20201714 Ver 1_Shoreline Stabilization_20201217

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:
Mitche1lPrequa1DWQFinal.pdf 51.78KB
Pre -fling Meeting or Request Date 11/13/2020
ID# 20201714 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: * Mitchell Curtis
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
4496 Lake Drive
Address Line 2
City
State / Frovince / Region
Sherrills Ford
NC
Fbstal / Zip Code
Country
28673-9220
US

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Curtis Shoreline
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
4496 Lake Drive
Address Line 2
Latitude:* 35.570953
City State / Province / Region
Sherri% Ford NC
Fbstal / Zip Code Country
28673-9220 US
Longitude:*-80.991230
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*
Mitche11V1cin1tyDWQ.pdf 708.76KB
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.)*
LakeDrPicDWQl.jpg 2.85MB
LakeDrPicDWQ2.jpg 2.98MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Sherrills Ford
County: * Catawba
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* Norman
Include phasellot number
Directions to site:*
150 W, Left on Slanting Bridge, Right onto Lake Dr, House is on the left
Rease include road narres and nun hers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*

Residential
Fbsidential, undeveloped, etc.
6. Property Size .610
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Place rip rap to prevent further erosion and build new 2 slip covered dock
8. How will the work be done? * PF 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.)
424 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.)
106 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
All disturbed ground will be mulched
Sketch: MitchellSketchDWQ.pdf 668.69KB
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:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
a 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.
a 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');
a 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:* MitchellCxrtis
Signature:
flc6e1 Cad's

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201714
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

State of North Carolina
Department of Environment and Natural Resources
r�# Division of Water Resources
WaterResourcc� 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
LNVIRONMENTAL QUALITY
FORM: S5GP 02-2017
Please approximately sketch the following information on this plan and provide dimensions far
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 walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Leve
n�M
Shoreline
V
Plan View
FORM: SSGP 02-2017
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-
Existing Dock
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Full
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FORM: 55GP 02-2017
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Parcel: 460602789633, 4496 LAKE DR SHERRILLS FORD, 28673
Owners: MITCHELL CURTIS R, MITCHELL SUZANNE
Owner Address: 4496 LAKE DR
Values - Building(s): $306,400, Land: $132,500, Total: $438,900
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1 in=80ft
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and ali damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2020 Catawba County NC
10/28/2020

Catawba county Geospatial Real Estate Search
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Parcel: 460602789633, 4496 LAKE DR SHERRILLS FORD, 28673
Owners: MITCHELL CURTIS R, MITCHELL SUZANNE
Owner Address: 4496 LAKE DR
Values - Building(s): $306,400, Land: $132,500, Total: $438,900
This maplreport product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnef, disclaim and shall not be held Gable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2020 Catawba County NC
10/28/2020

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.
20201714 1
Mooresville Regional Office - [phone]
Alan Johnson
Pre-Filing Me eting Reque st submitte d 11/9/2020
Gene Renegar
[e-mail]
Mitchell
Curtis Mitchell
Catawba
City
Sherrills Ford
State / Province / Region
NC
Postal / Zip Code
28673
Country
United States
Street Address
4496 Lake Dr
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
Alan Johnson
Stabilize 100 ft of Rip rap on shoreline
11/13/2020
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
11/16/2020
CMitchellshoreprequal.pdf 661.64KB
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.
11/9/2020