20201543 Ver 1_Shoreline Stabilization_20210428

Shoreline Stabilization Application Form
15ANCAC 02H .0500 — Water QualityCertification, 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.pdf 50.02KB
Pre -fling Meeting or Request Date 4/27/2021
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 *
andy@s outhernexposurelawncare. com
Rease provide an email address for payrrent and requests for pore information here.
Owner Information:
Name:* John A Edwards
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
2364 Fruitville Road
Address Line 2
City State / Bovine / Region
Sarasota FL
Rbstal / Zip Code Country
34237-6114 US
Name:* Beth Waskom

Email:*
Phone Number:*
Mailing Address:*
Is there an agent working on the
project?*
Agent/Consultant Information
......................................................................................................
Name:*
Company Affiliation:*
Email: *
Phone Number:*
Mailing Address:*
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
2364 Fruitville Road
Address Line 2
a
Sarasota
Fbstal / Zip Code
34237-6114
a Yes
0No
State / F1-ovince / Region
FL
Country
US
John A Edwards
john a edwards
[e-mail]
[phone]
Oood)ooH000i
Address
1186 Andrews Mill Rd
Address Line 2
City State / Rovince / Region
Bostic NC
Fbstal / Zip Code Country
28018 United States
Asigned and dated copy of the Agent Authorization letter:*
agent form.pdf 143.59KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
Belle Property
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:*
45.258888
Street Address
0 Buffalo Shoals Road
Address Line 2
City State / Province / Region
Lake Lure NC
Postal / Zip Code Country
28746 US
Longitude:* 111.145678
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*
Shoreline Proposal - Belle Property.pdf 180.83KB
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.)*
Belle Property Photos.pdf 2.09MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Lake Lure
County: * Rutherford
Lake/ river/ ocean adjacent to Lake Lure/Broad River
property:
Subdivisions name or site address:* 0 Buffalo Shoals Rd Lake Lure NC
Include phase/lot nurrber
Directions to site:*
From US-64 W/US-74 ALT W:
Turn onto Bills Creek Rd (there will be a Rumbling Bald sign and
Wyndham Resort sign on either side of the road)
1.9 mi
Turn left onto Buffalo Creek Rd
2.4 mi
At the intersection, you'll see the Rumbling Bald resort entrance. Gravel
Driveway is right at the Buffalo Creek Rd and Buffalo Shoals Rd
intersection, on the lake.
Rease include road names and nunbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
The property is residential. There is a boathouse on the property now but
it will be used to build a home in the future as soon as the shoreline is
stabilized.
Residential, undeveloped, etc.
6. Property Size Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
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.)
1500
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.)
3500
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nurrber of trees, for instance)
Property has mostly trees ranging from 1 inch to 20 inch in diameter (see
photos) on the shoreline and a few within the property. Most of the actual
property is covered in grass and surrounded by neighboring
Sketch: Belle Property Photos.pdf 2.09MB
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:*
Signature:
John A Edwards

Initial Review
Is this accepted into the review C' Yes 0 No
process?*
Project Number:* 20201543
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Version: *
Amy Annino:eads\amannino
Asheville Regional Office - [phone]
1
✓ No Payment Needed
✓ Fee Received
C' Need Fee - send electronic notification
C' $240.00
✓ $570.00

—
AGENT AUTHORIZATION LETTER
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hereby appoint 1./oh rr
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to
matte appitcation to the Agricultural Land Commission as agent on mylcur behalf with respect to
the Following panel (s). Insertlegaly180nptwn for each parcel odderappRcariod
0-63/1n A. GQG�_1a,rdg
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understand that as
agent, r am required to ensure That all landowners are provided with information being
submitted to and received from the Agricultural Land Commission
Signatures) of tandowner(s)-
a
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Lake
(At Full Pond/ Normal Water Leve )
2ft of Riprap :>, it be used
above the pond level.
Full Pond/ Normal Water Level
MEM-
Shoreline
Riprap Plan
Water is much deeper an this
end. It's passible six ft of riprap
will be needed here, below the
pond level.

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DWR Pre -Filing Meeting Request Form
Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Andy Edwards
[e-mail]
Michael John Belle
Belle Property
Rutherford
Owner Address:* Street Address
0 Buffalo Shoals Rad
Address Line 2
City State / Rovince / Region
Lake Lure NC
Fbstal / Zip Code Country
2746 USA
Is this a transportation project?* r Yes c: No
Type(s) of approval sought from the DWR:
I— 401 Water Quality Certification - I— 401 Water Quality Certification -
Regular Express
I— Individual Permit I— Modification
W 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?
Amy Annino
Please give a brief project description below.*
We would like to add rip rap to the shoreline of the property to
prevent further loss of land.
Please give a couple of dates you are available for a meeting.
3/23/2021
3/23/2021
3/24/2021
3/26/2021
3/25/2021

Please attach the documentation you would like to have the meeting about.
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.
• !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 *
. d ! E ,Q t P6
Submittal Date 3/18/2021