HomeMy WebLinkAbout20220753 Ver 1_Shoreline Stabilization_20220601Shoreline 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 *
tony@capotebuilders.com
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 5/31/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
ANTONIO MANUEL CAPOTE
tony@capotebuilders.com
(704)400-5481
(xxx)xxx-xxxx
Street Address
5426 Capote Rd
Address Line 2
maiden nc 28650
City State / Province / Region
maiden NC
Postal / Zip Code Country
28650 United States
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
capote lake house
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:*
35.525740
Street Address
878 NC Hwy 16
Address Line 2
City State / Province / Region
Denver NC
Postal / Zip Code Country
28037 US
Longitude: *-81.046945
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*
Front and Side View drawing.pdf 1.87MB
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.)
lake stabil 2.pdf 150.92KB
lake stabil 3.pdf
lake stabil 1.pdf
149.83KB
138.53KB
4. Location of the property (where work is to be conducted)
Nearest Town: * denver
County:* Lincoln
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: *
catawba springs lot 2 and adj.
Include phase/lot number
Directions to site: *
hwy 73 east turn left on hwy 16 business turn right on first drive after
Harbour master court in Denver
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: *
land use is for new residential home construction
Residential, undeveloped, etc.
6. Property Size 2. acres +/-
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
added rip rap to stabilize shoreline and prevent further 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.)
1,500
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.)
4,500
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)
no disturbance of trees, just rip rap to prevent erosion and mulch to
stabilize ground
Sketch: Shoreline drawing.pdf 438.32KB
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:* Antonio Capote
Signature:
ao.nlve.e3eefeeit
Submittal Date: 5/31/2022
Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220753 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - (704) 663-1699
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
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
La ke
(At Full Pond/ Normal Water Level)
i
Full Pond/ Normal Water Level
Shoreline o v�oo- Is`x2� �.
Plea View
FORM: SSGP 02-2017 Page 1 of 3
'A
a)
Lake
(At Full Pond/ Normal Water Level) 4-J"
.7 . r, f/—
Side View
-,; CA
Lake
pew Po1w ftmm WAK IeQ Existing Dock
3 30ft.-Ift 011,711
3ft.15oft
selamfullpond(NWL
Full Pond/ Normal Water Level
4ftxI50ft
nrorerine— Riprap p Ab—f.Hpnd/NWL
2ft-.150ft.
if ne mry
E AM P L
Plan View
FORM: SSGP 02-2017 Page 2 of 3
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