20211683 Ver 1_Shoreline Stabilization_20211130

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DWR Pre-Filing Meeting Request Form
NORTH CAROUNA
Environmental Qaallry
7Z 6 . //AV
ID#* 20201488' Version* 1
Regional Office* Asheville Regional Office-[phone]
Reviewer List* Kaylie Yankura
Pre-Filing Meeting Request submitted 10/14/2020Y _...._.._.._...._.._.._............_...._......._._.._...........___._....__..........._....___._.._...._......_...____..___......
Contact Name* Constance Jarvinen
Contact Email Address* [e-mail]
Project Name* 260 Tahala Seawall
Project Owner* Peter J&Constance L Jarvinen
Project County* Jackson
Owner Address: treetAddress
260 Tahala Trail
Address Lire 2
Oty State I Frovirce/Eamon
Cullowhee NC
Postal/Zip Code Country
28723 United States
Is this a transportation project?* C Yes 6' No
Type(s)of approval sought from the DWR: RCF/`/E•
I- 401 Water Quality Certification- r 401 Water Quality Certification-
Regular Express
R Individual Permit r- Modification NOV 3 0 2027
r Shoreline Stabilization
Does this project have an existing project ID#?* �E&BU ER peSCURCFS
ERMrI'TlNp
r Yes c: No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.*
We would like to build a stacked stone seawall on our shoreline on Lake
Glenville to stabilize the shoreline and keep it from washing away into the
lake.
Please give a couple of dates you are available for a meeting.

10/19/2020
10/20/2020
10/22/2020
10/23/2020
10/26/2020
Please attach the documentation you would like to have the meeting about.
pdf cn'
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.
• I 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 10/14/2020

Pre-Filing Meeting is not needed for 260 Tahala Seawall - 20201468 Ver 1
From: [e-mail]
To: [e-mail]
Cc: [e-mail]
Date: Saturday, November 14, 2020, 12:00 AM EST
The North Carolina Division of Water Resources has received the Pre-Filing Meeting Request Form for 260 Tahala
Seawall that you submitted on 10/14/2020 9:03 AM.The ID number for that project is20201468,Version 1.
It has been decided that no meeting is needed for this project.
Project file link: https://edocs.deq.nc.gov/WaterResources/Browse.aspx?dbid=0&startid=1322601
When you submit your application please upload a copy of the attached document in this email.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored.

I. Applicant Information
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]
Please provide an email address for payment and requests for more information here.
Owner Information:
Name:* Peter J Jarvinen
Email:* - [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
260 Tahala Trail
Address Line 2
City State/Province/Region
Cullowhee NC
Postal/Zip Code Country
28723 Jackson
Name:* Constance L Jarvinen
Email:* [e-mail]
Phone Number:* [phone]

Mailing Address:* Street Address
260 Tahala Trail
Address Line 2
City State/Province/Region
Cullowhee NC
Postal I Zip Code Country
28723 Jackson
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name:* Bob Martin
Company Affiliation:* Bob'sDocks/Seawall Co
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
PO Box 304
Address Line 2
City State/Province/Region
Glenville NC
Postal/Zip Code Country
28736 United States
A signed and dated copy of the Agent Authorization letter:*
SAMPLE_AGENT_AUTHORIZATION_FORM (2).pdf 35.2KB
pdf only
Link to: Sample Agent Authorization Form

II. Project Information
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Jarvinen Seaway
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
260 Tahala Trail
Address Line 2
City State/Province/Region
Cullowhee NC
Postal/Zip Code Country
28723 Jackson
Latitude:* 35.192088 Longitude:* -83.173303
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*
Seawall... 268...
260 Sur... 22....
pdf only
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.)*
shorelin... 170...
pdf only
4. Location of the property (where work is to be conducted)
Nearest Town:* Cullowhee
County:* Jackson

Lake/river/ocean adjacent to Lake Glenville
property:*
Subdivisions name or site address:* Woudes Mountain-Tahala Shores I-Lot 38
Include phase/lot number
Directions to site:*
From the intersection of Pine Creek Road and North Norton/turn onto North Norton from Pine Creek Road and take a
left onto Woods Mountain Trail. continue on Woods Mountain Trail about 1.1 miles and take a left onto Tahala Trail.
We are at the end of the road on the right just before going into the cul de sac.
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 Home Site
Residential,undeveloped,etc.
6. Property Size 1.00+-
Acres
7. Describe proposed work(include discussion as to how hardening of shoreline has been avoided,or
why it is necessary):
We would like to build a stacked stone seawall to stabilize our shoreline and keep it from washing away into the lake.
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.)
570 sq'
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.)
570 sq'
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)
Minimal brush and bushes/1 tree leaning
Sketch: Seawall Sketch Scan_0110.pdf 268.82KB

Sign and Submit
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):
a $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:
a 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.
a 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"),
a 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");
o I 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:* Peter J Jarvinen
Signature:*

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
�rl /( l
LOT NO: 38 PLAN NO: 20201468 V1 PARCEL ID: Lot 38 Tahala
Shores Unit 1
STREET ADDRESS:
260 Tahala Trail
Cullowhee, NC 28723
Please print:
Property Owner: Peter 3 3arvinen
Property Owner: Constance L Jarvinen
The undersigned, registered property owners of the above noted property, do hereby authorize
Bob Martin , of Bob's Docks/Seawall CO
(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 Owners Address(if different than property above):
Telephone: [phone] [phone]
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowledge.
Peter J Jarvinen Constance L Jarvinen
Authorized Signature Authorized Signature
11-15-2921 11-15-2021
Date Date

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