20211786 Ver 1_Shoreline Stabilization_20211209

Shoreline Stabilization Application Form
15A NCAC 02H.0500—Water Quality Certification,Shoreline Stabilization
FORM:SSGP 10-2013
DRAFT-NOT FOR USE AT THIS TIME
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* [e-mail]
Please provide an email address for payment and requests for more information here.
Owner Information:
........ ...........................................................................................................................................................................................................................................................................................................................................................................................
Name:* THOMAS CAUNE
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
3647 Waterview Lane
Address Line 2
City State/Province/Region
TERRELL NC
Postal/Zip Code Country
28682-9803 US
Is there an agent working on the project?* * Yes
J No
Agent/Consultant Information
Name:* TAMARA HAGER
Company Affiliation:* LKN DREDGE&MARINE CONSTRUCTION
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx

Mailing Address:* Street Address
PO BOX 5335
Address Line 2
City State/Province/Region
MOORESVILLE North Carolina
Postal/Zip Code Country
28117 United States
A signed and dated copy of the Agent Authorization letter:*
CAUNE AUTH.pdf 373.18KB
Link to: Sample Agent Authorization Form
Project Information[15A NCAC 02H.0502(a)&(b)]
Project Name:* CAUNE
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
Upload Map: CAUNE SURVEY.pdf 392.97KB
Latitude:* 35.593303 Longitude:* -80.941783
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*
CAUNE SKETCH.pdf 261.75KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResou rces/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.)*
CAUNE PICS.pdf 381.67KB
4. Location of the property(where work is to be conducted)
Nearest Town:* TERRELL
County:* Catawba
Lake/river/ocean adjacent to NORMAN/CATAWBA
property:
Subdivisions name or site address:* LEGRANDE VIEW SUB LOT NUMBER 3
Include phase/lot number

Directions to site:*
FROM MARSHALL STEAM STATION,TRAVEL NW ONTO HWY
150 E,1 MILE,SLIGHT RIGHT ONTO GREENWOOD RD.80
MILES,GREENWOOD RD TURNS INTO GORDON ST.20 MILES,
TURN LEFT ONTO LEGRAND DR 360 FT,M TURN RIGHT ONTO
WATERVIEW LN 470 FT PROPERTY ON RIGHT
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:*
RFESIDENTIAL
Residential,undeveloped,etc.
6. Property Size 1.26
Acres
7. Describe proposed work(include discussion as to how hardening of shoreline has been avoided,or
why it is necessary):
DREDGE 35 X 45 X 8'DEPTH
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.)
0
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)
NONE BY BARGE
Sketch: CAUNE SKETCH.pdf 261.75KB
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");
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
a I intend to electronically sign and submit the Shoreline Stabilization online form.

Full Name:* THOMAS CAUNE
Signature:
71f1 Wit
Submittal Date: 12/7/2021

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20211786 Version:* 1
Select Reviewer:* Alan Johnson:eads\adjohnsonl
Select Reviewing Office: Mooresville Regional Office-[phone]
Has payment been received?* No Payment Needed
Fee Received
• Need Fee-send electronic notification
What amount is owed?* • $240.00
$570.00

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Print Sianatur=
Cot.tl•"aci:O tcigGntt 1 'V4j 4V AP ii'Y Caitrr
Print `
The approval is for the purpose and design described in your application. impacts not indicated in the
application is 2 violation o she Buffer Rule.Site specific work should be provided in the application. 1 5-A NCA,
0?H .0506and 25AN CAC 0 B.0?^43{S;
Trees ere not allowed to be removed Erom!one I of the Buffer(within 300%oi the full pond =ievation), unless
approved. Exception,thosA trees that ere.=e erely undermined along the irrmediazeshorellne can be removed.
Minimal shaping end Sloping along the shoreline is allowed_ !I , NCAC 023 .0243(511
Benching., gradirla in thc buffer is not 2l10LwIe1 _ P'xcescive.disturbance of around cover_l ISA iNCAC 02B_02 3 (6lrj
aeachas.limp er viuus patios,impervious wal w vc,etc.are not allowed in the buffer unless specificallyapproved
by the iDivision. There are lilt nation Gig size For.decks. I:15A NCAC 023 .0243(4) end (5))
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should die described. I h -Approved access corridor shall be restore d_ S aaina,spoil, cot s.tr_. for:
material must be outside 4h=buffer I r`. i`c c 021 -05`'�a and IS.'-. N4 C COB.0243 't., Sit, if.`.
Stormweter cannot be pipE4l or channeled for direct disc Farr.7a to 7v lake. All constructed st
uri? } 2ie.
discharges must be e the natural elevation discharged prior to entering the buffer directed as Oi? us e o
sheaf flow at non-erosive velocitiS to the lake. 1 F5 NCACO26.0243(5). (c)
AcknowledfJ.ej iert o Notifict %!on •
0ANS CO 14, i i hereby state that i have been informed©i the Catawba
Riparian Buffer Rule. Any work conducted in the buffer; not specifically stated in the application and approved
by the Division of Water Resource C(DWR), is a violation end subject;o enforcement_ Due dillaence.will be
taken :uch that x`hi construction will be built within substa4 Water
((^^ 3lal compliance )rl iS< Ii�'LC[iL of Ll1�-I.1' L3L:l::
r u .lily Certification lificalioFn and Buffer Rules,the approved plan(s) ands ecllice ion(s1, and°Lice rsuppoi tins
materials..
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Shoreline
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stern, such as.20 s x ch er_ on 'rs plan"• c}!i fro (provide dime
dosed vegeta�7on clearing ns%onsforeacl�
2. Location of rip rap -
,. or ill to be placed above the Full Pond/'Normal Water Level
4. Location of rip rap or fill to be placed belowthe Full Pond
Location o anyelevation
proposed structures such as buildings,retaining etc.walormal llsadockster v elevation
Location of any excavation or dredging S.
Locationof g g below the Full Pond/No
construci:ion access corridors
Normal Water Level elevation
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5
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FORM:SSGP 10-20.3 WI
Page 3 of 3

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Please appraximatelysketch the-"ollawingi�r,crrr�atior�
stern, such as.20 s x ch er_ on 'rs plan"• c}!i fro (provide dime
dosed vegeta�7on clearing ns%onsforeacl�
2. Location of rip rap -
,. or ill to be placed above the Full Pond/'Normal Water Level
4. Location of rip rap or fill to be placed belowthe Full Pond
Location o anyelevation
proposed structures such as buildings,retaining etc.walormal llsadockster v elevation
Location of any excavation or dredging S.
Locationof g g below the Full Pond/No
construci:ion access corridors
Normal Water Level elevation
..?..pep/4"..
5
Dreete
FORM:SSGP 10-20.3 WI
Page 3 of 3