20201541 Ver 1_Pre-Filing Meeting Request_20201021

DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
EnYlmnal2nlrtl Qua fay
ID#* 20201541 Version* 1
Regional Office* Mooresville Regional Office-[phone]
Reviewer List* Alan Johnson
Pre-Filing Meeting Request submitted 10/21/2020
.........................................................................................................................................................................................................................................................................................................................................................................................................................................................
Contact Name* Kyzer Cauthen
Contact Email Address* [e-mail]
Project Name* Shoreline Stabilization
Project Owner* William Coble
Project County* Gaston
Owner Address: Street Address
228 Woodwinds Drive
Address Line 2
City State/Rovince/Region
Mount Holly NC
Fbstal/Zip Code Country
28120 USA
Is this a transportation project?* r Yes (' No
Type(s)of approval sought from the DWR:
r- 401 Water Quality Certification- I— 401 Water Quality Certification-
Regular Express
I— Individual Permit r- Modification
rJ Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
Do you know the name of the staff member you would like to request a meeting with?
no
Please give a brief project description below.*
Looking to stabilize embankment of lake front property with rip rap due to
major erosion.
Please give a couple of dates you are available for a meeting.

10/30/2020
11/2/2020
Please attach the documentation you would like to have the meeting about.
DEQ Documents.pdf 1.6MB
Plot Plan.pdf 308.57KB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty-day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty-day clock has expired,and you can submit an
application.
Signature
Submittal Date 10/21/2020

State of North Carolina
DWR Department of environment and Natural Resources
Dfvision of Water Resources
15A NCAC O2H .0500 -Water Quality Certification, Shoreline Stabilization
Division of Water Resources FORM: SSGP 10-2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee
should be sent to:
Division of Water Resources
401 ft Buffer Permitting Unit
VED
1617 Mail Service Center
Raleigh, NC 27699-1617 SEE' 14 21:03
Applicant Information [15A NCAC 0 H_.0502(a)] NODEOZWR/NPDES
1. Owner Information
Name: Bill Coble
Mailing Address: 228 WOODWINDS DR.MOUNT H O L LY, N.C. 28120
Telephone Number: 704-996-0680 Fax Number:
E-mail Address: william.cobLe novartis.com
2. Agent. Contact Person Information
A signed and dated copy of the Agent Authorization Letter (a form can be
downloaded here: h ttp:1/www.saw.usace.a rmv,rni L/Portals/591 does!requ la to ry 1
re¢docs/Permits/S MPLE_4GENT AUTHORIZATION_FORM,pdf) must be attached if the
Agent has signed this application form,
Name:
. Company Affiliation: —
Mailing Address:
Telephone Number: ,�- Fax Number: _
E-mail Address:
Person to receive the Certification Approval:
II. Project Information [15A NCAC 02H .0502(a) £t lam]
Attach 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.
2. Provide a detailed site plan showing property boundaries and proposed
Locations of vegetation clearing, structures (buildings, retaining walls, docks,
FORM: SSGP 10-2013 Page 1 of 3

impervious surfaces, etc.}, rip rap, excavation or dredging below Full Pond/
Normal Water Level elevations, and construction access corridors. You may
use the diagram provided at the end of this application form.
3. Attach a photograph of the shoreline! buffer proposed to be stabilized.
(Include a scale of some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: GASTON Nearest Town: _ MOUNT HOLLY
Subdivision name or site address (include phase/lot number):
STONEWATER BAY PHASE I - LOT 47
Directions to site - please include road names and numbers, landmarks, etc.: _
OFF EXIT 16 ON 485. NORTH ON NC-16 BROOKSHIRE.
TURN RIGHT ONTO HORSESHOE BEND BEACH RD, GO 1,0 MILES
TAKE 3RD RIGHT ONTO STONEWATER BAY
TURN LEFT ONTO WOODWINDS DR. -. .
HOME IS ON RIGHT
Latitude an decimal decrees] 35.350 60 Longitude (decimal deg,ees) -80.963910
5. Describe the existing land use or condition of the site at the time of this
application (residential, undeveloped, etc.): RESIDENTIAL
b. Property size (acres): .5 ACRES
7. Lake/ river/ ocean adjacent to property: MOUNTAIN ISLAND LAKE
S. Describe proposed work (include discussion as to how hardening of shoreline has
been avoided, or why it is necessary): MAJOR EROSION, LOOKING TO
STABILIZE EMBANKMENT WITH RIP RAP _
9. Mill work be conducted from Land? YES, FROM LAND From water?
10.TotaL amount of disturbance (including all excavation, backfill, rip rap, retaining
walls, etc.) below the normal pool lake level! Normal Water Level in square feet
or acres: APPROXIMATELY 1 ,000 SQ, FT
11. Total amount of disturbance (including all clearing, back fill, excavation, rip
rap, retaining walls, etc.) above the normal pool lake level! Normal Water Level
and 50 feet land-ward in square feet or acres; APPROXIMATELY 1 ,500 SQ. FT.
12. 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):
EXPECTING TO REMOVE 5 EXISTING TREES DUE TO DAMAGE OF ROOT SYSTEM
FROM EROSION
FORM: SSGP 10-2013 Page 2 of 4

/, e,
Owner/Agent's Signature- [15A NCAC 021.-1 .O5U2(f)1 Date
'Agent'. 5isinature is valid only if on authorization letter from the owner i5 provided.
Lake
(At Full Pond/Normal Water Level)
DOCK
Full Pond/
Normal Water Level
Shoreline
� l
L"
ACCESS
Please approximately sketch the following information on this plan (provide
dimensions for each item, such Os 10 ft x 100 ft) :
1 . All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level
elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level
elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
6, Location of construction access corridors
POW; 'S P 10-2013 Page 3 of 4

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