20220775 Ver 1_Shoreline Stabilization_20220609

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 6/3/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Dane Baltich
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
266 Lakeview Shores Loop
Address Line 2
City
Mooresville
Postal / Zip Code
28117
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: * Baltich Steps
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: *
35.580546
Street Address
266 Lakeview Shores Loop
Address Line 2
266 Lakeview shores loop
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117 US
Longitude: *-80.942576
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*
IMG 6181.pdf 3.57MB
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.)
IMG_6183.pdf 3.61 MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: *
266 Lakeview Shores Loop
Include phase/lot number
Directions to site: *
Heading west on Brawley turn right onto mckendree, then right onto
Lakeview Shores Loop
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: *
Residence
Residential, undeveloped, etc.
6. Property Size .781
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Non -mortared stone steps from flat land down slope to the dock

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.)
None
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.)
4x40ft
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)
None
Sketch: IMG_6181.pdf 3.57MB
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:*
Signature:
Submittal Date:
Dane Baltich
6/3/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220775 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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* PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED
• 1ir DRADOCE & UTILITY EASEMENT MAY EXIST ALONG ALL LOT LINES.
• t7llitiER TO iY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
Ca TION.
DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THIS PLAT SHOULD NOT BE SCALED OR REUED
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION OF ALL DIMENSIONS.
• DaTAt COPIES OF THIS FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DESIGN WORK.
• ALL UNDERGROUND UTILITIES ARE NOT SHOWN HEREON.
* 10' DRAINAGE & UTILITY EASEMENT MAY EXIST ALONG ALL LOT U NES.
A PORTION OF THIS PROPERTY IS LOCATED IN A 100 YEAR FLOOD PLAIN
AS DESIGNATED 6Y FIRM PANEL .4627
EFFECTIVE DATE: 6/16/2009
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Course
Bearing
Distance
L1
N 30'10'17"
E
34.89'
` L2
N 11'36s00-
"
E
9.49'
L3
N
32'21'00"'
E
24.82` ,
L4
N 14'24`00"
E
' 25.41
`
L5
N 00'36'00"
E
24.52'
L6 _ N
25'29'34* E
a 26.38'
FENCE CORNER IS ON
THE BOUNDARY UNE
ADJOIN ER'S
FENCE CORNER
ENCROACHES 1.69'
ALUMINUM FENCE
STONE DRIVEWAY
ENCROACHES 2.02
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Length
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88.14'
85.80'
5
5619'54"
w
40
GRAPHIC SCALE - FEET
40
80
LEGEND:
BOUNDARY LINE
• SANITARY SEWER LI1+E
• NATURAL. GAS UNE
UNDERGROUND POWER
OMERHEAD UTILrfES
UNDERGROUND TELEPHONE
• WATER UNE
t} FENCE (TYPE NOTED)
CP in COMPUTED POINT (UNMARKED)
R/W it RIGHT-OF-WAY
E/P - EDGE OF PAVEMENT
C/L - CENTERLINE
0 al UTILITY POLE
LOT 315
MB 60 PG 142
STONE DRIVEWAY
ENCROACHES 1.13
3'
*BUILDING SETBACK INFORMATION
PER MAP BOOK 60 PAGE 142
FRONT: 35'
REAR: 35'
SIDE: 15'
LAKE SIDE: 50'
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PHYSICAL SURVEY
FOR
DANE BALTICH
LOT 314 OF CRESCENT LAND & TIMBER SEC. 8
0 266 LAKE IEW SHORES LP, MOORESVILLE. NC
DAVIDSON TOWNSHIP — IREDELL COUNTY, NC
SCALE: 1" = 40'
DEDMON SURVEYS
CHUCK POOVEY, PLS 413762
ROBERT DEDMON, PLS #3899
3704 NC HIGHWAYfil6 NORTH
P.O. BOX 494 -DELAYER, NC 28037
PHONE: [phone]
FAX: [phone]
WWW.DED M O N 5 U RVEYS.CO M
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1, DAVID C. POOVEY. CERTIFY THAT THIS PLAT WAS
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION (DB 2747, PG 2046) (PB 60. PG
142); THAT THE RATIO OF PRECISION AS
CALCULATED EXCEEDS 1:10000: THAT THIS PLAT
WAS PREPARED IN ACCORDANCE WITH G5 47-30
AS AMENDED. WITNESS MY ORIGINAL SIGNATURE,
REGISTRATION NUMBER AND SEAL THIS 31 ST DAY
OF . • CEMBER, 2020.
•
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VICINITY MAP
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SITE X
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MOTES:
* PROPERTY MAY BE SUBJECT TO RECORDED OR
UNRECORDED RIGHTS OF WAYS OR EASEMENTS
NOT OBSERVED
• 1ir DRADOCE & UTILITY EASEMENT MAY EXIST ALONG ALL LOT LINES.
• t7llitiER TO iY ALL SETBACKS AND ZONING
REGULATIONS PRIOR TO ANY PLANNING OR
Ca TION.
