20220299 Ver 1_Shoreline Stabilization_20220224

Shoreline Stabilization Application Form
NORTH CAROLINA
EnWnnmentufQu&lry
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 *
Owner Information:
[e-mail]
Please provide an email address for payment and requests for more information here.
Name: * Greg and Terry Norell
Email: * [e-mail]
Phone Number: [phone]
(x)o)xxx-xxxx
Mailing Address:* Street Address
1377 Old Dry Creek Road
Address Line 2
City State / Province / Region
Morganton NC
Postal / Zip Code Country
28655-0002 US
Is there an agent working on the project? * Yes
• No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Norell property 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: *
Latitude:*
35.769750
Street Address
1365 Old Dry Creek Road
Address Line 2
City State / Province / Region
Morganton NC
Postal / Zip Code Country
28655-0002 US
Longitude:* -81.841839
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*
Norell site plan 2021.pdf I.86MB
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.)
Norell shoreline pics 2022.pdf 474.55KB
4. Location of the property (where work is to be conducted)
Nearest Town: * MORGANTON
County:* Burke
Lake/ river/ ocean adjacent to Lake James
property:
Subdivisions name or site address:*
Dry Creek Lot 2
Include phase/lot number
Directions to site: *
From Freedom High School in Morganton take Hwy 126 8.1 miles and
Turn L onto Sountpointe Dr. Travel 0.4 mile and turn R onto Old Dry
Creek Rd. Property is 0.4 mi on L
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: *
Undeveloped lot
Residential, undeveloped, etc.
6. Property Size 2.8
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Addition of rip rap to the shoreline in keeping with the neighboring
property to prevent 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.)
650
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.)
1650
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)
Vegetation disturbance will consist of string trimming weeds prior to
adding rip rap. No tree removal necessary
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):
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
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Ten -el w Knutson
Signature:
Submittal Date: 2/22/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220299 Version:* 1
Select Reviewer: * Mitchell Anderson:eads\mlanderson
Select Reviewing Office: Asheville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
C Fee Received
C• Need Fee - send electronic notification
What amount is owed?*
C• $240.00
C $570.00

LEGEND
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1395-930
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O EXISTING #5 REBAR/PLASTIC CAP
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❑o POWER BOX
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SI WATER VALVE
❑ WATER METER
40
0
40
80
120
GRAPHIC SCALE - FEET
EXISTING PROPERTY LINE
CRESCENT RESOURCES, LLC
1395-930
COS-3
PLAT BOOK 26 PAGE 171
EXISTING
ASPHALT DRIVEWAY
EXISTING BEING LOT #2 OF "SOUTHPOINTE"
GRAVEL ROAD — _ ' SUBDIVISION, RECORDED IN PLAT
R-2 BOOK 26 PAGES 167 THRU 178 AT
THE BURKE COUNTY REGISTER OF
I EXISTING DEEDS.
• MULCH PATH
PROPOSED RIPRAP AREA
ENVIRONMENTAL AREA
PIER ZONE
EXISTING
DOCK, RAMP
AND BOAT SLIP
LAKE JAMES
Date: 2/18/2022
Revision #: 1
Scale: 1 " = 40'
Landscape Plan: N01'@ll Site Plan
1
Landscape Design by: Terrell Knutson Al3vIrma, ALacgl
NATuREscAPES
Appalachian Naturescapes Custom Landscape Designs
828-438-8243