20201547 Ver 1_Shoreline Stabilization_20201201

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:
4886McCroskeyPreQualDWQfinal.pdf 52.52KB
Pre -fling Meeting or Request Date 10/21/2020
ID# 20201547 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 * [e-mail]
Rease provide an err -ail address for payment and requests for pure infornation here.
Owner Information:
Name: * Craig McCroskey
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
1845 Philpott Drive
Address Line 2
City
State / Frovince / Region
Bassett
VA
Fbstal / Zip Code
Country
24055
Us

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Mccrowskey
If your project has a formal name please use this. If your project does not have 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
Property Address Lookup:* Street Address
4886 Lynwood Rd
Address Line 2
Latitude:* 35.544400
City State / Province / Region
Denver NC
F bstd / Zip Code Country
28037 US
Longitude:*-80.989847
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*
4886P1anDwq.pdf 663.23KB
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.)*
4886lynwoodpic 1. jpg 5.25MB
4886ramppic.jpg 3.75MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County: * Lincoln
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: * 4886 Lynwood Rd Denver NC 28037 Lot 113
Include phase/lot nunber
Directions to site:*
150 E to left on Slanting Bridge rd, left on Keistler Store Rd, Rt on
Lynwood Ln road changes to Lynwood Rd, House on the left
Pease include road namas and nunbers, landmarks etc.

5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Pesidential, undeveloped, etc.
6. Property Size 0.83
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Install rip rap along shoreline Approx 214' long to prevent erosion.
Shoreline is being washed out
3ft below and 1 ft above
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.)
642 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.)
214 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)
None
Sketch: 4886sketchdwq.pdf 638.15KB
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 certifythat:
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");
a 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:* Craig McCroskey
Signature:
�60e�

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201547
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

rI0_
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
}Eater. Resource, 15A NCAC 02H .0500 -- Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL. QUALErY FORM: SSGP 02-2017
Please approximately sketch the following 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 wails, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/ Normal Wate ve
v
l�
Full Fond/ Normal water Levei
.,
Shoreline 77777 )0
Plan View
FORM: SSGP 02-2017 Page 1 of 3

C-
Side View
Lake
iAl Full Pond/ Normal water
Level)
Existing Dock
30 ftx7ft
3 ffx i50 ft
Full Pond/ Norma! Water Level.
tfelow fuA ¢ondJNWL
Riprap
akx 150�fr
Above fu`:I pond/ NWL
2k.x150 F._
ddd[tional C�Cnfli"�'
1
` If necessary
I!I
E
I
Plan View
..AMPLE
i
FORM: SSGP 02-2017 Page 2 of 3

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ID#* 20201547
Version* 1
Regional Office * Mooresville Regional Office - [phone]
Reviewer List* Alan Johnson
Pre -Filing Meeting Request submitted 10/21/2020
Contact Name*
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Gene Renegar
[e-mail]
McCROSKEY/ Lake House
CRAIG McCROSKEY / MCC Lake House LLC
Lincoln
Street Address
4886 Lynwood rd
Address Line 2
aty
Denver
Postal/ Zip axle
28037-6775
Is this a transportation project?* r Yes r No
State / Province / Region
NC
Country
United States
Type(s) of approval sought from the DWR:
* 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
* Individual Permit F Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (-- No
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below.*
Place Rip Rap along shoreline to prevent further erosion
Also replace the e)asting boat ramp
This is same owner as 4894 Lynwood, would like to meet on same date as
that permit for meeting

Please give a couple of dates you are available for a meeting.
10/27/2020
10/28/2020
Please attach the documentation you would like to have the meeting about.
McCroskey4886dvvq.pdf 843.05KB
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.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 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
CKafe 116C►�a ske
Submittal Date 10/21/2020

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