HomeMy WebLinkAbout20201134 Ver 1_Shoreline Stabilization_20200904Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/3/2020 1:44:09 PM (Submittal)
Approve by Montalvo, Sheri A 9/4/2020 11:25:09 AM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 9/3/2020 1:44 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?*
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:
Email:*
Phone Number:*
Lakehomelkn@gmail. c om
Rease provide an email address for payment and requests for more information here.
Bernice Nixon
Norma. morris on @h otmail. corn
(704)996-7783
(xxx)xxx-xxxx
Street Address
153 South Pilot Knob Road
Address Line 2
city
Stanley
Fbstal / Zip Code
28164
r Yes
r No
Audra Miller
Anchor Realty LKN
Lakehomelkn@gmafl.com
(704)634-8431
(xxx)xxx-xxxx
State / Frovince / Region
NC
Country
Lincoln
Mailing Address:*
Street Address
7547 Sifford Road
Address Line 2
city
Stanley
Fbstal / Zip Code
28164
Asigned and dated copy of the Age nt Authorization letter:*
Shorline Stabalization Agent Authorization.pdf 313.84KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
.......................................................................................................................................................................................................................................
Project Name:* Bernice Nixon Lots 7 (Hartinan Shoreline Stabalization)
State / Province / Fegion
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 Look up address
Property Address Lookup:* Street Address
Lot 7 Tadlock Trail
Address Line 2
Latitude:* 35.468659
City State / Province / Fbgion
Denver NC
Fbstal / Zip Code Country
28037 USA
Longitude:*-80.974635
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*
Dedmons lot 7 and 8 building envelope.pdf 285.28KB
approximate water depths.pdf 150.93KB
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.)*
IMG 20200818_144223.jpg 589.69KB
Shoreline measurements lot 7 & 8.pdf 192.69KB
aireal image of Lots 7 & 8 Tadlock.pdf 291.61KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County:* Lincoln
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* Lot 7 Tadlock Trail
Include phasellot nunber
Directions to site:*
Hwy 16 N, R on Unity, R on Graham, R on Capts Way, R on Mallard,
Follow to fork, stay R for Tadlock Trail, follow to end
Rease include road narres and nunbers, Iandrrarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Raw land, wooded, applications already submitted to Duke energy for
Pier/Dock/irrigation installation as well as shoreline stabilization,
Fbsidential, undeveloped, etc.
6. Property Size 1.07
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
This is family land that has never been developed or used over the
decades. Proposal to install shoreline stabilization in order to stop the
erosion on the property shoreline.
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, backfill, excavation, rip rap, retaining walls, etc.)
136
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 w alls, etc.)
136
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)
wooded, natural vegetation
Sketch: Plat map. pdf 147.44KB
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:
o I have given true, accurate, and complete information on this form;
o 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
I intend to electronically sign and submit this form.
Full Name:* AudraMiller
Signature:
Initial Review
Is this accepted into the review
process?*
Project Number:* 20201134
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - (704) 663-1699
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00
JTH0R3Y..AI7ION FORM
PROPERTY LEGAL, DESCRIPTION -
LOT NO: , 10_C �L PLAN NO.
STREET ADDRESS:
Please print:
Property Owner-
Property Owner.,
PARCEL ID: 1?
The undersigned, registered property owners of the above noted property, do herebyauthorize
(Contractor/Agent) (Narne of Ring firm) -
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owners Address (if different than property above):
c
Telephone: -Zo ` S f l
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowledge.
Authorized ignature Lll
Date
Authorized Signature
Date
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August 27, 2020 1:1,356
0 0.01 0.02 0.04 mi
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Esri., Inc., Lincoln County, NC
August 27, 2020 1:1,364
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0 0.02 0.04 0.07 km