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Home My WebLink About20220535 Ver 1_Shoreline Stabilization_20220406 Shoreline Stabilization Application Form NORTH CAROLINA EnWrortmental Quaiity 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* brittany@lakelifepermits.com Please provide an email address for payment and requests for more information here. Owner Information: Name:* Annette Rowen Email:* andir2015@yahoo.com Phone Number: (262)498-0834 (xx()xxx-xxxx Mailing Address:* Street Address 4363 Little Fork Cove Road Address Line 2 City State/Province/Region Denver NC Postal/Zip Code Country 28037-8483 US Is there an agent working on the project?* Yes No Agent/Consultant Information Name:* Brittany Hepler Company Affiliation:* Lake Life Permits,LLC. Email:* Brittany@lakelifepermits.com Phone Number:* (704)230-7297 (xx()xxx-xxxx Mailing Address:* Street Address 123 Institute St Address Line 2 Unit 393 City State/Province/Region Mooresville NC Postal/Zip Code Country 28115 US A signed and dated copy of the Agent Authorization letter:* Auth Agent_1(1).pdf 417.28KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* Rowen 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 4363 Little Fork Cove Road Address Line 2 City State/Province/Region Denver NC Postal/Zip Code Country 28037-8483 US Latitude:* 35.52903 I Longitude:* -80.985834 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* Rowen Plat.pdf 226.41 KB rowen shoreline 1.pdf 75.55KB Rowen shoreline 2.pdf 77.72KB rowen shoreline 3.pdf 73.21KB rowen shoreline 4.pdf 100.21KB rowen shoreline 5.pdf 103.77KB rowen shoreline 6.pdf 87.53KB Please use the diagram at the link below: https://edocs.deq.nc.gov/WaterResou rces/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.) rowen shoreline 1.pdf 75.55KB Rowen shoreline 2.pdf 77.72KB rowen shoreline 3.pdf 73.21KB rowen shoreline 4.pdf 100.21KB rowen shoreline 5.pdf 103.77KB rowen shoreline 6.pdf 87.53KB 4. Location of the property(where work is to be conducted) Nearest Town:* Denver County:* Lincoln Lake/river/ocean adjacent to Norman property: Subdivisions name or site address:* Lot 68 Include phase/lot number Directions to site:* Get on I-277 S 1 min(0.5 mi) Head southwest on S Church St toward W Stonewall St 0.1 mi Turn right to merge onto I-277 S 0.3 mi Follow NC-16 N to Optimist Club Rd in Lincoln County 26 min(22.0 mi) Merge onto I-277 S 0.3 mi Take exit 1C to merge onto 1-77 N/US-21 N toward Statesville 1.4 mi Take exit 11B on the left for NC-16 N/Brookshire Freeway W 0.4 mi Merge onto I-277 N/NC-16 N 0.3 mi Continue onto NC-16 N Pass by Mecklenburg County ABC Store#13(on the right in 2.1 mi) 19.6 mi Take NC-16 Business N and Webbs Rd to Little Fork Cove Rd 12 min(6.1 mi) Turn right onto Optimist Club Rd 1.0 mi Turn left onto Triangle Cir 0.4 mi Turn left onto NC-16 Business N 2.9 mi Turn right onto Webbs Rd 1.4 mi Turn left onto Little Fork Cove Rd Destination will be on the left 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.Pier and home to be under construction.2 concrete boat ramps and boat house/lean too. Residential,undeveloped,etc. 6. Property Size 0.768 Acres 7. Describe proposed work(include discussion as to how hardening of shoreline has been avoided,or why it is necessary): Seeking permission to demo and haul away 2 boat ramps and existing "boat house"or lean too.Reinforce and refresh 205 ft of shoreline with rip rap,using some of the existing rock,bringing in some new.There are two 3'-5'areas that have eroded into the lake.Will need to remove 8 trees in total.2 fallen trees on the actually shoreline,within the rip rap.One dead tree next to the boat house and 5 trees within the buffer that are very large in size and will need to be removed for access. 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.) 820 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.) 410 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) 8 trees to be removed and some bushes along shoreline.Prepared to plant back more trees than what is being removed. Sketch: Rowen Marked Survey Tree Removal.pdf 357.16KB rowen shoreline 1.pdf 75.55KB Rowen shoreline 2.pdf 77.72KB rowen shoreline 3.pdf 73.21KB rowen shoreline 4.pdf 100.21KB rowen shoreline 5.pdf 103.77KB rowen shoreline 6.pdf 87.53KB 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 a 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 a I intend to electronically sign and submit the Shoreline Stabilization online form. Full Name:* Brittany Hepler Signature: / 1 t Submittal Date: 4/4/2022 Initial Review Is this accepted into the review process?* • Yes No Project Number:* 20220535 Version:* 1 Select Reviewer:* Doug Perez:eads\djperez Select Reviewing Office: Mooresville Regional Office-(704)663-1699 Has payment been received?* C No Payment Needed C Fee Received C• Need Fee-send electronic notification What amount is owed?* '• $240.00 $570.00 SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: 7 �j Q� LOT NO, U E PLAN NO, - �PAARCEL ID: UIDS�3Z J 1v STREET ADDRESS: L 3 L" 1 1 r— Got& JQ o iitiiitAtr P2 i ; Please print: 7l Y l► d+c' fJ „�lon Properly Owner; //��7yIa / vnK-VV`wv1 Property Owner: MA 6t4l�k I "w The undersigned,registered property owners of the above noted �property,do hereby authorize OVi- (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. 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