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Home My WebLink About20201966 Ver 1_Shoreline Stabilization_20210121Submission 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: FORREST PRE FILE.pdf 49.44KB Pre -fling Meeting or Request Date 12/16/2020 ID# 20201966 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 * HAGER@LAKEPERMIT.COM Rease provide an email address for payment and requests for pure information here. Owner Information: Name: * MICHAEL FORREST Email: * DONNAFORREST@CHARTER.NET Phone Number:* (704)239-5962 (xxx)xxx-xxxx Mailing Address:* Street Address 3766 BADGER RUN Address Line 2 city State / Frovince / Region DENVER NC Fbstal / Zip Code Country 28037 United States Is there an agent working on the F Yes project?* r No Agent/Consultant Information Name: * TAMARA HAGER Company Affiliation:* LKN DREDGE & MARINE CONSTRUCTION Email:* HAGER@LAKEPERMIT. COM Phone Number:* (704)575-2227 (XXX)XXX-XXXX Address:* Street Address PO BOX 5335 Address Line 2 City State / Province / Region MOORESVILLE North Carolina Fbstal / Zip Code Country 28117 United States Asigned and dated copy of the Agent Authorization letter:* FORREST AUTFLpdf 730.22KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* FORREST If your project has a formal name please use this. If your project does not hake 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 Upload Map: FORREST SURVEY.pdf 370.68KB Latitude:* 35.514223 Longitude:*-80.978515 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* FORREST SKETCH.pdf 370.68KB 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.)* FORREST PICS.pdf 506.72KB 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:* WESTPORT LOT NUMBER 50 hclude phasellot number Directions to site:* FROM MARSHALL STEAM STATION HWY 150 TURN LEFT ONTO SLANTING BRIDGE RD GO 1.7 MILES, TURN LEFT ONTO WILL PROCTOR ST..50 MILS, TURN LEFT ONTO NC 16 GO 1.7 MILES, TURN LEFT ONTO WEBB RD GO 1.7 MILES, TURN RIGHT ONTO BURTON LN GO .70 MILES, TURN RIGHT ONTO BLADES TRAIL .50 MILES, TURN LEFT ONTO BADGER RUN PROPERTY ON LEFT IN 315 FT. Rease include road naves 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 .507 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): RIP RAP BARE ERODED AREAS FOR SHORELINE STABLIZATION 8. How will the work be done?* C From Land rJ 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.) 0 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.) 0 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) NONE BY BARGE Sketch: FORREST SKETCITpdf 370.68KB 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 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:* MICHAELFORREST Signature: Initial Review Is this accepted into the review process?* Project Number:* 20201966 Select Reviewer:* Select Reviewing Office Has payment been received?* What amount is owed?* rYes allo Version:* 1 Alan Johnsomeads\adjohnsonl Mooresville Regional Office - (704) 663-1699 r No Payment Needed r Fee Received r Need Fee - send electronic notification r $240.00 f $570.00 etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the diagram provided at the end of this application form. 3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. {include a scale of some sort- a yard stick, shovel handle, etc.) 4. Location of the property (where work is to be conducted) County Nearest Town: e'Mw Subdivision name or site address (include pha number): X%ra 477-- - S �, Directions to site _ please include road names and numbers, landmarks, etc.: e r I 'REDE) Latitude (in decimal deor, es)�._, ZZ 3 _ Longitude (decimal degre,)_ %p. 0) 1 9 57 5. Describe the existing land use or condition of the site atthe time of this application (residential, undeveloped, etc.): 2 !', 6. Property size (acres): 7. Lake/ river/ ocean adjacent to property: LI Q f i.V A-i\j / � ; !,. v-3 /{ B. