20220091 Ver 1_Shoreline Stabilization_20220118

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: *
Jason Wenner
Email: *
[e-mail]
Phone Number:
[phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
205 Barberry Dr
Address Line 2
City
Belmont
Postal / Zip Code
28012
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* 4116 Spring Cove Way
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

Property Address Lookup: * Street Address
4116 Spring Cove Way
Address Line 2
City
Belmont
Postal / Zip Code
28012
Latitude: * 35.164003
State / Province / Region
NC
Country
US
Longitude: *-81.045538
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 *
4116SpringCoveWayProjectsketch.pdf 487.4KB
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.)
4116SpringCoveWayPictures.pdf 8.12MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Belmont
County: * Gaston
Lake/ river/ ocean adjacent to Wylie
property:
Subdivisions name or site address:* McLean/Overlake
Include phase/lot number
Directions to site:
SEE MAP
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 --Home under Construction now
Residential, undeveloped, etc.
6. Property Size .65
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Water run off has and will continue to erode shoreline away. High water
during heavy rains have also caused problems. Stabilizing shoreline will
help further erosion.
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.)
805 sq.ft.
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)
A total of 3 trees to be removed( they are dead or close to it) Clean up
under brush (everthing less than 2" to 2 1/2".
Mulch all disturbed areas when job is complete.
Sketch: 4116SpringCoveWayAgentandBufferForm.pdf 1.69MB
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:* Randall S Clawson
Signature:
,��c5' 0&eem
Submittal Date: 1/17/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220091 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

12/20/21, 1:48 PM 906 Southpoint Rd, Belmont, NC 28012-9536 to 4116 Spring Cove Way, Belmont, NC, 28012 Directions - MapQuest
YCDIUR TRIP TO: Scan this QR code for .1i❑�,
4116 Spring Cove Way, Belmont, NC, 28012 directions on your mobile G
device: '
13 MIN 11 6.8 MI R
Est. fuel cost: $0.84
Trip time based on traffic conditions as of 1:48 PM on December
20, 2021. Current Traffic: Light
s 1. Start out going northwest toward Nixon Rd.
Then 0.06 miles
r+ 2. Turn right onto Nixon Rd.
Then 0.20 miles
Print a full health report of your car with HUM
vehicle diagnostics [phone]
r+ 3. Turn right onto Southpoint Rd/NC-273.
If you are on RL Stowe Rd and reach Township Pkwy you've gone about 0.1 miles
too far.
0.06 total miles
0.26 total miles
Then 3.37 miles 3.63 total miles
r+ 4. Turn right onto Armstrong Rd/NC-273.
Armstrong Rd is just past Farm Rd.
If you reach Highland Way you've gone a little too far.
Then 2.35 miles 5.98 total miles
5. Enter next roundabout and take the 1st exit onto S New Hope Rd/NC-279.
Then 0.35 miles 6.33 total miles
6. Turn right onto Overlake Dr.
Then 0.05 miles 6.38 total miles
7. Take the 1st right onto Rockbrook Ln.
If you reach Sandy Point Ln you've gone about 0.1 miles too far.
Then 0.13 miles 6.51 total miles
8. Turn right onto Winged Teal Ct.
Then 0.09 miles 6.60 total miles
9. Take the 1st left onto Spring Cove Way.
If you reach the end of Winged Teal Ct you've gone a little too far.
Then 0.19 miles 6.79 total miles
https://www. mapq uest.com/directionsilistll /us/north-carol ina/bel montl28012-9536/906-southpoint-rd-35.222023,-81.040435/to/us/nc/bel montl28012/4... 112

12/20121, 1:48 PM 906 Southpoint Rd, Belmont, NC 28012-9536 to 4116 Spring Cove Way, Belmont, NC, 28012 Directions - MapQuest
10. 4116 Spring Cove Way, Belmont, NC 28012, 4116 SPRING COVE WAY is on
the right.
Your destination is just past Watercrest Trl.
If you reach the end of Spring Cove Way you've gone a little too far.
M Save to My Maps
Use of directions and maps is subject to our Terms of Use. We don't guarantee accuracy, route conditions or usability. You assume all risk of use.
e
https://www, mapquest.com/directions/list/1 /us/north-carol ina/bel montt28012-9536/906-south point-rd-35.222023,-81.040435/to/us/nc/belmont/28012/4... 2/2

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PROPERTY LEGAL DESCRIPTION:
LOT NO: 3 $r PLAN NO: PARCEL ID:
STREET" ADDRESS:
�llCo Spr �i 9yo falcl�/
Please print:
Property Owner: O a 5o' We n a Q, i
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
Randall Clawson
of Clawsons Pile Driving and
Construction
(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):
e20S ba��e.rr�-/ �r
A/ C 2zo 12
Telephone: `ZcAP - (� D y — -7?-(o 3
We hereby certify the above information submitted in this application is true and accurate tothe
best of our knowledge.
Authorized a re (�AuthOriZed Signature
i 7_"170
Date Date

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: �{l�� r'pw Ii1fa�! 1341vuo,n,�p1,�, County: �'zr«s4-Lr►
Owner: �E4/702/
Print
Contractor/agent: _
rint
Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B .0243(6)]
Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243
(6))
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
OCihfl Q6( , hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting
materials.
Signature (.owner): Date: 'A') A)