20210776 Ver 1_Shoreline Stabilization_20210519

Shoreline Stabilization Application Form
15ANCAC 02H .0500 — Water Qual ity Certifi cation, 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:
shoreline pdf.pdf 33.33KB
DWR Pre -Filing Meeting Request Form.pdf 54.76KB
Pre -fling Meeting or Request Date 5/24/2021
ID# 20210776
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:*
[e-mail]
Rease provide an email address for payrrent and requests for more information here.
bonnie hamrick
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
26 RICHIE ST
Address Line 2
City
Asheville
Fbstal / Zip Code
28801
State / Rovince / Region
NC
Country
United States

Is there an agent working on the
project? *
r Yes
C: No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
2194 Clyde road retaining wall
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:*
35.698162
Street Address
2194 Clyde Rd
Address Line 2
City State / R-ovince / Region
Catawba NC
Fbstal / Zip Code Country
28609-8860 US
Longitude:* -80.994510
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*
dock pdf.pdf 29.99KB
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.)*
shoreline pdf.pdf 33.33KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Catawba
County:* Catawba
Lake/ river/ ocean adjacent to catawba river
property:
Subdivisions name or site address:* 2194 Clyder rd
Include phase/lot number
Directions to site:*
Hudson River road to Clyde Rd
Rease include road narres and nun t,ers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*

The shoreline is eroding and we are ready to loose two trees if we don't
put a retaining wall in
Fssidential, undeveloped, etc.
6. Property Size .42
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Shoreline is deteriorating and there are two nice trees that will fall into the
water without a retaining wall
8. How will the work be done? *
r From Land
V 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.)
500
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.)
United States
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)
very little vegetation other than the two trees mentioned above
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:*
Signature:
Bonnie Snyder Hamrick

Initial Review
Is this accepted into the review fr Yes a No
process?*
Project Number:* 20210776
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
f $570.00

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office *
Reviewer List*
20210776
Version*
Mooresville Regional Office - [phone]
Alan Johnson
Pre -Filing Meeting Request submitted 4/14/2021
Contact Name * Ben and Bonnie Hamrick
Contact Email Address* [e-mail]
Project Name* 2194 Clyde rd shoreline stabalization
Project Owner* Ben and Bonnie Hamrick
Project County* Catawba
Owner Address: Street Address
2194 Clyde Rd
Address Line 2
City State / Rovince / Region
Catawba NC
Ebstal/ Zip Code Country
28609 USA
Is this a transportation project?* C Yes ( 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
l 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?
no
Please give a brief project description below and include location information.*
We would like to stabilize our shoreline and save two large trees that
are getting ready to fall into the water
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 4/14/2021