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): ?A.A<Qif' LnetjoM 9. Will work be conducted from land? ❑ From water? �i- LC'Nt-)R. �r 10. Total amount of disturbance (including all excavation, back€ill, rip rap, retaining walls, etc.)� Gt� below the normal pool lake level/ Normal Water Level in square feet or acres: !I. Total amount of disturbance (incf uding all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in square feet or acres: 12. 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): Owner/Agent's Signature' Date .Agent's signature is valid only if an authorization letter from the owner is provided. ORW 55GP ? 0-2073 Page 2 of 3 5'MN,c� Narnef Gw{ne C�h�'CYr�z`c .btu rja-, vyeti rPP,[%,F2THSS BUPFER ` 10 T �FIRAUTO QN FtaRAC=! Print Shmat& t The approval is for the purpose acid design dEscrined in your application. 11;lpacts not indicat4d in the application is a violation of the Bu=ier Pule. 5i&Lespeci is work should be provided in tllc application. i 5A iilCA 0?H.0505and 35ANCAC0?B.0 43(8)I trees Hit rlt3i allo}hfHCi t0 =reproved iCoril ZOne? Oi iiSe Suffer (within ii Qi Thc;ull pond elevation}, unless approved_ Exception, thosetre_stheare severely undermined along the immediate shoreline can be removed. Minimal shaping and sloping along the immediate shoreline is allowed. iSA NCAC 0?5.02 3(6)j Ben&,ing, �r ading In,he bu f—eri5 nozallow d.-xcessivediEturbance of Ground` cover_ C?5A NC'ACO2B -0Z43 (6)1 3??ChcS impervious pa os, impervious waI)•�ways, etc. are not allowed in the bLifer UnlESs specN, callV approved bvthe Ci�iision. There are.liMitaton on sin, - for decks. i'!5A NCACO29 .0-z`3(a) and (6)1 `r,,rork to be canducted tram land. rnust indicate an access end indiCeLS any trees thaL are LO ne ,-EMONIed. i na work corridor should be described. The approved -access corridor shall be restaracl. !tagin-F, s'_JGil, ion= ucii0r. r1cE8rIBi rnLSSz �E QUtSldctil� t714ii�r_ ITT i�1C'r`.0 {}�- _O�n7 cnd !r3�. ltitf'.n.� �%� .�!r� irli (��r (�1,` SLormwa er c2nnat be pipped or ehanneled ;or GJr act discharge to the 12ka_ All constr uctcd s or T i t✓2t discharges rnu5t be at the natur-al aiav2�Uon and discharged prior to ent=rirlg«ie bugler directed as dffT-U5a or s#�,_t s lo�.l at pan-�rosiv� v�[acitie5 Lo the fai~e_ is � 5F. 11CAC 0?3.02"3 (5 ): (61' A of [ otifico_ior, ?eclE bcci tnornLOi thCz�aI3cM. 'Eeby5Late I ,,Iparian Suter RLlc, Any work. conducted in the FJUoi=r, not specifically stated in the application and approved -by the Division Qi Efil2icr R%Esources (LD~f R), is a violation and subjectto eniorcernent. Due dilig-Cnce vdll be =2kan Such that the construction will be builtiArIthin substantial compliance and intent ofthe 40z Water Quality CErtlii•^_rtion and Bufleiei-Rulas,tne appriuVed pi-an(s) arid specMcation(s), and othersupporting �ilatErlZls. / Signature (ot,�nef 1 ' / Date:�IzJz I � v 16017 UD EYING, P Opel Rd SURVEYING PLANNING -- MAPPING P.Q. BOX 2727 (704) 38e-4120 HU1MMLLE. NC. =70 PAX (704) 348-12.26 VICINITY MAP — Not to Scala ''t�ttrriritrrir�f SEAL 4v su '�ftttrrttstL;�`` Q� ScpVc Pump ry I.ot 49 Now or Formerly 1119M'33 S. SholeS D8 812 PG 618 SIP XSt,iFujE �UCGML 38Cn9 NORAf ' OP QN 4�s S VJb pair . 