FORM: SSGP 02-2017 Page 1 of 3

Approximately
Add the
2 feet above
rock to
the water line.
height of
the
existing
bank.
00000
00000
00000
Lakel
00000
00000
(At Full Pond/ Normal Water L
00000
00000=
Approximately 1
foot
00000
00000
Side View
U—
Lake
(At Full Pond/ Norma IWater LaveI) Existing Dock
30ftx7 ft
3ftx150ft
Full Pond/ Normal Water LeFtelawfull pond/NWL
vel
emmm M7�5
lhore�ne Ri ra 4ftxlsoh
p p Above full pond/ NWL
2ft. x150ft.
addRional clearing
' if necessary
E�',(A M P L E
Plan View
FORM: SSGP 02-2017
Page 2 of 3

3 ft. below full pond water level 4 ft. above full pond water level 2 ft. *dditional clearing
f
Existing bank
1D ft. bank
height
Side View
necessary
Qa
C.�
{09
Q
AMPLE
FORM: SSGP 02-2017 Page 3 of 3

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