20211171 Ver 1_Shoreline Stabilization_20210728

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:
DWR Pre -Filing Meeting Request Form.pdf 49.48KB
Pre -fling Meeting or Request Date 8/5/2021
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 * [e-mail]
Rease provide an email address for payrrent and requests for pure information here.
Owner Information:
Name:* Lewis Quinn
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
9807 Withers Road
Address Line 2
City
State / Frovince / Region
Fort Mill
Sc
Fbstal / Zip Code
Country
29708
United States

Is there an agent working on the F Yes
project?* r No
Agent/Consultant Information
Name: *
Todd Flowers
Company Affiliation: *
Lake Wylie Dock Construction
Email:*
[e-mail]
Phone Number:*
[phone]
(XXX)XXX-XXXX
Address:*
Street Address
19012 Kailua Circle
Address Line 2
City
Fort Mill
Fbstal / Zip Code
29708
Asigned and dated copy of the Agent Authorization letter:*
Agent Autorization.PDF 99.67KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* MR, QUINN RIP RAP
State / Province / Fbgion
SC
Country
United States
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
Property Address Lookup:* Street Address
9807 Withers Road
Address Line 2
city
Charlotte
Fbstal / Zip Code
28278-6821
Latitude:* 35.150682
State / Province / Region
NC
Country
US
Longitude:*-81.004235
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*
Mr Quinn Shoreline layout .PDF 425.33KB
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.)*
SITE PICTURE.pdf 2.58MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Charlotte
County:* Mecklenburg
Lake/ river/ ocean adjacent to Lake wylie
property:
Subdivisions name or site address:* 9807 wither road Charlotte NC 28278
hclude phasellot number
Directions to site:*
From Buster boy Bridge going towards Charlotte LF on Shopton Road,LF
on Withers Road House on Left
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 area with brick house on property, Developed
Fbsidential, undeveloped, etc.
6. Property Size .07299
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Property need Rip Rap in front of Older sea wall. It is starting to pull dirt
from behind the seawall. The entire job will be done from the water side.
No work will be done by land ONLY coming in BY WAATER
8. How will the work be done? * r From Land
PF 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.)
140
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward:*
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
0
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)
Typical Pine Trees and a few hardwoods in Buffer a old wood seawall.
Sketch: Mr. Quinn Sketch.PDF 293.49KB
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
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:* Todd Flowers
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20211171
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

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 37 PLAN NO. PARCEL ID: 19921111
STREET ADDRESS: 9807 WITHERS ROAD CHARLOTTE NC 28278
Please print:
Property Owner: _Lewis Quinn_
Property Owner: _Holly Quinn_
The undersigned, registered property owners of the above noted property, do hereby authorize
TODD FLOWERS of _LAKE WYLIE DOCK CONSTRUCTION LLC
(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):
2020 S TRYON ST STE 2B CHARLOTTE NC 28283
Telephone: _704-622-6664_
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorize ignature
Date: 5/24/20

7/8/2021 I M G-4640.j pg
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Contact Name*
Todd Flowers
Contact Email Address*
[e-mail]
Project Owner*
Todd Flowers
Project Name*
MR. QUINN RIP RAP
Project County*
Mecklenburg
Owner Addre ss: *
Street Address
9807 WITHERS RD
Address Line 2
aty
Charlotte
Postal / Zip axle
28278
Is this a transportation project?*
C Yes c: No
Type(s) of approval sought from the DWR:
F- 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F- Individual Permit F- Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes c: No
State / Province / Pegion
NC
Country
Mecklenburg
Do you know the name of the staff member you would like to request a meeting with?
Alan Johnson
Please give a brief project description below and include location information.*
Installing Rip Rap Along 140 feet Current wood sea wall that is failing.
We are doing this project by water.
The Owner is Mr. Lewis Quinn
The address of the Project is
9807 WITHERS RD CHARLOTTE NC 28278
His phone number is 704-622-6664
1 will be his authorized agent
This project is on lake Wylie
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.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.

