20210675 Ver 1_Shoreline Stabilization_20210510

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
55.51 KB
(45).pdf
Pre -fling Meeting or Request Date 4/1/2021
ID# 20210675
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.
Leon F Locklear
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
792 McKendree Road
Address Line 2
City
Lincolnton
Rasta) / Zip Code
28092
State / R-ovince / Region
North Carolina
Country
United States

Is there an agent working on the
project?*
Agent/Consultant Information
Name:*
Company Affiliation:*
Email: *
Phone Number:*
Mailing Address:*
rr Yes
r No
Beth Mosteller
Dale & Beth's Lake User Permit Service
sbmosteller@ic loud. c om
[phone]
( )m-
Street Address
988 Clear Creek Circle
Address Line 2
City State / Province/ Region
Lincolnton North Carolina
Fbstal / Zip Code Country
28092 United States
Asigned and dated copy of the Agent Authorization letter:*
Agent (3).pdf
Catawba.pdf
Link to: Sample Agent Authorization Form
460.74KB
797.O1KB
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
Locklear McKendree Road
If your project has a formal name please use this. If your project does not haw 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 haee 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
F Look up address
Property Address Lookup:*
Latitude:*
35.560461
Street Address
791 McKendree Road
Address Line 2
City State / R-ovince / Region
Mooresville NC
Fbstal / Zip Code Country
28117 US
Longitude:* -80.950051
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.pdf 119.25KB
vicinity.pdf 238.96KB
plat Locklear.pdf 781.78KB
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.pdf 915.24KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Mooresville
County: * Mecklenburg
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address:* McKendree Point, Point 1, 792 McKendree Rd Mooresville NC
hclude phase/lot number
Directions to site:*
from 526 S Church St Charlotte NC, get on I-277S, follow I-77 N to
NC-1100 Brawley School Rd in Davidson, take exit 35 from I-77N,
follow NC-1100 Brawley School Rd and McKendree Rd to your
destination
Rease include road narres and nun t ers, landnerks 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
0.87
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
rip rap in front of existing wall, following the contour of shoreline
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.)
199
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.)
199
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunter 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
• $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:* BethMosteller
Signature:

Initial Review
Is this accepted into the review fr Yes 0 No
process?*
Project Number:* 20210675
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
PROPERTY LEGAL DESCRIPTION:
LOT NO. 1 PLAN NO. PARCEL ID: 4616947596
STREET ADDRESS: 792 McKendree Rd, Mooresville, NC 28117
Please print:
Property Owner:
Leon F Locklear
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.
i_e,31 X04LP_e_i,
Authorized Signature
Date: 3 %3! / a l

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: 792 McKendree Rd, Mooresville, NC 28117 County: Iredell
Owner: Leon F Locklear
Print
Contractor/agent: Beth Mosteller
Signature
Jth1ttaiQA—,
Print 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)]
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, Leon F Locklear 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. Due 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): JJ2 i Date: 3I31 /L/

water
3 ft below
1 ft above
In front of wall place Class B rip rap redo 199 feet of shoreline stabilization to
following the contour of the shoreline

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DWR Pre -Filing Meeting Request Form
ID#*
Regional Office *
Reviewer List*
20210675
Version*
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 4/1/2021
Contact Name * Saundra B Mosteller
Contact Email Address* [e-mail]
Project Name * Locklear McKendree Rd
Project Owner* Leon F Locklear
Project County* Mecklenburg
Owner Address: Street Address
792 McKendree Road
Address Line 2
City State / Rovince / Region
Mooresville North Carolina
Fbstal / Zip Code Country
28117 United States
Is this a transportation project?* r Yes ( No
Type(s) of approval sought from the DWR:
I— 401 Water Quality Certification - I— 401 Water Quality Certification -
Reg ula r Express
I— Individual Permit I— Modification
rJ Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes ( 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 and include location information.*
Place class B rip rap in front of existing wall along 199 ft following
contour of shoreline
Please give a couple of dates you are available for a meeting.

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
Submittal Date 4/1/2021