20211741 Ver 1_Shoreline Stabilization_20211202

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.
Eric J Cody
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
125 Perrin Drive
Address Line 2
Mooresville, NC 28117
City
Mooresville
Postal / Zip Code
28117
Is there an agent working on the project?* Yes
• No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * 125 Perrin Drive Shoreline
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
125 Perrin Drive
Address Line 2
City
Mooresville
Postal / Zip Code
28117-9631
Latitude: * 35.538553
State / Province / Region
NC
Country
US
Longitude: *-80.862622
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*
125 Perrin Drive Survey.pdf 244.19KB
125 Perrin Shoreline.pdf 990.13KB
Please use the diagram at the link below:
https:Hedocs.deq.nc.gov/WaterResources/O/edoc/616616/Shoreline%2OLayout.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.)*
125 Perrin Drive Shoreline Stabilization
265.67KB
Project.pdf
4. Location of the property (where work is to be conducted)
Nearest Town: * Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* Waters Edge Lot #3
Include phase/lot number
Directions to site: *
Interstate 77 to Exit 31, west to Alcove Road, North to Perrin Drive, Left
onto Perrin, House is 3rd on the 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:
Site is a single family home, built in 1989.
Residential, undeveloped, etc.
6. Property Size .80
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Add rip rap to shoreline to make level with neighbors rip rap and protect
from erosion during high lake level times.
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.)
0
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.)
1568
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, same as yard.
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):
$240.00 for impacts to lake (below normal water level) of less than 1 acre
a $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:* Eric James Cody
Signature:
Submittal Date: 11/29/2021

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20211741 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

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r State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
CNVIRONMENTAL 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
FORM: SSGP 02-2017 Page 1 of 3

Lake
(At Fall Pond/ Normal Water Level
Side View
U-
Lake
(At Full Fond/ Normal Water Level)
Existing Dock
i ftff eft
3 fit 150ft
Beim full Pond/ N WL
Full Pond/ Normal Water Level
a_"I ore'lln-_—
_ 4ftM150ft
Ri prap
An. full pond/ N WL
150 FL
additlnnal clearing
" If necessary
KA
Plan View
FORM: SSGP 02-2017 Page 2 of 3

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