20201133 Ver 1_Shoreline Stabilization_20200904

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/3/2020 12:58:01 PM (Submittal)
Approve by Montalvo, Sheri A 9/4/2020 11:21:38 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 9/3/2020 12:58 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?*
s s t4U@embargmail. c om
Rease provide an enail address for payment and requests for pore infon- ation here.
CAM Development
s s t4u@embargmail. c om
[phone]
(xxx)xxx-xxxx
Street Address
371 North Bilhen Street
Address Line 2
city
Troy
Fbstal / Zip Code
27371
r Yes
r No
State / Frovince / Region
NC
Country
US
Project Information [15A NCAC 02H .0502(a) & (b)]
...........................................................................................................................................................................................................................................................
Project Name:* CAM Development - Lot 34 358 Landing Trail Mt. Gilead, NC
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.
f Upload File
r Lookup address

Property Address Lookup:* Street Address
358 Landing Trail
Address Line 2
city
Mt Gilead
Fbstal / Zip Code
27306
Latitude:* 35.264354
State / Province / Pegion
NC
Country
US
Longitude:*-80.089395
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*
NC Shoreline Drawings Lot 34.pdf 550.2KB
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.)*
NC Shoreline Picture Lot 34.pdf 351.17KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mt. Gilead
County:* Montgomery
Lake/ river/ ocean adjacent to Lake Tillery
property:
Subdivisions name or site address: * The Landing Lot 34 - 358 Landing Trail Mt. Gilead, NC
Include phase/lot nunber
Directions to site:*
Charlotte to 358 Landing Trail Mt. Gilead
Head northeast on S Tryon St toward Trade Street, Turn Right onto E
5th Street, Use middle 2 lanes to merge onto US 74F/E Independence
Expy via the ramp to NC 27 E.
Follow NC 27 to NC 73 E in Pee Dee
Merger onto US 74 F/E Independence Expy.. Keep left to continue on E
Independence Blvd. Use the left 2 lanes to take Exit 246 for NC 27F/
Albemarle Rd. (Continue to follow NC 27E) Turn right onto NC
24E/NC73W/East Main Street.
Turn Right onto NC 73E
Turn Right onto Lillys Bridge RD
Turn right onto Livingston Point
Turn right onto Landing Trail
358 Landing trail - House on your right.
Please include road naves and nun ers, landnarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential/under Construction
Pesidential, undeveloped, etc.

6. Property Size .48 Acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Adding shoreline to prevent erosion and decay of bank
8. How will the work be done? * [.7' 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 w alls, etc.)
F x 100'= 100 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, backfill, excavation, rip rap, retaining walls, etc.)
1' x 100'= 100 sq
ft.
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)
Tree's and under brush.. See attached
Sketch: Lot 34 The Landing 358 Landing Trail.jpeg 195.01KB
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 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:* Chad Morris
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201133
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Chad Turlingtoweads\ccturlington
Fayetteville 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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12- Please approximately sketch the fo#lowing 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
(At Full Pond/ "mal Water Level)
!►
Full Pond/ NLormai Water
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Plan View
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EXAMPLE
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