20201427 Ver 1_Shoreline Stabilization_20201110

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/10/2020 9:37:45 AM (Submittal)
Submit by Montalvo, Sheri A 11/10/2020 4:56:12 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 11/10/2020 9:37 AM

Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
50059 Fox Rd. DWR Pre -Filing Meeting
50.97KB
Request Form (1).pdf
Pre -fling Meeting or Request Date 11/10/2020
ID# 20201427 Version 1
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:*
derek. lambert@alltrus s llc . c om
Rease provide an email address for payment and requests for more information here.
Spare Time Renovations LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
409 North Main Street
Address Line 2
City
Mt Gilead
Fbstal / Zip Code
27306
State / Rovince / Fbgion
NC
Country
US

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Spare Time Renovations, LLC 50059 Fox Rd. Albemarle. Shoreline
Stabilization
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: 50059 Fox Rd Survey for Spare Time
931.SKB
Renovations.pdf
Latitude:* 35.312570 Longitude:*-80.086720
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*
50059 Fox Shoreline Plan.pdf 5.49MB
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.)*
50059 Fox Shoreline Photo.pdf 3.67MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Albemarle
County:* Stanly
Lake/ river/ ocean adjacent to Lake Tillery
property:
Subdivisions name or site address:* 50059 Fox Rd.
Include phasellot nunber
Directions to site:*
From HWY 24/27 turn on Strand Drive and then on Fox Rd. House is
400' on left
Rease include road narres and nunbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Lake House on Lake Tillery.
Residential, undeveloped, etc.
6. Property Size 0.24 Acres
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Replace decayed wooden seawall with riprap stone
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, backfill, excavation, rip rap, retaining walls, etc.)
140+- square feet
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.)
600
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)
Land above shoreline has been in a natural state covered with leaves and
mulch
Sketch: 50059 Fox Shoreline Photo.pdf 3.67M13
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):
0 $240.00 for impacts to lake (below normal water level) of less than 1 acre
0 $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, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act');
o 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');
0 1 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 the Shoreline Stabilization online form.
Full Name:* Derek A Lambert
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201427
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

