20201487 Ver 1_Shoreline Stabilization_20210119

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 52.69KB
Pre -fling Meeting or Request Date 10/18/2020
ID# 20201487 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: * Katherine & Matthew Malta
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
224 Woodwinds Dr
Address Line 2
city
State / Frovince / Region
Mt Holly
NC
Fbstal / Zip Code
Country
28120-8106
US

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
.....................................................................................................................................................................................................................................................
Project Name:* Shoreline Stabilization - 224 Woodwinds Dr., Mt. Holly, NC
If your project has a formal name please use this. If your project does not haw a formal name, please identify your project by
the owner name and proposed acti\Aty (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that ha\je 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: Google street map of Woodwind Dr..pdf 818.53KB
Malta- survey.pdf 556.61KB
Latitude:* 35.350953 Longitude:*-80.963944
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*
Scan 210140000.pdf 482.2KB
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_2063.jpg 5.38MB
IMG_2062. jpg 5.38MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mt. Holly
County:* Gaston
Lake/ river/ ocean adjacent to Mountain Island Lake
property:
Subdivisions name or site address:* Stonewater
Include phase/lot nunber
Directions to site:*
From 485 Exit onto Hwy 16 North > turn R onto Horseshoe Bend Beach
Rd. > Turn R on Stonewater Bay > Turn L on Woodwinds Drive, Blue
house on R.
Rease include road nacres and nunbers, landrrerks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential Neighborhood
Fbsidential, undeveloped, etc.

6. Property Size —0.6 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Major erosion. Will stabilize shoreline with rip rap.
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, backfill, excavation, rip rap, retaining walls, etc.)
1000
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.)
1500
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)
3 trees with damaged root systems from erosion.
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:* Katherine Malta
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201487
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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Owner/Agent's Signature" [15A NCAC 02H .0502(f)l Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
Lake
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Norma
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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.
5. 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 4

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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.*
20201487 1
Mooresville Regional Office - [phone]
Alan Johnson
Pre-Filing Me eting Reque st submitte d 10/18/2020
Katy Malta
[e-mail]
Shoreline Stabilization - 224 Woodwinds Dr., Mt. Holly, NC
Katy & Matt Malta
Gaston
City
Mt. Holly
State / Province / Region
NC
Postal / Zip Code
28120
Country
USA
Street Address
224 Woodwinds Dr.
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
No
Stabilization of residential shoreline with rip rap to prevent further erosion.
This is on Mountain Island Lake where shoreline erosion has worsened
significantly over the last several years with fluctuating lake levels and
increasing boat traffic. (The photographs did not scan well but I cannot
attach jpeg files. If you would like a better picture I'll by happy to email
them.)
Please give a couple of dates you are available for a meeting.
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
10/29/2020
10/22/2020
11/5/2020
Scan 202920000.pdf 7.06MB
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.
10/18/2020