20201655 Ver 1_Shoreline Stabilization_20201208

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:
DWR Pre -Filing Meeting Request Form.pdf 51.29KB
Pre -fling Meeting or Request Date 11/11/2020
ID# 20201655 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 email address for payrrent and requests for pure information here.
Owner Information:
Name: * Chris and Carolyn Peacock
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
108 Windy Run Lane
Address Line 2
City
State / Frovince / Region
Mooresville
NC
Fbstal / Zip Code
Country
28117-9001
US

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Peacock - shore stabilization
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
108 Windy Run Lane
Address Line 2
City
Mooresville
F bstal / Zip Code
28117-9001
Latitude:* 35.545303
State / Province / Region
NC
Country
US
Longitude:*-80.940256
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*
survey - windy run.pdf 231.45KB
rip rap 4.pdf 154.82KB
rip rap 3.pdf 156.74KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.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 4093.JPG
7.41MB
IMG 4094.JPG
7.15MB
IMG 4122.JPG
7.06MB
IMG_4098.JPG
6.14MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: * Bay Harbour at the Point
Include phase/lot nunber

Directions to site:*
I-77 to Brawley School, east 5 miles, right on Bay Harbour 1.1 miles,
right on Windy Run
Rease include road narres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Residential, undeveloped, etc.
6. Property Size .94 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Install rip rap 3 ft below water and I ft above by CBC contractors, this
will include 1 I steps that are 4 feet, the shoreline is approximately 175 ft,
there are 3 dead stumps that will need to be removed.
8. How will the work be done? * 17 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.)
175
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.)
175
square feet
11. 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)
3 dead stumps to be removed at shoreline, see plan view drawing
Sketch:
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:* Chris Peacock

Signature:
&# C�V�.o

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201655
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

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Mate of North Caro li n a
Department of Environment and NaCLjral Resources
Division of Dater
ResQvr
Water kesc4irt-i's 15A NCAC 07H .05 - WALLW Quality CertificMicin, Sh areline Stabi l2zatior,
Lr+viHOwLr4 17%L WAI
Please approximately Sketch the following information on this plan and provide
dFmerrsforrs for eacft item_
a- ,ill proposes vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal dater
Ll elevation
c. Location of rip rap or fill to be placed below the Full Pond / Norma[ Wa r
Level elevation
d- Laudon of any proposed structures es such as buildings' retaining walls, docks
etc.
e- Location of any excavation or dredging below the Full pond l Normal Water
Lake
jAt FLAI Pond/ Normal Weer IEwl�
~uII Pond/ � rrn4iI Water Level
i
Shoreline
M*h View
Level elevation
r2h$A: SSGPI 02-2017 Pace 1 of 3

State of North Carolina
Department of Eftviranment and Hatural PjesDurces
_ Division of Water
Resflurtes
15A 14C- 02H , 0 500 - Water Quality C$rti f i-cihti Dna 5hareli n e Stabijizatic n
CXMIR13NMi •. pi:n
FI)R-A: SSGP 02-20 17
P lease approxi mately 5kctch the followwin� information 0 r7 Uh is p la a nc! provide
dimensions for each item -
a. ALL pm osod Vegetation clearing
b. Location of rip rap or fill to be plac.-ed above the Full Pond / Norma l Wator
Level elevation
o. Location of rip rap or fill to be placed below the Full Pond/ Normal Water
Level elova on
d. Location of -any p ropowd structures such as buildings, reWning watt-, idoc ks.
etc,
e. Location of any excavation or dredging below the Full Fond l Normal Water
Lake
(At Full PancV Normal Waver Levrr�
�l1
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Fu I I Pa nel/ OLormal late r Le I oc
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Plan Vier
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FORM. SSGP 02-2017 Page 7 of 3

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DWR Pre-Fil ing Meeting Req u est Form
ID#*Ve rsion *
Re gional Office *
Re v ie we r List *
Contact Name *
Contact Email Addre ss *
Proje ct Name *
Proje ct Owne r *
Proje ct County *
Owne r Addre ss:
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low.*
Please give a couple of dates you are available for a meeting.
20201655 1
Mooresville Regional Office - [phone]
Alan Johnson
Pre-Filing Me eting Reque st submitte d 11/2/2020
Chris Peacock
[e-mail]
Shore Stablization
Chris Peacock
Iredell
City
Mooresville
State / Province / Region
North Carolina
Postal / Zip Code
28117
Country
United States
Street Address
108 Windy Run Lane
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
There is approximately 170 ft of shoreline that needs to be stabilized with
class B rip rap
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
11/6/2020
11/9/2020
11/13/2020
11/20/2020
11/11/2020
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.
11/2/2020