20210860 Ver 1_Shoreline Stabilization_20210714

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 viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
Michael Maguire - Prefile approval.pdf 741.28KB
Pre -fling Meeting or Request Date 4/27/2021
ID# 20210860 Version 1
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 err -ail address for payment and requests for pure infornation here.
Owner Information:
Name: * Michael Maguire
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
2208 Madagascar Lane
Address Line 2
city
State / Frovince / Region
Las Vegas
NV
Fbstal / Zip Code
Country
89117-5927
US

Is there an agent working on the
project? *
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:*
Email:
Phone Number:*
Mailing Address:*
F Yes
r No
..................................................
Charlie Washburn
Marine Construction LLC
[e-mail]
[phone]
(XXX)XXX-XXXX Address
1173 Shiloh Church Road
Address Line 2
City
Hickory
Fbstal / Zip Code
28601-7855
Asigned and dated copyof the Agent Authorization letter:*
Michael Maguire - Agent Authorization. pdf 409.66KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Michael Maguire - Denver NC
State / Rovince / Region
NC
Country
US
If your project has a formal name please use this. If your project does not hake 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
r Lookup address
Upload Map: Michael Maguire -Directions and GIS.pdf 2.9MB
Latitude:* 35.502000 Longitude:*-80.982000
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*
Michael Maguire - Summary and
2.14MB
Drawings.pdf
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%2OLayout.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.)*

Michael Maguire - Property Pic.pdf 1.32MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County:* Lincoln
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* Westport - Section 1 / Lot 86W
Include phase/lot number
Directions to site:*
Included above in this application.
Rease include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Ibsidential, undeveloped, etc.
6. Property Size .443
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
We will remove the existing rotten seawall and replace it with a vinyl
seawall. Existing seawall footprint will be used.
8. How will the work be done?* [1 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.)
150 perm and O
temp
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.)
150 perm
consisting of 75
riprap and 75
seawall, 750 temp
as the construction
corridor
square feet
11. 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)
Grass and 1 tree. No clearing.
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):

0 $240.00 for impacts to lake (below normal water level) of less than 1 acre
0 $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');
0 1 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:* Charlie Washburn
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20210860
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

Idf2
ID#* 20210860 Version* 1
Regional Office* Mooresville Regional Office - [phone]
Reviewer List* Alan Johnson
Pre -Filing Meeting Request submitted 4/27/2021
Contact Name * Charlie Washburn - Marine Construction LLC
Contact Email Address*
Project Name *
Project Owner*
Project County*
Owner Address:
Is this a transportation project? *
[e-mail]
Michael Maguire - Denver NC
Michael Maguire
Lincoln
Street Address
7834 Green Cove Ct
Address Line 2
Oty
Denver
Fbstd / Zip Code
28037
r~ Yes r• No
Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - r 401 Water Quality Certification -
Regular Express
r Individual Permit % Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
State / Rovinoe / Fagion
NC
Country
USA
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,*
We plan to construct a seawall for shoreline stabilization. Property
address above.
By digitally signing below,) 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 -Piling Meeting Request in the Clean Water Act Section 401 Certification

Z of
Rule.
• 1 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 4/27/2021

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 ofi the property (where work is to be conducted)
County: Lli(iw i n Nearest Town:
D���er
Lake/ river/ ocean adjacent to property: Lake, cr rr'o_n
Property size (acres): Q - /J
Subdivision name or site address (include pha
W6+ pOr_- 11 �t C�h on
Plot number):
LO+ 9� w
Directions to site - please include road names and numbers, landmarks, etc.:
Pno-+-A AIrec-;hDAS 'Inc�lc&
Latitude (in decimal degrees) 35.5 0 2- Longitude (decimal degrees) '"®• ��2
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Re-51de*)-6aI
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): V e—
kA
7. Will work be conducted from land? 21*0' From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
i✓4 11
t�.I 6HI,
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
IS0 s 1 ;-4
Temporary impacts in square feet:
S!, 41!
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:
7S or, I I
Temporary impacts (temporary clearing, construction corridor) in square feet:
SO Sg -} 6or(I'Jo/
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): 6,-'.C5 aAA �- •�-� -
11. Sig4te
Ow er/Agent's Signature [15A NCAC 02H .0502(f)1
46-130 ---Zjffz /
Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

