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Home My WebLink About20201462 Ver 1_Shoreline Stabilization_20201222Submission 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 49.31KB PreFiling email.PNG 27.8KB Pre -fling Meeting or Request Date 10/13/2020 ID# Version 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 * JEFF.PAGE@YAHOO.COM Rease provide an er ail address for payment and requests for more infornation here. Owner Information: Name: * David Gray Email:* jgray64@carolina.rr.com Phone Number:* (704)578-7538 (xxx)xxx-xxxx Mailing Address:* Street Address 1489 Willow Oaks Trail Address Line 2 City State / Rovince / Fbgion Matthews NC Fbstal / Zip Code Country 28104-8630 Us Is there an agent working on the f Yes project?* r No Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* 445 Sugarloaf 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.* F Upload File r Lookup address Upload Map: VicinityMap_DavidGray.pdf 599.92KB Latitude:* 35.357790 Longitude:*-80.062880 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* ShorelineLayout_David Gray.pdf 163.19KB 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.)* IMG_3885. jpg 2.94MB 4. Location of the property (where work is to be conducted) Nearest Town:* Mount Gilead County:* Montgomery Lake/ river/ ocean adjacent to Lake Tillery property: Subdivisions name or site address:* 445 Sugarloaf Shores Include phase/lot nunber Directions to site:* See Map provided with Vicinity Map documentation. Latitude:35.357790 Longitude: 80.062880 Rease include road narres and nunbers, landrrarks etc. 5. Describe the existing land use or condition of the site at the time of this application:* Residential Residential, undeveloped, etc. 6. Pro pertySize 0.41 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): The existing wood wall had failed. The client wants to remove the existing wood wall and install 100 ft. of rip rap 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.) 90'xl'=90 sq ft below 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 walls, etc.) 90'x2'=180 sq ft above 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) See Picture Provided 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:* Jeff T. Page Signature: Initial Review Is this accepted into the review process?* Project Number:* 20201462 Select Reviewer:* Select Reviewing Office Has payment been received?* What amount is owed?* rYes allo Version:* 1 Chad Turlingtoweads\ccturlington Fayetteville Regional Office - (910) 433-3300 r No Payment Needed r Fee Received r Need Fee - send electronic notification r $240.00 f $570.00 ac nw VICIM MAP not to scale SEA`UbLL PIER LAKE TRIJERY�- - cPsL VL SIP b 70 pp / 0.41 ACRES f I�AR & CAP J �p� WELL ' / rrr O �a 4 JDfY�'SON GRA �ry DB 194 740 DR7�1E PActA I.Z WUTED BY CU3 DINATE CEWUTATMU 3 THIS PROPERTY IS IN A C[UWTY WHICH REGULATES THE SUBDIVIDDJG [y LAND. 4 THIS IS A SURVEY IF AN EXISTING PARCEL [F LAND. ty z Ld qt oa U La Cu �A REBAR riC ry 2 REWM k CAP Looft 0 EP - �plt PN O 9P — SET and PN {t/ 1tipN� O CM — �M MONUMENT pf NPS — NO POOR SET FAWI OF VW POEM L E Gunp W. nr� V= drorn � = ate, spar rlmurundw ne bq Etta nr m 1- 1Q�pO�, Byrd am dl ae brahm inee {Ei"l . "W the angLdw WTOr � s�S. I I -dsB ppw to . FRANK W HARMS DB 179PG 176 DB 190AV 117 P.P. / v ff PIPE & CAP aF r�+r�r _ HAI�ON 'A_ GR.�SBF GOER � wr o LMMINM IV- --, jQNNqbm-. M. rc N eE ar OF L/YpEM DRK mm in -M_ ■ eEaar ia. qrr UP of Affimaw ao Mr r� rN e= -� m 75 am mwarmm w err mwc� or eems o - •�. �� _ --vim - __ __i _ �� .._ rt T APPROXMATE SCALE OF M LES _ - - f 1 Ted- _ /ter L� �' _ _ � _ _ � •• tea{ Jj _.Yr Lake (At FuH Pond/ Normal MtEv level) Full Pond/ Normal Water Level Shoreline �Z4) Please approximately sketch the following information on this plan (provide dimensions for each item, such as 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- S. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 6. Location of construction access corridors FORM. SSGP 10-2013 Page 3 of 3 k t F'1 " h ,. Art llid !l '1 1 � , Ilk t 2 till Wit !It ,+ It to i ,u Contact Name* Jeff Page Contact Email Address* jeff.page@yahoo.com Project Owner* David Gray Project Name* 445 Sugarloaf Project County* Montgomery Owner Address:* Street Address 1489 Willow Oaks Trail Address Line 2 aty Charlotte Postal / Zip axle 28104 Is this a transportation project?* C Yes c: No Type(s) of approval sought from the DWR: F- 401 Water Quality Certification - W 401 Water Quality Certification - Regular Express F- Individual Permit F- Modification F- Shoreline Stabilization Does this project have an existing project ID#?* C Yes (: No State / Province / Pegion NC Country Union County Do you know the name of the staff member you would like to request a meeting with? Chad Turlington Please give a brief project description below.* Client wants to remove e)asting wood wall and install 100 ft. of rip rap stone. Please give a couple of dates you are available for a meeting. 10/13/2020 Please attach the documentation you would like to have the meeting about. 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 Icannot submit myapplication 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 10/13/2020 To: 'jeaPagesityahoo corn<jeR rageslyaho t cam> Sent Tuesday, October 13, 2020, 12:26:14 PM EDT Subject: Pre{iling Meaning Request SubnMal for 4 Sugatloat The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request Form for 446 Sugarloaf that you submitted on 1011312020. Attached is a copy of your initial request. This email was automatically generated by Laserfche workflow. Please do not respond to this email address, as responses aren't monitored. nx DWR PmHL..ptll