20220803 Ver 1_Shoreline Stabilization_20220614

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 6/10/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
PAUL W KRAMER
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
136 Rollingwood Lane
Address Line 2
City
Mooresville
Postal / Zip Code
28117-8975
State / Province / Region
NC
Country
US
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * TAMARA HAGER
Company Affiliation: * RENEGAR CONSTRUCTION
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
PO BOX 5335
Address Line 2
City State / Province / Region
MOORESVILLE NC
Postal / Zip Code Country
28117 US
A signed and dated copy of the Agent Authorization letter:*
KRAMER AUTH.pdf 171.77KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
KRAMER
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: KRAMER SURVEY.pdf 143.26KB
Latitude:*
35.544083
Longitude: *-80.949358
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*
KRAMER SKETCH.pdf 104.33KB
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.)
KRAMER PICS.pdf 86.16KB
4. Location of the property (where work is to be conducted)
Nearest Town: * MOORESVILLE
County: * Iredell
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:

Subdivisions name or site address: *
CRESENT LAND &N TIMBER LOT NUMBER 127
Include phase/lot number
Directions to site: *
FROM MARSHALL STEAM STATION TRAVEL HWY 150 E 9.9
MILES, TURN RIGHT ONTO MORRISON PLANTATION 1.1 MILES,
TURN RIGHT ONTO BRAWLEY SCHOOL RD 3,.4 MILES, TO
CHUCKWOOD RD TURN RIGHT .80 MILES, TURN LEFT ONTO
BARBER LOOP .80 MILES, TURN LEFT ONTO OLD ARBORWAY
RD .10 MILES, CONTINUE STRAIGHT ONTO ROLLINGWOOD LN
.10 MILES, PROPERTY ON RIGHT.
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
Residential, undeveloped, etc.
6. Property Size .82
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
RIVER ROCK MAINTENANCE
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.)
0
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.)
0
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: KRAMER SKETCH.pdf 104.33KB
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");
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:* PAUL W KRAMER
Signature:
PA W zolla
Submittal Date: 6/10/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220803 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

ProNetNsitmgisddreet V 1 /,set 44/" 'PAW. , OrOtaCe..._ (
Print Signature
Contractor/sprit 7t #4 4
Print S fgnatu re
The approval Is for the purpose and design destr Toed In your sppflctlon. 1rnp2cts riot indicated In the
:ppffcetion is a violetron of file EkriTer Rule.sits specific work should be provided in the application. 115A NCAC
02H .0506 end 15A N CAC 02B.0243(8}:
Trees are not allowed to be removed from Zone 1 of the Buffer[within 30A.of the full pond elevation), unless
aPProvsd- 6ccapt;on,those treastnst are severely undermined along the irnmedlete shoreline can be removed.
fvllnimal shaping and sloping along the frnrnedlete shoreline IS al:oWad. J15A NCAC 02B .024a[6))
Benmirg, grading in the buffer is not allowed.Excasslve dtsturhanoe of ground cover_ELSA NCAC 02.8.0243(S)1
88e0 es,'rnp-v:Cu5 pstias,imflervtous vualkways,etr_are not allowed in the buffer unless specifically approved
av the Division. There are limitation an size for Lacks.[15A NCACOZB .02,314)and (6)]
Work to to candUctr_d from land must Indicate an access and indicirts any trees that are to be removed. Thu
work corridor should be deecrlbed.The approved access corridor shall be restored. gtegIn2,spoil, construction
materiel must be outside the buffer. f1SA NCAC 0214.0502 an,JSA NCAC 02B.0243 i4j, (61, CB);
Storm water cannot On piped or channeled for direct rifecherge to tree !eke. Ail constructed stormwew
discharges must be et the neural elsvetfon end dbcher=sd prior to entering the buffer directed es diffuse or
sheet flow et non-erosive velocities to the like. [15A NCAC 022.0243 IS), [611
A ckno wfedpement of Notification
L !1 hereby state that I hive been informed of the Catawba
Riparian Buffer Rule. Any wry*conducted In the buffer, not specifically stated in the application and approved
by the Division of Water Resources(DwR), is a violation and subject to eninracmerit. Due diligence will be
taken such that the construction wife be built within substantlaf compliance end intent ofthe 401 liVatter
Quality Certification an d Buffer Rules,the: proved plan(c) and scecff€catfon(s),and other supportiini
materiel_
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Lake
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NormigyjkLimp
�t� art►*-+•.tr�.a? t far
Shore ne owed a• ,i milt*m.r. �� +r•
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Piease approximately sketch the followinginformation on this plan
item such as 10 ftx I00 ft).. P (provide(I/miens/am 1 far each
AL proposed vegetation clearing
2. Location of rip rap or fl'l1 to be placed above the Full Pond/'Normal Water
3. Location of rip rap or fill to be placed below the Full Pond/Normal Water Level eleva r
4. Location of any proposed structures such �, retaining walls, docks,
as buildings, docks,
Level elevation
5. location of ary excavation or dredging below thetc.
5. Location Of construction access corrido e Full Pond/Normal Water Level elevation
FORM:SSGP 10-1013
Page 3 of 3

From. Tamara Hager [e-mail]
Subject Kramer shoreline pics
Date Jun 10, 2022 at 1 :18:55 PM
To Tamara Hager iagu &lakepermit.com
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541
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Tamara Hager
704-575-2227

Lake
AtFL'il Pond/Normal Wotan oval)
3 •
Full Pond/
NormigyjkLimp
�t� art►*-+•.tr�.a? t far
Shore ne owed a• ,i milt*m.r. �� +r•
f, r1 ,. ■ / .0, t is`,r e,p►:a &i r V: a# 1 i.'�r�r.
„kr,vip.AL bisru,e84,
i2-
t6}c LONei
aL di '15
tG
Piease approximately sketch the followinginformation on this plan
item such as 10 ftx I00 ft).. P (provide(I/miens/am 1 far each
AL proposed vegetation clearing
2. Location of rip rap or fl'l1 to be placed above the Full Pond/'Normal Water
3. Location of rip rap or fill to be placed below the Full Pond/Normal Water Level eleva r
4. Location of any proposed structures such �, retaining walls, docks,
as buildings, docks,
Level elevation
5. location of ary excavation or dredging below thetc.
5. Location Of construction access corrido e Full Pond/Normal Water Level elevation
FORM:SSGP 10-1013
Page 3 of 3