20201961 Ver 1_Shoreline Stabilization_20210121

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 50.72KB
Pre -fling Meeting or Request Date 12/28/2020
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 * [e-mail]
Rease provide an email address for payrrent and requests for pure information here.
Owner Information:
Name: * Leah and Shawn Finley
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
PO Box 1469
Address Line 2
City
State / Frovince / Region
Denver
NC
Fbstal / Zip Code
Country
28037
US

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
........................................................................................................................................................................................
Project Name:* Finley Shore Stabilization Maintenance
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: Pine Lake Vicinity Map.pdf 712.63KB
Latitude:* 35.493051 Longitude:*-80.972833
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*
Detailed Site Plan.pdf 301.34KB
Pine Lake Shoreline Ariel Photos.pdf 1.01MB
Please use the diagram at the link below:
https://edocs.deq. nc.gov/Wate rResou rces/0/edoc/616616/Shore I i ne % 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 1710.jpeg 4.16MB
IMG 1712.jpeg 5.98MB
IMG 1713.jpeg 5.58MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County: * Lincoln
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* 8531 Pine Lake Road, Denver, NC 28037
Include phasellot nun ber
Directions to site:*
From Hwy 73 towards Huntersville, turn left onto N-16 Business. 2.3
miles take slight right turn onto Unity Church Road. 0.7 miles turn left
onto Pine Lake Road. One mile, destination on left. 8531 Pine Lake Road,
Denver NC 28037
Aease 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
Fbsidential, undeveloped, etc.
6. Property Size 0.804 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Reinstall rip rap
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:*
0
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
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.)
0
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)
No vegetation will be impacted.
Sketch: Pine Lake Survey.pdf 341.42KB
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:
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');
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');
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:* Leah Finley
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201961
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

6/29/2020
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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 3

6/29/2020
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Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:*
Is this a transportation project?*
Shawn Finley
[e-mail]
Leah and Shawn Finley
Pine Lake Rip Rap - Shore Stabilization
Lincoln
Street Address
8531 Pine Lake Rd.
Address Line 2
aty
Denver
Postal / Zip axle
28037
(- Yes c: No
Type(s) of approval sought from the DWR:
F- 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F Individual Permit F Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
(- Yes (: No
State / Province / Pegion
NC
Country
USA
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below.*
Adding Class B rip rap to e)asting shoreline from land for additional
stabilization.
Please give a couple of dates you are available for a meeting.
12/28/2020
12/29/2020
12/30/2020
12/31 /2020
Please attach the documentation you would like to have the meeting about.

IMG_4454.pdf
983.38KB
IMG_4456.pdf
1.09MB
IMG_4458.pdf
1.15MB
Pine Lake Shoreline Ariel Photos.pdf
1.01 MB
Pine Lake Survey.pdf
341.42KB
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 *
Lu+.4 fi"
Submittal Date 12/15/2020