4�. 2nd Hoar orang uultleo Ii.-O90 LOVC�r FLOOR ELEYAMN = 768.8- ADJACENT GROUND SEV- 4 768.S LOT 50 22.795 SQ.FT. 0.5233 ACRES (Baste of Bacr{ngs) S 21'00'00' E Water met, 179.98' Ed9c1of P"Inant BADGER RUN 60' PuBuc R/W 1� �' aj a� n h ->ss 'b"t r�.8- R Lot 51 ° Now or Formerly Gregory C. Young & wf Patricia L oB 657 PG 690 le.W1 v) d s EJP 151nch Concrate � t m x " M Ld --E D_ NZ al ur b a O SIP 19-' e0 13:25 704 664 6670 PAGE.13 I � v 16017 UD EYING, P Opel Rd SURVEYING PLANNING -- MAPPING P.Q. BOX 2727 (704) 38e-4120 HU1MMLLE. NC. =70 PAX (704) 348-12.26 VICINITY MAP — Not to Scala ''t�ttrriritrrir�f SEAL 4v su '�ftttrrttstL;�`` Q� ScpVc Pump ry I.ot 49 Now or Formerly 1119M'33 S. SholeS D8 812 PG 618 SIP XSt,iFujE �UCGML 38Cn9 NORAf ' OP QN 4�s S VJb pair . 4�. 2nd Hoar orang uultleo Ii.-O90 LOVC�r FLOOR ELEYAMN = 768.8- ADJACENT GROUND SEV- 4 768.S LOT 50 22.795 SQ.FT. 0.5233 ACRES (Baste of Bacr{ngs) S 21'00'00' E Water met, 179.98' Ed9c1of P"Inant BADGER RUN 60' PuBuc R/W 1� �' aj a� n h ->ss 'b"t r�.8- R Lot 51 ° Now or Formerly Gregory C. Young & wf Patricia L oB 657 PG 690 le.W1 v) d s EJP 151nch Concrate � t m x " M Ld --E D_ NZ al ur b a O SIP 19-' e0 13:25 704 664 6670 PAGE.13 From: TAMARA HAGER pager@lakepermit.com Subject: Forrest pits shoreline Date: Jan 6, 2021 at 7:15:45 PM To: TAMARA HAGER hager@lakepermit.com Tamara Hager 704-575-2227 Lake Permit LLC .haggr@lakepe,rmit.com I � v 16017 UD EYING, P Opel Rd SURVEYING PLANNING -- MAPPING P.Q. BOX 2727 (704) 38e-4120 HU1MMLLE. NC. =70 PAX (704) 348-12.26 VICINITY MAP — Not to Scala ''t�ttrriritrrir�f SEAL 4v su '�ftttrrttstL;�`` Q� ScpVc Pump ry I.ot 49 Now or Formerly 1119M'33 S. SholeS D8 812 PG 618 SIP XSt,iFujE �UCGML 38Cn9 NORAf ' OP QN 4�s S VJb pair . 4�. 2nd Hoar orang uultleo Ii.-O90 LOVC�r FLOOR ELEYAMN = 768.8- ADJACENT GROUND SEV- 4 768.S LOT 50 22.795 SQ.FT. 0.5233 ACRES (Baste of Bacr{ngs) S 21'00'00' E Water met, 179.98' Ed9c1of P"Inant BADGER RUN 60' PuBuc R/W 1� �' aj a� n h ->ss 'b"t r�.8- R Lot 51 ° Now or Formerly Gregory C. Young & wf Patricia L oB 657 PG 690 le.W1 v) d s EJP 151nch Concrate � t m x " M Ld --E D_ NZ al ur b a O SIP 19-' e0 13:25 704 664 6670 PAGE.13 ID#* 20201966 Version* 1 Regional Office * Mooresville Regional Office - (704) 663-1699 Reviewer List* Alan Johnson Pre -Filing Meeting Request submitted 12/16/2020 Contact Name* Contact Email Address* Project Name* Project Owner* Project County* Owner Address: TAMARA HAGER HAGER@LAKEPERMIT.COM FORREST MICHAEL FORREST Lincoln Street Address 3766 BADGER RUN Address Line 2 aty DENVER Postal/ Zip axle 28037 Is this a transportation project?* r Yes r No State / Province / Region NC Country United States 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 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? NONE NEEDED Please give a brief project description below.* REFURBISH RIP RAP TO SHORELINE FOR STABLIZATION Please give a couple of dates you are available for a meeting. 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. 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 VW IW JT Submittal Date 12/16/2020