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Home My WebLink About20220326 Ver 1_Shoreline Stabilization_20220301Submission 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: Name: * Email: * Phone Number: Mailing Address:* kim@dockmastersonline.com Please provide an email address for payment and requests for more information here. Greg Linscott linscog@yahoo.com (254)218-2019 (xxx)xxx-xxxx Street Address 2714 Dualin Drive Address Line 2 City Fort Mill Postal / Zip Code 29707 Is there an agent working on the project?* Yes No Agent/Consultant Information ............................................................................................................................................................................... Name: * Kim Broome Company Affiliation: * Email: * Phone Number: * Dock Masters Marine kim@dockmastersonline.com (803)831-1633 (xxx)xxx-xxxx State / Province / Region Sc Country United States Mailing Address:* Street Address 5850 Charlotte Hwy Address Line 2 City Clover Postal / Zip Code 29710 A signed and dated copy of the Agent Authorization letter: Linscottagent.pdf 288.76KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* Linscott Shoreline State / Province / Region SC Country United States 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: Linscottmap.pdf Latitude: * 35.096214 185.52KB Longitude: *-81.096252 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* Linscottsurvey.pdf 843.43KB Please use the diagram at the link below: https:Hedocs.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.) Linscottpicsurvey.pdf 1.07MB 4. Location of the property (where work is to be conducted) Nearest Town: * Charlotte County: * Mecklenburg Lake/ river/ ocean adjacent to Lake Wylie property: Subdivisions name or site address:* 15022 Waymart Lane, Charlotte NC Lot 2 Include phase/lot number Directions to site: * Hwy 49 turn L onto Shopton - L onto 4 horse Rd. 4 horse road turns into Waymart. End at 15022 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 .788 Acres Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Place rip rap along approx 125' of shoreline to aid in Erosion Control. Only trees 2" or less, undermined or dead will be removed. 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.) 375' 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.) 250' 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) only trees 2" or less, dead or undermined will be removed Sketch: Linscottpics.pdf 1.28MB 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:* Kim Broome Signature: Submittal Date: 2/28/2022 Initial Review Is this accepted into the review process?* Yes No Project Number:* 20220326 Version: * Select Reviewer:* Select Reviewing Office: Has payment been received?* What amount is owed?* Doug Perez:eads\djperez Mooresville Regional Office - (704) 663-1699 No Payment Needed Fee Received Need Fee - send electronic notification $240.00 $570.00 AGENT AUTHORIZATION FORM Property legal description Lot No, Q- Plan No. Parcel ID: Street Address Property Owner: The undersigned, registered property owner of the above noted property, do here authorize Cr,Cctor/ of -Is toragent Business Name To act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Property owner's address (if different from above): I ;L)c- Telephone: . - 1 - �� V:�\ We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. AuthoA/zed Signature Au edSignature Date: Date: V, 'A A _J%: 1,1, A�l lY �Al W4 4M A, M- VAI A. A' M, '-vlWlll "TA! 3. A `; "l �,� —1- A A', WAi` L,j 1r V, —1 d C.jA iI Ir. - IA13 A LOT OR CINALLY RECORDED IN OCT 2000 Ma34-102 I'll IMPERI,l.S INFORMATION MAXIMUM IMPERVIOUS ALLOWED 24% 8,239 SF 2.973 SF IMPERVIOUS SHOWN IN FOUNI)ATION ^ �. 57�'.'3g.00 LOT 1 COPPER COVW NAP I REVISION JM:63-790 aNOWT jvmmli WCHAn L RYOK DF".111393-878 iffl.83-?90 TAX #199-321 -44 N WE sn -W+E WAMART L"E RopD s VICINITY MAP 1C NO SCALE V 1 N 'X$AO S-N V7N R� M� YA ? r I'L A7 C,C v U7 �A x , Ir AN:)S��A:l� iA�WV [A'qw F S !ASEW� R C`7 WAY U f7_UALZ FFFi 70' CONTOUR LINE NOW OR FURAMRLY CHARLES N. MIYERS JUCHAn L. 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