20211704 Ver 1_Shoreline Stabilization_20211123

Submission Form
I. Applicant Information [I5A 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.
Mary Webster
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
6821 Fairway Row Lane
Address Line 2
City
Charlotte
Postal / Zip Code
28277-4188
Is there an agent working on the project?* - Yes
O No
Agent/Consultant Information
...................................................................................................
Name: *
Company Affiliation:
Email: *
Phone Number:*
Robert Morgan
R Morgan Homes LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
US

Mailing Address: *
Street Address
4110 Little Tree Ln
Address Line 2
PO Box 1801
City
Denver
Postal / Zip Code
28037
A signed and dated copy of the Agent Authorization letter:
LFWAGENT AUTHORIZATION
614.11KB
FORM.signed.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Webster Residence
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:*
Latitude: * 35.528794
Street Address
4387 Little Fork Cove Rd
Address Line 2
NC
City
Denver
Postal / Zip Code
28037-8483
State / Province / Region
NC
Country
US
Longitude: *-80.984366
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*
LFW SSGP09-
915.lKB
2020_OnlineShorelineApp.11.17.2 Lpdf
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.) *
LFW Shoreline.Pics.pdf 812.69KB
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: * 4387 Little Fork Cove Rd
Include phase/lot number
Directions to site:*
From NC Business 16 between NC-73 and NC-150 Turn west on Webbs
Rd
Proceed approx. 1 mi on Webbs Rd
Turn Left on Little Fork Cove Rd
4387 Little Fork Cove Rd approx lmi on left
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:
Single Family Residence
Residential, undeveloped, etc.
6. Property Size 0.76 ac
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Shoreline has previously been stabilized with rip -rap. Existing rip -rap has
failed areas where the rip -rap has slid down the embankment setting up
bank erosion. Work scope involves adding rip -rap to stabilize the rock at
the tow of the embankment and adding fabric and rip -rap from approx.
elevation 758 to 761.
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.)
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.)
500
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)
Predominantly cleared with trees limited to the property corners; so there
is no expected impact to trees. (see photos on previous attachment)
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');
a 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:* Robert L. Morgan, Jr.
Signature:
Submittal Date: 11/20/2021

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20211704 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

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO.
STREET ADDRESS: _4387 Little Fork Cove Rd
Please print:
Property Owner: Mary Webster, Dale Webster,
Property Owner: Graham Webster
PARCEL ID: 29731
The undersigned, registered property owners of the above noted property, do hereby authorize
Robert Morgan , of R. Morgan Homes, 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):
. & N-! lcGtire, 'e�
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
P
! a i"Z_---`-
Authorized Signature
Date:
11-� -
MLVt-� �) �U�4&
Authori d Signature
Date:

Example 1 of area where rip -rap has failed
Example 2 of area where rip -rap has failed
PROW# a s.�awelR�:fi p
View From approx. middle of lot looking through the 50' buffer

a

's
; y,v State of North Carolina
Department of Environment and Natural Resources
e. Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
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.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
SEE ATTACHED DRAWINGS AND PHOTOS
FORM: SSGP 02-2017 Page 1 of 3

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Lake Norman Full Pond
Water Level = el.160—
Plan View
approx bank 3 approx bank width
width below full above full pond
pond impacted impacted
Lake Norman Full
Pond Water Level
—new rip -rap added to impacted area
abric added to impacted area
g use a portion of existing upper rip -rap to
re -enforce toe and add fabric 8 new rip rap to
bare areas in approx 6' wide impacted area
Section View