20220591 Ver 1_Shoreline Stabilization_20220421

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
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 *
[e-mail]
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 4/19/2022
submitted on: *
Owner Information:
Name: * Robert E Lowder
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
9747 Pine Tree Rd
Address Line 2
City
Norwood
Postal / Zip Code
28128
State / Province / Region
North Carolina
Country
[e-mail]
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Robert Lowder sea wall 9747 Pine Tree Rd Norwood NC
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: Survey 9747.pdf 32.55KB
Latitude: *
35.217758
Longitude: *-80.095765
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*
Survey showing wall and veg impact.pdf 38.86KB
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.)
wall pic 1.pdf 559.46KB
wall pic 2.pdf 559.75KB
wall pic 3.pdf 519.94KB
wall pic 4.pdf 615.44KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Norwood
County:* Stanly
Lake/ river/ ocean adjacent to Tillery
property:
Subdivisions name or site address: *
Country Club estates lots180-183
Include phase/lot number
Directions to site:*
US 52S through Norwood then turn left on Fork Rd. Turn left on Piney
Point Rd. Turn left on Pine Tree Rd. House is 3/10 of a mile 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: *
Single family home with existing sea wall made of wood on the lake
Tillery. Material is in very bad shape after years of being in place.
Residential, undeveloped, etc.
6. Property Size .46
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Replace the wooden sea wall with Concrete Blocks (roughly 4 feet long, 2
ft wide, and 30 inches high each weighing approx 20001bs). No change in
location. This has been discussed with Duke Energy and I have a verbal
ok from them. I can't proceed with theirs until I have one from the state.

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.)
408
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.)
408
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)
normal grass and a few trees, none of which will be impacted in any way
by the project.
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: * Robert E Lowder
Signature:
i4e-t
Submittal Date: 4/20/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220591 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville 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

(*.STATE OF NORTH CAROLINA
I, BARRETT D. EATMAN, PLS L-3556, CERTIFY THAT THIS
PLAT WAS DRAWN UNDER MY SUPERVISION FROM A CLASS A
SURVEY MADE UNDER MY SUPERVISION (REFERENCES AS SHOWN
HEREON); EXCEPT AS SPECIFICALLY STATED OR SHOWN ON
THIS PLAT, THIS SURVEY DOES NOT PURPORT TO REFLECT ANY
OF THE FOLLOWING WHICH MAY BE APPLICABLE TO THE
SUBJECT REAL ESTATE: EASEMENTS, OTHER THAN POSSIBLE
EASEMENTS THAT WERE VISIBLE AT THE TIME OF MAKING THIS
SURVEY; BUILDING SETBACK LINES; RESTRICTIVE COVENANTS;
SUBDIVISION RESTRICTIONS; ZONING OR OTHER LAND USE
REGULATIONS; ANY OTHER FACTS THAT AN ACCURATE AND
CURRENT TITLE SEARCH MAY DISCLOSE: DECLARATION IS MADE
TO ORIGINAL PURCHASER OF THE SURVEY AND IS NOT
TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS; WITNESS MY ORIGINAL SIGNATURE, THIS /g DAY
OF 7gamap/ 2021.
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/ STATE OF NORTH CAROLINA
I, BARRETT D. EATMAN, PLS L-3556, CERTIFY THAT THIS
PLAT WAS DRAM UNDER MY SUPERVISION FROM A CLASS A
SURVEY MADE UNDER MY SUPERVISION (REFERENCES AS MOWN
HEREON); EXCEPT AS SPECIFICALLY STATED OR SHOWN ON
THIS PLAT, THIS SURVEY DOES NOT PURPORT TO REFLECT ANY
OF THE FOLLOWING WHICH MAY BE APPLICABLE TO THE
SUB,ECT REAL ESTATE: EASEMENTS, OTHER THAN POSSIBLE
EASEMENTS THAT WERE VISIBLE AT THE TIME OF MAKING THIS
SURVEY; BUILDING SETBACK UNES; RESTRICTIVE COVENANTS;
SUBDIVISION RESTRICTIONS; ZONING OR OTHER LAND USE
REGULATIONS; ANY OTHER FACTS THAT AN ACCURATE AND
CURRENT TITLE SEARCH MAY DISCLOSE DECLARATION IS MADE
TO ORIGINAL PURCHASER OF THE SURVEY AND IS NOT
TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS; WITNESS MY ORIGINAL SIGNATURE, THIS fig DAY
OF 741. t t 91 2021.
BARRETT D. EATMAN, PLS L-3556
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