DIMENSIONS OF ALL IMPROVEMENTS SHOWN ON
THIS PLAT SHOULD NOT BE SCALED OR REUED
UPON FOR DESIGN OR CONSTRUCTION WITHOUT
A FIELD VERIFICATION OF ALL DIMENSIONS.
• DaTAt COPIES OF THIS FILE ARE FOR REFERENCE
ONLY AND MAY NOT BE USED FOR DESIGN WORK.
• ALL UNDERGROUND UTILITIES ARE NOT SHOWN HEREON.
* 10' DRAINAGE & UTILITY EASEMENT MAY EXIST ALONG ALL LOT U NES.
A PORTION OF THIS PROPERTY IS LOCATED IN A 100 YEAR FLOOD PLAIN
AS DESIGNATED 6Y FIRM PANEL .4627
EFFECTIVE DATE: 6/16/2009
pa, eme /me Mat a••••, ese 10
r r 0110 re.'MI° Se-
r -001 rmer —
NORMAN :a:
�r
r-'Ner DOCKS, PIERS OR OAR:
- �...� BUILT ON WE.
NOT SHOWN ON TIES
r r .SURVEY PIATr' .••r
— r pear r .-- — p
DEDMON SURVEYS
0
Dame
eel
16 REBAR
et. /
04 REBAR
LO
Course
Bearing
Distance
L1
N 30'10'17"
E
34.89'
` L2
N 11'36s00-
"
E
9.49'
L3
N
32'21'00"'
E
24.82` ,
L4
N 14'24`00"
E
' 25.41
`
L5
N 00'36'00"
E
24.52'
L6 _ N
25'29'34* E
a 26.38'
FENCE CORNER IS ON
THE BOUNDARY UNE
ADJOIN ER'S
FENCE CORNER
ENCROACHES 1.69'
ALUMINUM FENCE
STONE DRIVEWAY
ENCROACHES 2.02
24 ni eps
Rp/i.�03/45 GIS
Ur
A
LOT 313
MB 15 PG 66
•
l
y
81
2
STONE DRIVEWAY
CROACHES 0.44'
1
Cu rve
Radius
I
Length
1
Chord
Chord Bear.
Cl
110.00'
88.14'
85.80'
5
5619'54"
w
40
GRAPHIC SCALE - FEET
40
80
LEGEND:
BOUNDARY LINE
• SANITARY SEWER LI1+E
• NATURAL. GAS UNE
UNDERGROUND POWER
OMERHEAD UTILrfES
UNDERGROUND TELEPHONE
• WATER UNE
t} FENCE (TYPE NOTED)
CP in COMPUTED POINT (UNMARKED)
R/W it RIGHT-OF-WAY
E/P - EDGE OF PAVEMENT
C/L - CENTERLINE
0 al UTILITY POLE
LOT 315
MB 60 PG 142
STONE DRIVEWAY
ENCROACHES 1.13
3'
*BUILDING SETBACK INFORMATION
PER MAP BOOK 60 PAGE 142
FRONT: 35'
REAR: 35'
SIDE: 15'
LAKE SIDE: 50'
120
r4 REBAR
tee
0
STONE DRIVEWAY
CROSSES BOUNDARY
UNE
vo
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Ct)
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REBARiS�
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co
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CSC
0
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.
•
PHYSICAL SURVEY
FOR
DANE BALTICH
LOT 314 OF CRESCENT LAND & TIMBER SEC. 8
0 266 LAKE IEW SHORES LP, MOORESVILLE. NC
DAVIDSON TOWNSHIP — IREDELL COUNTY, NC
SCALE: 1" = 40'
DEDMON SURVEYS
CHUCK POOVEY, PLS 413762
ROBERT DEDMON, PLS #3899
3704 NC HIGHWAYfil6 NORTH
P.O. BOX 494 -DELAYER, NC 28037
PHONE: [phone]
FAX: [phone]
WWW.DED M O N 5 U RVEYS.CO M
lttgrir461;torhillt
set ede
"Zr V A et4114?—
Nal
= •—
SEAL
L_3"762 _
to flte 1
ScrifiC4v sow
ees./Dossiannoto, .`t.
1, DAVID C. POOVEY. CERTIFY THAT THIS PLAT WAS
DRAWN FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION (DB 2747, PG 2046) (PB 60. PG
142); THAT THE RATIO OF PRECISION AS
CALCULATED EXCEEDS 1:10000: THAT THIS PLAT
WAS PREPARED IN ACCORDANCE WITH G5 47-30
AS AMENDED. WITNESS MY ORIGINAL SIGNATURE,
REGISTRATION NUMBER AND SEAL THIS 31 ST DAY
OF . • CEMBER, 2020.
•
LAND
OR
SUJ RV.. BY: KPJ
VICINITY MAP
L-3762
LICENSE N0.
.waif tsI-266x
SITE X
MCKENDREE RD
GoATK11L RO
LAKEVIEW
SHORES LP
MANLEY
SCE RD