20201112 Ver 1_Shoreline Stabilization_20200903

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/27/2020 7:08:34 PM (Submittal)
Approve by Montalvo, Sheri A 9/3/2020 5:49:54 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 8/27/2020 7:09 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?*
Shanlee1108@gmail. com
Rease provide an email address for payment and requests for more information here.
Shandel Mullins
shanlee1108@gmail. com
[phone]
(xxx)xxx-xxxx
Street Address
PO BOX 73
Address Line 2
7599 Keistlers Store rd
city
Terrell
Fbstal / Zip Code
28682
r Yes
r No
Project Information [15A NCAC 02H .0502(a) & (b)]
.......................................................................................................................................................................................
Project Name:* Shandel Mullins Shoreline Stabilization
State / Frovince / 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 activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that ha\e 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

Property Address Lookup.*
Latitude:* 35.557583
Street Address
7599 Keistlers Store Road
Address Line 2
city
Sherrills Ford
Fbstal / Zip Code
28673
State / Province / Pegion
NC
Country
US
Longitude:*-80.997273
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*
8644F95C-65C3-4D98-9D27-
5.79MB
083BO1F88FD6.png
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.)*
A25EC62C-EAFD-4E3F-AF7B-
6.29MB
144EBB8171BD.jpeg
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5.69MB
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4. Location of the property (where work is to be conducted)
Nearest Town:* Terrell
County:* Catawba

Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* 7599 Keistlers Store Rd
Include phasellot number
Directions to site:*
Hwy 150 west to Slanting Bridge rd, turn Left on Slanting Bridge Rd, go
approximately 3 miles turn Right on Keistlers Store Rd. At end of road
turn left and immediately back right into my driveway.
Rease include road narres and numbers, landmarks 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 1 acre
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Install additional rip rap and slope shoreline. Necessary due to waves and
higher water damaging shoreline
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, back fill, excavation, rip rap, retaining walls, etc.)
Rip rap
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.)
Rip rap
square feet
11. 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)
None
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certifythat:
• 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:* ShandelMullins
Signature: On".JA,�J

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201112
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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