20210586 Ver 1_Shoreline Stabilization_20210420

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:
Approval Email.pdf 369.62KB
Pre -fling Meeting or Request Date 3/18/2021
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 pore information here.
Owner Information:
Name:* Bryce Midgett
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
461 South Strand Drive
Address Line 2
City
Norwood
Rbstal / Zip Code
28128-8406
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:*
Shoreline Stabilization 461
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:*
35.231094
Street Address
461 South Strand Drive
Address Line 2
City State / R-ovince / Region
Norwood NC
Fbstal / Zip Code Country
28128-8406 US
Longitude:* -80.096158
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*
Bryce PCN 6.pdf 302.86KB
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.)*
Doc - Apr 20 2021 - 10-55 AM.pdf 1.13MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Norwood
County:* Stanly
Lake/ river/ ocean adjacent to Lake Tillery
property:
Subdivisions name or site address:* 461 South Strand Drive Norwood NC
hclude phase/lot number
Directions to site:*
South on Highway 52 from Albemarle, NC. Turn left onto Pee Dee and
Turn right onto Allenton. Go approximately 1.5 miles and TR onto strand
Drive.
Rease include road naves and nu -Wrs, landmarks etc.

5. Describe the existing land use or condition of the site at the time of this application:*
Residential developed
Fssidential, undeveloped, etc.
6. Property Size
.48 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Install class II rip rap on shoreline and build a new pier and Boathouse.
Shoreline is presently unremarkable - no buildings or piers or rip rap.
8. How will the work be done?*
rJ 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.)
167' x 6: 0 1062 sq
ft
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.)
1062 sq, ft.
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)
Normal Vegetation - minimal
Sketch: Bryce PCN 7.pdf
Bryce PCN 5.pdf
Application Fee:
157.31KB
803.94KB
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:*
Michael Bryce Midgett

Signature:
eAf-;,;0(7.eeet54-1.,Qii;•r*--

Initial Review
Is this accepted into the review fr Yes 0 No
process?*
Project Number:* 20210586
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

APPENDIX G
Moderate Rip Rap Stabilization
VEGETATION AND EROSION
CONTROL FABRIC
`, \'r�\.
CLASS 2 RIP RAP
2
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
EXISTING GRADE
3' MAX
HIGH WATER ELEV.
LAKE gOrr0M
26

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JIM

2'
1
i-'

Class II Rip Rap
APPENDIX G
Moderate Rip Rap Stabilization
VEGETATION AND EROSION
CONTROL FABRIC
`, \'r�\.
CLASS 2 RIP RAP
2
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
EXISTING GRADE
3' MAX
HIGH WATER ELEV.
LAKE gOrr0M
26

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