20220016 Ver 1_Shoreline Stabilization_20220104

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.
SWATI DONDE
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
157 Point of View Drive
Address Line 2
City
Mooresville
Postal / Zip Code
28117-9454
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: *
Company Affiliation:
Email: *
Phone Number:*
TAMARA HAGER
State / Province / Region
NC
Country
US
LKN DREDGE & MARINE CONSTRUCTION
HAGER@LAKEPERMIT. COM
[phone]
(xxx)xxx-xxxx

Mailing Address:*
Street Address
PO BOX 5335
Address Line 2
City
MOORESVILLE
Postal / Zip Code
28117
A signed and dated copy of the Agent Authorization letter:
DONDE AUTH.pdf 379.52KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* DONDE
State / Province / Region
NC
Country
US
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: DONDE SURVEY.pdf 456.42KB
Latitude: * 35.622605 Longitude: *-80.921213
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*
DONDE SKETCH.pdf 471.85KB
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.)
DONDE PICS.pdf 692.16KB
4. Location of the property (where work is to be conducted)
Nearest Town: * MOORESVILLE
County: * Iredell
Lake/ river/ ocean adjacent to NORMAN/CATAWA
property:
Subdivisions name or site address:* POINT OF VIEW LOT NUMBER 12
Include phase/lot number

Directions to site: *
FROM MARSHALL STEAM STATION, TURN LEFT ONTO HWY 150
4.2 MILES, TURN LEFT ONTO PERTH RD 4.0 MILES, TURN LEFT
ONTO FERN HILL RD 3.2 MILES, FERNHILL TURNS SLIGHTLY
RGHT AND BECOMES POINT OF VIEW DR. PROPERTY ON RIGHT
.20 MILES.
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 .740
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
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: DONDE SKETCH.pdf 471.85KB
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:* SWATI DONDE
Signature:
Submittal Date: 12/28/2021

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220016 Version: *
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Doug Perez:eads\djperez
Mooresville Regional Office - [phone]
No Payment Needed
Fee Received
• Need Fee - send electronic notification
• $240.00
$570.00

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La Ise
(A, Full Pond/Norma! Water Level)
ICull Pom-41
Normal vU
no
Shor
N fN'' 1 j-tilt L D fS7"Lrp &VI
7
�.�ilr'� i• c�� c� 'L�,�Z� L
Please approximately sketch the roldowing infaratian on this plan
ii•em, such trs i p ftX 100
(provide dimer�sfonsfo�ecach
All Proposed vegetation tearing
? Location of rip rap or rill to be placed above the Full Pond 'No
3- Location of rip rap or rill to be placed below the Full Pond/ No
� f rma! Water Level elevation
Location of any proposed be
such as buildings, retaining NormalWaterLevel elevation
5. Location of any excavation or dredging below the Full Pond walls, docks, etc.
o. Location of construction access corridors Pond/ Water Level elevation
FORM:55GP 10-2073
Page 3 of.3

ke
fAt Fu"Pond/Normal Water
Fu f f'pian cl/
5ha�-am � La
Please apprcn.r1i el
�err7tZFUChcsi�`sketch the ;ot{r� rinff1 ;arr;jaSianar,
T All Pro azx GGJL) = ph is plan
asad v (provi�f� dimensior�sfor�ach
J Locatian otrfu raeta�Pon ctaarin�
s Location of rip r is or 'M to be placed above the Fuf{ Porte '[lra
n ap or to be placed below the Fc11i Pond Nar
Location / rma{ Water Level elevatit�n
of any prop°Sedrucc�tres such as buildrngs,'retainin mal Water Level elevation
S. Location ar am e
cavatron or dr edgng below the Pull Pond � wal{s, docks, etc.
�- ! ❑cation 4; cons�r�cicn access corridors
lNarmal Water Level elevation
FoRm: SSGP ? p`}pd3
Dre4k CU 7—
Page 3 o; 3
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Dr\djc OIL
Tamara Hager
704-575-2227
Lake Permit LLC

From: TAMARA HAGER [e-mail],
Subject: Donde shoreline & dredge pics
Date: Nov 9, 2021 at 12:15-39 PM
- - To: TAMARA HAGER hager, lakepermit,cor

From: TAMARA HAGER [e-mail]
Subject: Donde shoreline & dredge pies
Date: Nov 9, 2021 at 12:15:39 PM
To: TAMARA HAG ER [e-mail]

La Ise
(A, Full Pond/Norma! Water Level)
ICull Pom-41
Normal vU
no
Shor
N fN'' 1 j-tilt L D fS7"Lrp &VI
7
�.�ilr'� i• c�� c� 'L�,�Z� L
Please approximately sketch the roldowing infaratian on this plan
ii•em, such trs i p ftX 100
(provide dimer�sfonsfo�ecach
All Proposed vegetation tearing
? Location of rip rap or rill to be placed above the Full Pond 'No
3- Location of rip rap or rill to be placed below the Full Pond/ No
� f rma! Water Level elevation
Location of any proposed be
such as buildings, retaining NormalWaterLevel elevation
5. Location of any excavation or dredging below the Full Pond walls, docks, etc.
o. Location of construction access corridors Pond/ Water Level elevation
FORM:55GP 10-2073
Page 3 of.3

ke
fAt Fu"Pond/Normal Water
Fu f f'pian cl/
5ha�-am � La
Please apprcn.r1i el
�err7tZFUChcsi�`sketch the ;ot{r� rinff1 ;arr;jaSianar,
T All Pro azx GGJL) = ph is plan
asad v (provi�f� dimensior�sfor�ach
J Locatian otrfu raeta�Pon ctaarin�
s Location of rip r is or 'M to be placed above the Fuf{ Porte '[lra
n ap or to be placed below the Fc11i Pond Nar
Location / rma{ Water Level elevatit�n
of any prop°Sedrucc�tres such as buildrngs,'retainin mal Water Level elevation
S. Location ar am e
cavatron or dr edgng below the Pull Pond � wal{s, docks, etc.
�- ! ❑cation 4; cons�r�cicn access corridors
lNarmal Water Level elevation
FoRm: SSGP ? p`}pd3
Dre4k CU 7—
Page 3 o; 3
aw