20211681 Ver 1_Shoreline Stabilization_20211118

Submission Form
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 *
Owner Information:
Name: *
Email: *
Phone Number: *
Mailing Address:*
[e-mail]
Please provide an email address for payment and requests for more information here.
Keith Levan
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
212 Canal Drive
Address Line 2
City
Statesville
Postal / Zip Code
28677-9388
Is there an agent working on the project?* - Yes
O No
Agent/Consultant Information
...................................................................................................
Name: *
Company Affiliation:
Email: *
Phone Number:*
Janice Estep
CBC Stone & Recycling, LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
US

Mailing Address:*
Street Address
638 Oakridge Farm Hwy
Address Line 2
City
Mooresville
Postal / Zip Code
28115
A signed and dated copy of the Agent Authorization letter:
Auth. Form.pdf 616.68KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Levan Dredge
State / Province / Region
NC
Country
United States
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.*
Upload File
Look up address
Property Address Lookup: * Street Address
212 Canal Drive
Address Line 2
City
Statesville
Postal / Zip Code
28677-9388
Latitude: * 35.706361
State / Province / Region
NC
Country
US
Longitude: *-80.994057
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
Site Plan.pdf 1.14MB
Buffer Form.pdf L lMB
Permission Letter for Access.pdf 359.2KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/ShoreIine%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.)*
Dredge Area Pics.pdf 15.74MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Statesville

County: * Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: * 212 Canal Dr. Statesville, NC 28677 Lot 1 Kale Park
Include phase/lot number
Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Head south on Evergreen St toward E Center Ave
9s(197ft)
Take NC-115 N and Old Mountain Rd to W Lewis Ferry Rd
33 min (19.2 mi)
Turn right onto E Center Ave
0.5 mi
Turn right onto N Church St
0.2 mi
Turn left onto E Iredell Ave
0.1 mi
Turn right onto NC-115 N/N Broad St
Continue to follow NC-115 N
Pass by McDonald's (on the right in 6.8 mi)
10.8 mi
Turn left onto Old Mountain Rd
3.2 mi
Turn left onto Buffalo Shoals Rd
1.6 mi
Turn right onto Eufola Rd
2.7 mi
Follow W Lewis Ferry Rd to Canal Dr
4 min (2.1 mi)
Turn left onto W Lewis Ferry Rd
1.9 mi
Turn right to stay on W Lewis Ferry Rd
371 ft
Continue onto Canal Dr
0.2 mi
212 Canal Dr
Statesville, NC 28677
Please 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
Residential, undeveloped, etc.

6. Property Size 0.51 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Dredge 55' x 55' area around existing dock. Dredge an 90' x 30' "v"
channel from edge of dock area dredge to tie in with neighbor's channel
dredge. There will be two group channels that will be done in the cove.
Group channel 1 is 400' x 30' and will be split between 4 neighbors in the
cove. Group Channel 2 is 200' x 30' and will be split between 4 neighbors
in the cove. Each neighbor's part will be 100' x 30' on group channel 1 and
50' x 30' in group channel 2.
8. How will the work be done?* From Land
✓ 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.)
1080.55 cubic yards
below
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.)
0' above
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 buffer, no trees removed, no disturbance to buffer. Dredging will be
done by barge and material will be hauled off through neighbor's property
with permission. Dredge material to be hauled to nearby property and left
onsite with permission from owner of property.
Sketch: Dredge Application.pdf 10.81MB
Dredge Spoils Info.pdf 21.98MB
Sketches.pdf 4.41 MB
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:* Janice Estep
Signature:
Submittal Date: 11/16/2021

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20211681 Version: *
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Alan Johnson: eads\adjohnson I
Mooresville Regional Office - [phone]
No Payment Needed
Fee Received
• Need Fee - send electronic notification
• $240.00
$570.00