20201122 Ver 1_Shoreline Stabilization_20200904

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/31/2020 12:41:13 PM (Submittal)
Approve by Montalvo, Sheri A 9/4/2020 9:36:33 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 8/31/2020 12:41 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?*
[e-mail]
Rease provide an enail address for payment and requests for pore infornation here.
Neil and Tiffanie Tagner
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
318 Lake Forest Dr.
Address Line 2
city
Taylorsville
Postal / Zip Code
28601
r Yes
r No
Project Information [15A NCAC 02H .0502(a) & (b)]
.......................................................................................................................................................................................
Project Name:* Tagner property seawall improvement
State / Frovince / Region
- Select -
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: AreaMap.pdf 556.99KB

Latitude:* 35.810832
Longitude:* 81.275068
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*
Site Plan Rip Rap.pdf 185.89KB
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.)*
photo with yardstick.jpg
2.74MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Taylorsville
County:* Alexander
Lake/ river/ ocean adjacent to Lake Hickory
property:
Subdivisions name or site address:* River Ridge Run / Lake Forest Associates Lot #408
Include phase/lot number
Directions to site:*
From 127 bridge into Alexander County: Turn right on Rink Dam Rd,
turn right onto River Hills Ct., right on Wood Hollow Rd. (subdivision
entrance) turn right onto Penelope Lane, turn right on Lake Forest Dr.
located at Cal -de -sack. 318 is the second House from the end.
Aease include road narres and nunbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential backyard improvements to prevent erosion.
I;bsidential, undeveloped, etc.
6. Property Size .83
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
The property has no erosion prevention along the shoreline, as a result,
there is erosion happening at the lake edge.
8. How will the work be done?* I7 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.)
200
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.)
500
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)
Within the 30" buffer, vegetation includes mountain laurel bushes, holly
trees, and about 30-40 trees of varying sizes. With the exception of weed
and underbrush removal, we will leave the current vegetation alone.
Sketch: Site Plan Rip Rap.pdf 185.89KB
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:
a 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 NC 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
a I intend to electronically sign and submit this form.
Full Name:* TiffanieTagner
Signature:
j Tad

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201122
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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