20202006 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:
Pre- Submittal Meeting Request Form.pdf 412.47KB
Pre -fling Meeting or Request Date 12/21/2020
ID# 20202006 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:
* Tom McGraw
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
203 Blossom Ridge Drive
Address Line 2
City
State / Frovince / Region
Mooresville
NC
Fbstal / Zip Code
Country
28117-5835
us

Is there an agent working on the
project? *
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:*
Email:
Phone Number:*
Mailing Address:*
F Yes
f^ No
Janice Estep
CBC Stone & Recycling, LLC
[e-mail]
[phone]
(XXX)XXX-XXXX
Address
638 Oakridge Farm Hwy
Address Line 2
City
Mooresville
Fbstal / Zip Code
28115
Asigned and dated copyof the Agent Authorization letter:*
Auth. Form.pdf 175.88KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* McGraw Shoreline
State / Province / Fbgion
NC
Country
United States
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 acti\ity (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: Plat.pdf
Vicinity Maps.pdf
Directions.pdf
Latitude:* 35.654384
606.85KB
1.92MB
244.84KB
Longitude:*-80.916881
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*
Site Plan.pdf 312.44KB
Buffer Form.pdf 358.23KB
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.)*
Shoreline Pics.pdf 2.43MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Troutman
County: * Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: * 138 Lively Ln. Troutman, NC 28166 Lot 9 Twinn Coves on Morrison
hdude phasdot number
Directions to site:*

610 E Center Ave
Mooresville, NC 28115
Continue to E Statesville Ave
45 s (443 ft)
Head west toward E Statesville Ave
246 ft
Turn left toward E Statesville Ave
197 ft
Take Cornelius Rd and Perth Rd to Morrison Farm Rd in Fallstown
20 min (11.3 mi)
Turn right onto E Statesville Ave
1.1 mi
E Statesville Ave turns slightly right and becomes NC-115 N/N Broad St
Continue to follow NC-115 N
1.4 mi
Turn left onto Connector Rd
0.8 mi
Continue onto Cornelius Rd
2.4 mi
Turn right onto Judas Rd
1.2 mi
Turn right onto Perth Rd
3.0 mi
Turn left onto State Park Rd
1.4 mi
Continue on Morrison Farm Rd to your destination
3min (1.6mi)
Turn left onto Morrison Farm Rd
1.1 mi
Turn left onto 1447/Stillwater Rd
Continue to follow Stillwater Rd
0.3 mi
Turn left onto Honeydew Cir
0.1 mi
Turn left
0.1 mi
138 Lively Ln
Troutman, NC 28166
Rease include road narres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Undeveloped Lot
Residential, undeveloped, etc.

6. Property Size 6.3 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Starting from left property line, shape and slope shoreline, install matting
and install boulder rip rap for new shoreline stabilization.
8. How will the work be done? * 17 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.)
3' below (300 sf)
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.)
1' above (100 sf)
10' x 50' access
corridor (500 sf of
temp. impact)
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)
Grass buffer, no trees removed, minimal disturbance to buffer.
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):
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:
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');
1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Janice Estep for Tom McGraw
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20202006
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

AGENT AUTHORIZATION FORM
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ttais per'nit 01 Certifiu# w and any aml all 50rxWd and s aal cordons armed.
A'op€riy Owner's Ad -,; (if gent than property above):
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Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such os 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

CATAWBA RIPARIAN BUFFER
Project Nam�je/address:A-3-s—L.
Owner: MA 5 (21,
Print
Contractor/agent: C'$C__ of
Print
FICATQN FORM
Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)1
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
I, hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any wor nducted in the buffer, not specifically stated in the application and approved
by the Division of Water Re
_es
WR), is a violation and subject to enforcement. Due diligence will be
taken such that the consquctio will a built within substantial compliance and intent of the 401 Water
Quality Certification and buffer ules, a approved plan(s) and specification(s), and other supporting
materials.
Dater
Signature (owner): '
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ID# * 20202006
Regional Office*
Reviewer List*
Version * 1
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 12/21/2020
Contact Name * Janice Estep
Contact Email Address*
Project Name *
Project Owner*
Project County*
Owner Address:
[e-mail]
McGraw Shoreline
Torn McGraw
Iredell
Street Address
138 Lively Ln,
Address Line 2
oty
Troutrnan
Festal I Zip Code
28166
Is this a transportation project? * t" Yes t No
State / Rovince I Fbgion
NC
Country
United States
Type(s) of approval sought from the DWR:
I— 401 Water Quality Certification - i 401 Water Quality Certification -
Regular Express
F Individual Permit r Modification
W Shoreline Stabilization
Does this project have an existing project ID#?
r Yes r No
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.*
Starting at property line and going into cove, shape and slope
approx 1 00'of shoreline, install matting and boulder rip rap.
Please give a couple of dates you are available for a meeting.

12/22/2020
12/23/2020
12/28/2020
12/29/2020
12/30/2020
Please attach the documentation you would like to have the meeting about.
McGraw shoreline.pdf 1.6MB
W _11Y
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 projects thirty-dayclock 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 12/21/2020