20220045 Ver 1_Shoreline Stabilization_20220110

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: * NC State Parks
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address: * Street Address
759 State Park Rd.
Address Line 2
City
State / Province / Region
Troutman
NC
Postal / Zip Code
Country
28086
US
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
...........................................................................................................................................................................................................................................................
Project Name:* Lake Norman State Park Boat Launch - Shoreline Stabilization
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
182 Boat Launch Dr.
Address Line 2
City
Statesville
Postal / Zip Code
28667
Latitude: * 35.653179
State / Province / Region
NC
Country
Iredell
Longitude: *-80.939604
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*
SKM_364e22010514440.pdf 638.19KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/o/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.)
New Microsoft Word Document (2).pdf 564.55KB
4. Location of the property (where work is to be conducted)
Nearest Town: * Troutman
County: * Iredell
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address:* 182 Boat Launch Dr.
Include phase/lot number
Directions to site: *
Travel into the main entrance of Lake Norman State Park on State Park
Road. Keep straight on State Park Road for several miles; turn left onto
Family Camp Circle. Take the first left on Family Camp Circle onto Boat
Launch Drive. The site is at the end of the parking lot on the right;
opposite the boat ramp.
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:
The site is located at the pull in area of the boat launch. This area is used
by vehicles to pull in and straighten their trailers up to back into the boat
launch. The shoreline at the edge of this pull in area is severely eroded and
undercut to the point of threatening the integrity of the asphalt.
Residential, undeveloped, etc.
6. Property Size 1/10
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Existing vegetation in this section will be removed. The slope will have to
be reshaped and the undercut areas filled in. The area will need to be
covered in landscape fabric and stabilized with stone.

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.)
1500
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)
Approximately 20 small to midsize trees on the slop will be removed.
They will need to be removed in order to reshape the area for stabilization.
The area landward is the asphalt parking area.
Sketch: New Document Image.pdf 525.98Y-B
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
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:* David Adam Walker
Signature:
aI
Submittal Date: 1/6/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220045 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