20211450 Ver 1_Shoreline Stabilization_20211004

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:
110830-converted.pdf 2.93MB
Pre -fling Meeting or Request Date 5/21/2021
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 err -ail address for payment and requests for pure infornation here.
Owner Information:
Name: * Nagiba Habashi
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
16115 Weatherly Way
Address Line 2
city
State / Frovince / Region
Huntersville
NC
Fbstal / Zip Code
Country
28078-8953
US

Is there an agent working on the
project? *
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:*
Email:
Phone Number:*
Mailing Address:*
F Yes
r No
Gerald Ahigian
Son
[e-mail]
[phone]
(XXX)XXX-XXXX
Address
2266 NCI Business Highway North
Address Line 2
City
Denver
Fbstal / Zip Code
28037
Asigned and dated copyof the Agent Authorization letter:*
114830-converted.pdf 578.64KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Habashi Seawall
State / Province / Region
NC
Country
USA
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
16115 Weatherly Way
Address Line 2
City State / Province / Region
Huntersville NC
Fbstal / Zip Code Country
28078 US
Latitude:* 35.075264
Longitude:*-80.696654
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*

Plot Plan 16115 with dock.pdf 406.63KB
124008.pdf 788.83KB
123947.pdf 1.21MB
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.)*
merged.pdf 1.04MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Huntersville
County:* Mecklenburg
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* Lookout Point, Phase 1, Lot#7
Include phasellot number
Directions to site:*
I77 north and off at exit 25, turn left onto Sam Furr road. Go up approx
1 mile and turn left onto Hwy 73 heading west. Go approx 4 miles and
turn right on Terry Lane. go one block, turn right on North Pointe, go
one block and turn right onto Weatherly Way. Go almost to end of cul-
de-sac. House is a grey stone 2 level house (on the street side) with a gate
in front. Use gate doorway to left to get in. don't be afraid to push the
door, it wedges tightly against the stone.
Rease include road narres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential Home currently occupied
Residential, undeveloped, etc.
6. Property Size 0.938 AC
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Add additional rip -rap to the existing wall. A recent wall repair had to be
done and we desire to better stabilize the wall.
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.)
1000
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:*
(nunber of trees, for instance)
No vegetation to be disturbed. Rip -rap to be added to existing rip -rap to
protect the below water line portion of the seawall
Sketch: 124008.pdf 788.83KB
123947.pdf 1.21NIB
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:* Gerald Ahigian
Signature:
Submittal Date: 10/3/2021

Initial Review
Is this accepted into the review
process?*
Project Number:* 20211450
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