20220776 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 6/5/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Howard & Donna DeCesare
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
107 Elba Drive
Address Line 2
City
Mooresville
Postal / Zip Code
28115-5800
State / Province / Region
NC
Country
US
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * Saundra B Mosteller
Company Affiliation: * Dale & Beth's Lake Use Permit Service
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
988 Clear Creek Circle
Address Line 2
City State / Province / Region
Lincolnton North Carolina
Postal / Zip Code Country
28092 United States
A signed and dated copy of the Agent Authorization letter:*
agent.pdf 620.31 KB
Catawba Buffer.pdf 1.23MB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
DeCesare 148 Maple View Dr Lot 107
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:
vicinity.pdf 159.1 KB
plat highlighted.pdf 1.4MB
directions.pdf 85.99KB
Latitude: * 35.661900
Longitude: *-80.932040
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*
stabilization drawing.pdf 193.32KB
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.)
pictures.pdf 228.8KB
4. Location of the property (where work is to be conducted)
Nearest Town: * Mooresville
County: * Iredell

Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
148 Maple View Dr Mooresville NC Lot 107
Include phase/lot number
Directions to site: *
from 526 S Church St Charlotte NC, get on I-277 S, follow I-77 N to NC-
115 N/US-21 N in Iredell County, take exit 42 from I-77 N, continue on
NC-115 N/US-21 N, take Autumn Leaf Rd and State Park Rd to Maple
View Dr
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: *
vacant lot, dock - (new construction)
Residential, undeveloped, etc.
6. Property Size 2.0636
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
stabilize 420 ft of shoreline following existing contour using class B rip
rap, needed due to wave action
8. How will the work be done?*
tv 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.)
1680
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.)
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)
heavy wooded no tree removal, grass and mulch
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");

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");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Saundra Beth Mosteller
Signature:
454,ffeertervar4Chrotoefet
Submittal Date: 6/5/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220776 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

AGENT AUTHORILMON FORM
PROPERTY LEGAL DESCRIP F ION:
LET NO. 107 PLAN NO. PARCEL Id: 4720611487
5 i kEET ADDRESS: 148 Maple ViewDr,. Troutrnan, NC 28166
Please print:
Property Owner: Howard and. Donna DeCesare
The undersigned, registered property owners of the above noted property, do hereby authorize
-.-- Beth Mo.steer__. --. . ..., of �.__ Dale & Beth's Lake Use Permit_ Service
(Contractor I Agent) ( Na me 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 .
Property Owner's Address (if different than property above) :
_ 107 Elba Drive - --- -- _ -- ----Mooresville NC 28115-5800
Telephone: [phone]OO ... _
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge .
Howard DeCesare
Apthorized Signature
••
J>L1"--AA
Donna DeCes&e
Authorized Signature
Date: - 1 - .�

CATAWBA RIPARIAN BLI_ FFER NOTIFICATION FORM
dell
Project Name/address: 148 Ma • le View Dr Troutma 28166 County: lre
Owner Howard DeCesare
Print Signature
Dana DeCesare 2 AILA„,"
Print - - - Signature
Contractor/agent: Beth 1Vfasteller � �Print Signature
The approval is for the purpose and design described in your application . Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application . [ISA NCAC
02H .0506 and 15A NCAC 028 .0243(8)1
Trees are not allowed to be removed from Zone of the Buffer (within 30 ft of the full pond elevation ), unless
approved . Exception, those trees that are severely undermined along the immediate shoreline can be removed .
Minimal shaping and sloping along the immediate shoreline is allowed . [15A NCAC 02B O243(6)]
Benching, grading in the duffer is not allowed . Excessive disturbance of ground cover. [15A NCAC 02B .0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be removed . The
work corridor should be described The approved access corridor shall be restored . Stagging, spoil, construction
material must be outside the buffer_ [15A NCAC 02H .0502 and 15A NCAC 028 .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake . All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non-erosive velocities to the lake . [15A NCAC 02B O243(5), (6)]
A ckn o wiedgem en t of Notification
I, Howard & Donna hereby state that I have been informed of the Catawba Riparian Buffer
Rule. Any work conducted an the buffer, not specifically stated in the application and approved by the Division
of Water Resources ( DWR), is a violation and subject to enforcement_ Due diligence will be taken such that the
construction will be built within substantial compliance and intent of the 401 Water Quality Certification and
Buffer Rules, the approved • Ian specifications), and other supporting materials.
• �, .'
Signature (owner) : ff � Date • ��� I
Howard D Cesar
.� uLJY _ Date: (,:,-
Donna DeCesare

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Place Name
148 Maple View Dr Troutman, NC
Add the country code for better results. Ex: London, UK
Latitude
Longitude
35.661900-80.932040
T
For better accuracy please type Name Address City State Zipcode.

Side View
Shoreline
....................................
Lake Norman 760 ElevatioriqIM
(At Full Pond/Normal Water Level)
f...............................................
4 foot base below full pond lake bottom
Top View
Lake
(At Full Pond/Normal Water Level)
420 feet following contour of shoreline
...................................................................
4�
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50 foot land in ward corridor access x 10 ft wide = 500 sq ft
4 foot base below full pond lake bottom x 420 ft along shoreline = 1680 sq ft
2180 square feet total

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