'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
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.
P. Location of anv excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/ Normal Water Level)
" Iv ./ 1�
Pull Pond/ Normal Water Level
No
Shoreline ,� p� v.��.,. J�+e.'A F,,ii fcrM %A✓wi-
Plan View
FORM: SSGP 02-2017 Page 3 of 5

G
Sloe Flew
Lake
!At Putt Pond/NO, Ml Weer tev ll
Full Pond" Normal Water Level
'Rhorene Riprap
Ift. a]50 h.
additional clear tg
` if necessary
Existing Dock
30`.t.; tt '.
3#tx150ft
�* Yiit lx+n<i7 NWL
4 k i'iCi k
s �}{ ALuve full pond/NWL
"A" M P E
Ex'
Plan View I
FORM: SSGP 02-2017 Page 4 of 5

4/27/2021 1173 Shiloh Church Rd to 7834 Green Cove Ct, Denver, NC 28037 - Google Maps
Goc,gl , hl)lap5 1173 Shiloh Church Rd to 7834 Green Cove Ct, Drive 34.1 miles, 53 min
Denver, NC 28037
Map data @2021 2 mi l
1173 Shiloh Church Rd
Hickory, NC 28601
Take Section House Rd NE, 1 st St W, NC-16 S and NC-16
Business
S to Fairfield Forest Rd in Westport
49 min (31.8 mi)
h
1.
Head southwest on Shiloh Church Rd toward
Rosenbalm Ln
387 ft
2.
Slight left to stay on Shiloh Church Rd
1.0 mi
i
3.
Turn right onto NC-127 S
i.0mi
14
4.
Turn left onto Cloninger Mill Rd NE
- 1.1 mi
h
5.
Continue onto Kool Park Rd NE
2.1 rni
h
6.
Turn right onto Springs Rd NE
0.2 mi
https://www.google.com/maps/dir/1173+Shiloh+Church+Rd,+Hickory,+NC+28601-7855,+USA/7834+Green+Cove+Ct,+Denver,+NC+28037/@35.6689... 112

4/27/2021 1173 Shiloh Church Rd to 7834 Green Cove Ct, Denver, NC 28037 - Google Maps
i 7. Turn left onto Section House Rd NE
3.3 mi
8. Turn left onto 1 st St W/Old US Hwy 70/U.S. Hwy
70A W
Continue to follow 1 st St W
1.8 mi
h 9. Continue straight onto 1st St E
0.5 mi
10. Continue onto Conover Blvd E
0.1 mi
h 11. Turn right onto Emmanuel Church Rd
0.6 mi
Yi 12. Turn right onto NC-16 S/Thornburg Dr SE
0 Continue to follow NC-16 S
3.6 mi
h 13. Use the left 2 lanes to turn left to stay on NC-16 S
8.6 mi
h 14. Turn left onto NC-16 Business S
0 Pass by f-iardee's (on the left in 1.7 mi)
7.7 mi
Follow Fairfield Forest Rd and Lake Shore Rd S to Green
Cove Ct
5 min (2.3 mi)
15.
Turn left onto Fairfield Forest Rd
1.3 mi
i
16.
Turn right onto Barker Ln
269 ft
17.
Turn right onto Lake Shore Rd S
0.9 mi
14
18.
Turn left onto Green Cove Ct
Destination will be on the right
161 ft
7834 Green Cove Ct
Deriver, INC 28037
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
https://www.google.com/maps/dir/1173+Shiloh+Church+Rd,+H ickory,+NC+28601-7855,+USA/7834+Green+Cove+Ct,+Denver,+NC+28037/@35.6689... 2/2

AGENT AOTHORIZATION FORM
021M
LOT NO. 86 w - PLAN NO:
Plewe ont:
Property Owner� ,.,,MichaleiL
.,!a
The uridersigned, regiMwW property owners of the above noted property, do hereby authorize
Charlie Washburn 04arke Cxirm;tr,ucItIion "LLB
C , on , twtor/AWftl (Natm of wrrutbog firm)
to act on my behalf and take all actions it :essary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
_! Vows
, NV 819,11,1117
We eby certify the above information submitted in this application is true and accurate tothe
:lour knowledge
Cate