20210439 Ver 1_401 Application_20210405

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
RECEIVED/NCDEQIDWR
APR 052021
Water Quality
Permitting Section
State of North Carolina
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 09-2020
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
NOTE: 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) which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre -filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must 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 to this application.
Date of Pre -filing Meeting Request: _02 /_24 / 2021 (required)
DWR ID #_20210439
Version 1 (if applicable)
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: HOWARD CULBRETH
Mailing Address: 202 TIMBER LAKE DR TROUTMAN NC 28166
Telephone Number: 704-579-2700 Fax Number:
E-mail Address: [e-mail]
NORTH CAROLINA
Department m Environmental (leaky
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
B. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach 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.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, 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: IREDELL Nearest Town: TROUTMAN
Lake/ river/ ocean adjacent to property: LAKE NORMAN
Property size (acres): .92
Subdivision name or site address (include phase/lot number):
FALLS COVE PHASE 6 LOT 628
Directions to site - please include road names and numbers, landmarks, etc.: WEST ON STATE
PARK RD ,LEFT ON MORRISON FARM , LEFT ON SILVER FALLS , LEFT ON TIMBER LAKE_
Latitude (in decimal degrees) 35.656918 Longitude (decimal degrees) -80.909233
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): RESIDENTIAL
FORM: SSGP 09-2020 Page 2 of 6

6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 48FT OF SHORELINE STABILIZATION WHERE SHORELINE IS
ERODING . STABILIZATION WITH RIP RAP AND FABRIC UNDERLAYMENT
7. Will work be conducted from land? n
From water? n
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
144SQFT(48FTX3FT)
Temporary impacts in square feet:
0 FT
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
144 SQ FT (48FT X 3 FT )
Temporary impacts (temporary clearing, construction corridor) in square feet:
200 SQ FT
10. 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): LITTLE TO NO IMPACT. 50 FOOT
BUFFER IS MULCHED AND CURRENT TREE SPACING OF EXISTING TREES AND SMALL
EQUIPMENT WILL ALLOW ACCESS WITH MINIMAL IMPACT
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• 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
Owner/Agent's Signature* [15A NCAC 02H .0502(f)]
/2i
Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
FORM: SSGP 09-2020
Page 3 of 6

b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level
elevation
Full Pond/ Normal Water Level
Shoreline
17' l'Ns,
F�,i `
Plan View
Lake
(At Full Pond/ Normal Water Level)
•
�1,
FORM: SSGP 09-2020
Page 4 of 6

OZOZ-60 d9SS: AJ JQ

2 ft. additional clearing
*if necessary
3 ft. below full pond water level 4 ft. above full pond water level
10 ft. bank
height
Side View
FORM: SSGP 09-2020 Page 6 of 6

DWR Pre -Filing Meeting Request Form
ID# *
Regional Office *
Reviewer List*
20210439
Version*
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 2/24/2021
Contact Name * HOWARD CULBRETH
Contact Email Address* [e-mail]
Project Name * SHORELINE STABALIZATION
Project Owner* HOWARD CULBRETH
Project County* Iredell
Owner Address: Street Address
202 TIMBER LAKE DR
Address Line 2
Oty State / Rovince / Region
TROUTMAN NC
Rtsta / 7Zp Country
28166 USA
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - r 401 Water Quality Certification -
Regular Express
✓ Individual Permit r Modification
rJ Shoreline Stabilization
Does this project have an existing project ID#? *
Yes c No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.*
STABALIZE SHORELINE ON LAKE NORMAN OF APPROX48 FEET
WHERE 2+ FEET OF DROP OFF IS ERODING DUE TO WAVE
ACTION
Please give a couple of dates you are available for a meeting.

3/2/2021
3/3/2021
Please attach the documentation you would like to have the meeting about.
pdf only
By digitally signing below, I certify that 1 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.
Signature
Submittal Date 2/24/2021

tt U0 di II II •elt=
NJ

Howard Culbreth
From:
Sent:
To:
Subject:
Howard Culbreth <[e-mail]>
Monday, March 29, 2021 11:23 AM
Howard Culbreth
[EXTERNAL]
1

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Lot 629

REVISED 6-04-07 DRIVEWAY PIPE LOCATION NOTE
r:n•-
FALLS COVE
DRIVEWAY PIPES LOCATION, GRADE, AND SIZE (MINIMUM 18")
ARE TO BE APPROVED BY THE FALLS COVE ARCHITECTURAL CONTROL
COMMITTEE PRIOR TO CONSTRUCTION.
EROSION CONTROL PROCEDURES NEED TO BE APPROVED
BY THE ACC PRIOR TO CONSTRUCTION.
629
/
-t
/
T
N
LEGEND
R/W=RIGHT—OF—WAY
SSRW = SEWER R/W
MBS = MINIMUM BUILDING SETBACK
SY = SIDE YARD
RY = REAR YARD
PDE = PUBLIC DRAINAGE EASEMENT
FPE = FLOOD PROTECTION ELEVATION
PSDE =PERMANENT STORM DRAINAGE EASEMENT
EP = EDGE OF PAVEMENT
PRELIMINARY PLAT NOT FOR CONSTRUCTION
RECORDATION, SALES OR CONVEYANCES
CURVE TABLE
CURVE
RADIUS
LENGTH
BEARING
CHORD
DELTA
C1
122.50'
51.32'
N68'56'53"E
50.95'
24'00'19"
11MSER LAKE DRIVE cP
`�118UC RAY
Cl
\\\
CP
�INITAL Lp PPPBPSOFFSITE
REPAIR=OFFSITE
LP-PPBPS
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awn �
"—MO
UNE TABLE
UNE
BEARING
DISTANCE
L1
543'03'43"W
15.32'
L2
S5411'57"W
26.30'
L3
N7317'53"W
12.31'
L4
S46'54'16"W
17.95'
L5
S46'54'16"W
31.64'
L6
576'43'02"W
36.76'
L7
S76'43'02"W
7,75'
L8
S5217'41"W
33.56'
L9
N32'41'13"W
22.27'
110
N76'50'54"W
27.95'
SPIER ZONE
627
165
,60
LAKE NORMAN
FIELD LOCATED 761 CONTOUR FEBRUARY, 2007.
(FLOOD PROTECTION ELEVATION 1929 NGVD)

3/31/2021
202 Timber Lake Dr - Google Maps
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