20210417 Ver 1_Shoreline Stabilization_20210331

Shoreline Stabilization Application Form
15ANCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TINE
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 view the form.
Attach documentation of Pre -Filing Meeting Request here:
DWR Pre -Filing Meeting Request Form
55.69KB
(39).pdf
Pre -fling Meeting or Request Date 2/22/2021
ID# 20210417
I. Applicant Information [15A NCAC 02H .0502(a)]
Version 1
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 *
Owner Information:
Name: *
Email: *
Phone Number:*
Mailing Address:*
sbmosteller@ic loud. com
Rease provide an email address for payment and requests for more information here.
Kevin P & Linda P Larkin
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
18100 Arbor Place
Address Line 2
City
Cornelius
Rasta) / Zip Code
28031-8631
State / Rovince / Region
NC
Country
US

Is there an agent working on the
project?*
r Yes
C: No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
Larkin Arbor Place
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.*
r Upload File
C: Look up address
Property Address Lookup:*
Latitude:*
35.458849
Street Address
18100 Arbor Place
Address Line 2
City State / Bovine / Region
Cornelius NC
Fbstal / Zip Code Country
28031-8631 US
Longitude:* -80.898866
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*
drawing.docx 189.21KB
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.)*
pictures.docx 30.43MB
vicinity.docx 3.28MB
plat.docx 257.54KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Cornelius
County: * Mecklenburg
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* Point Largo, Lot 23, 18100 Arbor Place Cornelius NC
hclude phase/lot number
Directions to site:*

from 526 S Church St Charlotte NC, get on I-277 S, follow I-77 N to
NC-73 W / Sam Furr Rd in Huntersville, take exit 25 from I-77 N,
continue on NC-73 W / Sam Furr Rd, take W Catawba Ave to Arbor P1 in
Cornelius
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:*
residential
Residential, undeveloped, etc.
6. Property Size 0.484
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
removal of 35 ft existing wall replace with rip rap and rip rap redo 156 ft
8. How will the work be done?*
rJ From Land
17 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.)
191
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.)
191
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)
no tree removal
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):
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");
o I 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:*
Beth Mosteller

Signature:

Initial Review
Is this accepted into the review fr Yes 0 No
process?*
Project Number:* 20210417
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Version:* 1
Alan Johnson:eads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
C' Need Fee - send electronic notification
C' $240.00
r $570.00

AGENT AUTHORIZATION FORM
:,'ROPERTY LEGAL DESCRIPTION:
LOT NO. 23 PLAN NO. PARCEL ID: 00105222
STREET ADDRESS: 18100 Arbor Place, Cornelius, NC 28031
Please print:
Property Owner:
Kevin P & Linda P Larkin
The undersigned, registered property owners of the above noted property, do hereby authorize
Beth Mosteller
, of Dale & Beth's Lake Use Permit Service
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
same
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date: ' d'

CATAWBA RIPARIAN BUFFER NOTIFI
ATION FORM
Proj
Own
Cont
The
appli
02 H
Tree
appr
M ini
ct Name/address: 18100 Arbor Place, Cornelius, NC 28031 County: Mecklenburg
r: Kevin P & Linda P Larkin
Print
actor/agent: Beth Mosteller
Print
Sign. ure
¢11��
Signature
pproval is for the purpose and design described in your application. Impacts not indicated in the
ation is a violation of the Buffer Rule. Site specific work should bye provided in the application. [15A NCAC
0506 and 15A NCAC 02B .0243(8)]
are not allowed to be removed from Zone 1 of the Buffer (withi}h 30 ft of the full pond elevation), unless
ved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
al shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benc!ing, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)]
Beac1es, impervious patios, impervious walkways, etc. are not allowed
by the Division. There are limitation on size for decks. [15A NCAC 02B
in the buffer unless specifically approved
.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 shallbe restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
Stoliwater 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)]
Acknwiedgement of Notification
I, Kevin P & Linda P Larkin hereby state that I have been informed of the Catawba Riparian Buffer Rule.
Any work conducted in the buffer, not specifically stated in the application and approved by the Division of
Water Resources (DWR), is a violation and subject to enforcement. DuF diligence will be taken such that the
construction will be built within substantial compliance and intent of the 401 Water Quality Certification and
Buffer Rules, the approved plan(s) and specification(s), and other supporting materials.
Signature (owner):
Date: -' c `v20./

water
L___ ,�J= a
removal of 35 ft of existing wall replace with rip rap,
rip rap redo156 feet of shoreline stabilization to following the contour of the
shoreline
3 ft below
1 ft above

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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.*
Please give a couple of dates you are available for a meeting.
20210417 1
Mooresville Regional Office - [phone]
Alan Johnson
Pre-Filing Me eting Reque st submitte d 2/22/2021
Beth Mosteller
[e-mail]
Larkin - Arbor Place
Kevin P & Linda P Larkin
Mecklenburg
City
Cornelius
State / Province / Region
North Carolina
Postal / Zip Code
28031
Country
United States
Street Address
18100 Arbor Place
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
rip rap redo and removal of 35 ft of existing wall replace with rip rap,
191 feet of shoreline stabilization to following the contour of the
shoreline
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
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.
2/22/2021