20220603 Ver 1_Shoreline Stabilization_20220426

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 4/24/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Jim & Cheryl Piazza
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
1033 Amberley Crossing Drive
Address Line 2
City
Belmont
Postal / Zip Code
28012
State / Province / Region
NC
Country
United States
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Piazza Shoreline Stablilization
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:*
35.166639
Street Address
5210 Woodland Bay Drive
Address Line 2
City State / Province / Region
Belmont NC
Postal / Zip Code Country
28012 US
Longitude: *-81.043549
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*
Piazza survey - shore stabilization.pdf 358.61KB
Piazza shore stabilization - Woodland Bay area
661.87KB
map.pdf
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.)
Piazza shore stabilization - pictures of
shoreline.pdf
4.46MB
4. Location of the property (where work is to be conducted)
Nearest Town: *
County:*
Lake/ river/ ocean adjacent to
property:
Subdivisions name or site address: *
Belmont
Gaston
Lake Wylie
5210 Woodland Bay Drive (Lot 69) - Woodland Bay Subdivision
Include phase/lot number
Directions to site: *
From NC-278(E) or South New Hope Road, turn onto Woodland Bay
Drive. Lot 69 will be on the right approximately one mile from entrance to
subdivision. Gate code is 03144.
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 lot located in subdivision. Lot has not been built on as of yet.
Residential, undeveloped, etc.
6. Property Size
1.031 acres
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Recently purchased lot and would like to add rip rap to stabilize the
shoreline to prevent erosion from occurring. Also to make the shoreline
look nicer.
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.)
200
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.)
200
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)
We will have to remove approximately 4-6 trees that are already leaning
into the lake (see attached pictures submitted above). We will also have to
clear some underbrush to make room for the rip rap to be installed.
Sketch:
Piazza shoreline stabilization - view
633.7KB
sketches.pdf
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
a 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.
a 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");
a 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");
a 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: * Cheryl M. Piazza
Signature:
Cheryl Al.
Submittal Date: 4/24/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220603 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

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if-yPlan View
Lake
(At NIT Pond(Normal Water Level)
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EX.AM...PIE E
Plan View
FORM:SSGP 09-2020 Page 4 of 6

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FORM:SSGP 09-2020 Page 5 of 6