1 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 *
��4�-MePd
Submittal Date 5/24/2021

1Z
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing ^ r)*k1e, VgJ4
b. Location of rip rap or fill to be placed above the Full f ond� Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation Lear.'
d. Location of any proposed structures such as buildings retaining walls docks, etc.A-�'?j=i�itR-4�
e. Location of any excavation ❑r dredging below the Full nd/ Normal Water Level elevation -
. Pi
Full Pond/ Normal Water Lev
!1= . 1
Shoreline
Plan View
QIF
0
1 '
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FORM: 5SGP 02-2017
Page 1 of 3

Cp
2L , &V&
Lake
(At Full Pond/ N' orrnal plater Level)
�4c
Side View
QI
FORM: SSGP 02-2017
Page 2 of 3

arse
&revs PointOr,
VICINITY MAP
Not To 50je
Brian A; McRode, Surveyor
2404 Quail Lake Drive
Charlotte, N.C. M210
704-492 5768
teruision on the:. 14th ' day of: .Jul' 20'l4.
;.and`itiat: te::tiduridary lines and improvements, if any,
as'shown hereon. The ratio of precision as calculated before ::ariy djustments:is:14 : 30,000'+of perimeter
veyed. This map meetsthe requirements of the Stan dardsi:7f Practice. for Lamd Surveying in North Carolina-
/]
1'j;
NOTES:
1, Total Area=:r7.I299 Acres 31,792.9` s .ft.
IV:t✓>"Professianal. Land Surveyor No. 3712
Area :Coinputed .fly Coordinate Method.
2. Rights-Of-We7, Easements, Setback Lines As Shown Hereon
�A °+
Are Per Rer:arded Map And/Or Deed As Referenced - Unless.
Noted; Property Be Subject AnyOther
,i
•• .F !{j �.°� o
Otherwise May To
Rights Of --Way, Easements, AndfOr Rest hCti©ns.0f Retard
Q -7
That May Be: Revealed By Complete Title Search.
3. Under Utilities Not Located.
SEAL. ;' r:
rou.nd..
4. Currentl Zoned R-$
y
:r L-3712
'Y •gva•av : ps
A.
F7p��
1 �d
�ae
,�Z,,e
1_0T 38
LINE TABLE
Line
Hearing
Distance
L1
N70-55-1.4..W.
L2
N.59=01-10 W.
22;$8'
L3
14.30 58-50 E.
2411'
NOTE:
Boundary Survey 0nly As Requested'By Owner,
All Physlcal improvements, FEMA Floodlines, &
SWIM Buffers Not Located Nor Shown On Map:
Property I5'Located In The Lower Lake Wylie Watershed.
LEGEND
EIR=.E-Asting Iron Rabar
EP = Existing Iron Pipe
SIR = Set iron Rebar
EP = Computed Point
ECht = Ex sfing Conerate Monument
R! W = Right -OF -Way
01 L = Centerline
EP = Eiige of Asphalt pavement
a i C =Back of Concreie Curb
PP = Power Pole
OFS= Overttead Electric Service
OTS = Overhead Telephone Service
Property Line
.$ beet R r: W
Easement Lim — — ---- --- — _.._ —.—
.SetW6k Line -- --• — ...
Brakeri Scale -C k —�
Adiolnor Property Line — —
Not.Surveyed
UGU = Underground UFililies.(Approximate)
E2
�l "C SPA
• 41-E
!4
in� W1
SI P
ia707
sa�r
1 �
r
_?Q2,.
01
�c� f
BOUNDARY Survey for
S UINN
of. Lot 37 and?aft of. Lots:36 .&.38::gn::.Map.of. RIVER.00D PART #1
Recorded in. Map Book 1844 Page 535 Deed Book 5899 Page.:i 93
Of Char] We M.eckietlau u. County; State of North Carolina
Address: 9807 Withers toad. ---Tax Parcel No-1:99-211-11
Now or Formerly The Property 6f Lewis: 1. Quinn and.wif$;: Reg€na.P..4...uin..n
a,-.V -
14