Recombination Survey for :
SPARE TIME RENOVATIONS,
Lot No. 71 and Lot No. 72 of the Tillery Shores Development
Being located at 50059 Fox Road
North Albemarle Township, Stanly County, North Carolina
Current Owner: Eris C. Hinson Heirs
Deed Reference Book 227 Page 471,
Plat Reference Plat Book 1 Page 183 and Plat Book 26 Page 213.
Surveyed by Thomas J. Fields, PLS-2906, in May 2019.
REVISED & UPDATED on June 18th, 2020.
TOTAL AREA = 0.24 Acre f
by coordinates
20 0 20
Scale is in Feet
1'= 20'
From the office of
WRIGHT & FIELDS LAND SURVEYING
1340 Albemarle Road, Suite C
Troy, N.C. 27371
Phone No. 910-572-2449
GENERAL NOTES:
1. The Parcel ID Number for the subject property
is PIN: 6577-04-50-8446.
2. Based on the FEMA Flood Map 3710657700J, this
property is found in Zone X, an area of minimal flood
risk.
3. No NCGS Grid Monuments are located within 2000 feet.
of the subject property.
4. The Stanly County GIS records this property as
as being Zoned R-20.
5. Minimum Building Setbacks:
Front . . . . . . . 40 Feet
Sides . . . . . . . 12 Feet
Rear . . . . . 35 Feet
Lakeside . . . . . 10 Feet
I certify tot this plat represents a survey of
another category, such as the recombination
of existing parcels, a court -ordered survey, or
other exception to the definition of subdivision.
__If� /1 --T , () n
Surveyor
NORTH CAROLINA
STANLY COUNTY
L o t No. 73 & 74
Billy Joe Burris & Wife,
Thelma HJ. Burris
Deed Book 894 Page 224
PIN: 6577-04-50-7409
LLC
Tie Line
N 82'17'53" W
21.61 FT \
QtOQB
Jae /
Found: /
1-1/4" Iron O-
Pipe Found:
1-1/4" Iron
i
Lake
i Found:
1-1/4" Iron
Pipe
Titter`lj
Property
Energy
puke
Found:
Concrete
screened porch
single story
block house
Found:
Found: Concrete "�co
Concrete Monument
Monument Tie Line _ -- `~
_ 9�
N86'02'08" E 56.18 FT
s\ q
FRS\
�J� e
Found:
,�,� 1-1/4" Iron
Pipe
\
N A
o N\
O-
Lo
0
m \
\�0
7.15 FT house Via\
S�\
Ln \
in
a
� Found: 61
1-1/4" Iron
Pipe
Lot No. 69 & 70
✓o von Burris & Kfe,
Bernice L. Burris
Not to Scale
VICINITY MAP
MAGNETIC
NORTH
May 2019
� Pipe Deed Book 259 Page 288
t 7.20 FT PIN.- 6577-04-50-9418 I I
;,� old well +'I I
i o a, casing gravel
W 4D driveway retaining wall �I I
�0 ' � _ _ �1 i = `Vb• well
rya _ _ Chord _N 85-44_17_W 80:00 _
1/2"e Iron C1 Point- N 89'15'42" W
Rebar 50.00 FT
i
CURVE CHORD BEARING CHORD LENGTH RADIUS ARC LENGTH
Cl N 85.44'17" W 80.00 FT 551.69 FT 80.07 FT
I, Thomas J. Fields, certify that this plat was drawn
from an actual survey made under my supervision
CA-'?() �'%
from information found in Deed Book 227 Page 471
,`�.Si�
Symbol Legend
Ym g
and other information as referenced hereon; that thep'ni',:QFESS�p,,j.�
boundaries not surveyed are clearly indicated, as drawn
p......
denotes monuments found
from information referenced hereon; that the ratio of
= = SEAL -
or set as noted on plat.
precision as calculated is 1:15,000'+; that this plat
in G.S. 47-30
_ ,.B _ rq _
= L-2906 A
❑ ......
denotes concrete monuments
was prepared accordance with as
= x,=. =
found in place.
amended. Witness my original signature, license
,1,O
......
denotes measured oint;
p
number and seal this the 18th day of June 2020.
J�O�-�,w"1\
,y •.,•,SUR �,
. ... •••"
' s ........
no monuments found or set.
..
denotes old capped well casing.
Professional Land Surveyq , PLS Professional Land , PLS-2906 Firm No. 1055Firm No. 1055
II
II
II
II
— II
Set:
1/2" Iran Fox Road _-------- j
N.C. Secondary Road 1774 I I
II
Line Legend
Boundary Lines
Adjacent Boundaries (not surveyed)
Tie Lines -----------
......................................
Internal Boundaries
— —
Approximate Center of Road ----- -----
Culverts
- ... .... _... .... _.. —.......—'--------------
Ditches
Right -of -Way Lines
Structures
Seawalls & Retaining Walls
I certify that the plat shown hereon is not within the
Watershed Protection District or complies with the
Watershed Protection District for Stanly County and
is approved for recordation in the office of the
Register of Deeds for Stanly County, North Carolina.
Date Watershed Administrator
Stanly County, N.C.
State of North Carolina
County of Stanly
I, , Review Officer of Stanly County,
certify that the map or plat to which this certification is
affixed, meets all statutory requirements for recording.
Date Review Officer
Job No. 2019-68

Proposed
(Plan View)
LakE
(At Full Pond/ Normal Water Level)
9 1 C �
Full Pond/ Normal
Shoreline
Full Pond/ Normal Water Level
= r N
Dr2 In•e s � =
2 ft. x 150 ft.
additional clearing
• if necessary
Plan View
Lake
(At Full Pond/ Normal Water Level
Existing Dock
30ftx7ft
3 ftxI50ft
Below full pond/ NW L
4ftx 150 ft
Above full pond/ N W L
A

14 �C�w LIB
Proposed
(Side View)
-j
3
E
0
Lake z
(At Full Pond/ Normal Water L vel)
C: C:
0
Side Vi
-R.� 4,, 6l-cv,41t- -,SIc-fc- (\'VN
i
Au, -r,. I I LC-V-d
2 ft. additional clearing...
3 ft. below full pond water level 4 ft. awve full pond water level *if necessary

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