20220849 Ver 1_Shoreline Stabilization_20220627

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 5/23/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Name: *
Email:*
Phone Number:
Melanie Donaldson
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
PO Box 152
Address Line 2
City
Denver
Postal / Zip Code
28037-9209
Charles Donaldson
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
US

Mailing Address: *
Street Address
PO BOX 152
Address Line 2
City
Denver
Postal / Zip Code
28037
Is there an agent working on the project?*
Agent/Consultant Information
..............................................................................................................................
Name: *
Company Affiliation: *
Email: *
Phone Number: *
Yes
No
Brittany Hepler
Lake Life Permits, LLC.
brittany@lakelifepermits. com
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
US
Mailing Address:* Street Address
123 Institute St
Address Line 2
Unit 393
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28115 US
A signed and dated copy of the Agent Authorization letter:*
8050 lake view agent Auth (2).pdf 427.99KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Donaldson Rip Rap/ Lakeview Drive
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:*
35.495556
Street Address
8050 Lakeview Drive
Address Line 2
City State / Province / Region
Denver NC
Postal / Zip Code Country
28037-9209 US
Longitude: *-80.986395
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*
Donaldson-8050-plot (1) (3).pdf 96.99KB
Donaldson plan (1).pdf 734.7KB
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.)
DONALDSON SHORELINE AFTER.pdf 226.63KB
DONALDSON SHORELINE BEFORE.pdf 398.06KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County: * Lincoln
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
LOT # 22
Include phase/lot number

Directions to site: *
Get on I-277 S
1 min (0.4 mi)
Head southwest on S Church St toward W Brooklyn V1g Ave
0.1 mi
Turn right to merge onto I-277 S
0.2 mi
Follow NC-16 N to Optimist Club Rd in Lincoln County
26 min (22.1 mi)
Merge onto I-277 S
0.4 mi
Take exit 1C to merge onto I-77 N/US-21 N toward Statesville
1.6 mi
Use the left lane to take exit 11B for NC-16 N/Brookshire Freeway W
0.2 mi
Merge onto I-277 N/NC-16 N
0.3 mi
Continue onto NC-16 N
Pass by Mecklenburg County ABC Store #13 (on the right in 2.1 mi)
19.6 mi
Continue on Optimist Club Rd. Take NC-16 Business N to Lakeview Dr
in Westport
6 min (3.0 mi)
Turn right onto Optimist Club Rd
1.0 mi
Turn left onto Triangle Cir
0.4 mi
Turn left onto NC-16 Business N
1.1 mi
Turn right onto Lake Shore Rd S
0.5 mi
Continue straight onto Lakeview Dr
Destination will be on the left
95 ft
8050 Lakeview Dr
Denver, NC 28037
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
0.486
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Homeowner is requesting permission to stabilize roughly 86 linear feet of
their shoreline with rip rap stone to avoid any worsening erosion into the
lake. They are also requesting to remove 2 small trees within the buffer
zone (please see photos provided) Both trees are probably 6" in diameter
and are leaning over the rip rap. This project has already been completed.
Duke energy has spoke with new property owners and educated them on
what the permitting process is for this lake.
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.)
344
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.)
172
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)
2 trees. See photos provided
Sketch:
DONALDSON SHORELINE AFTER.pdf 226.63KB
DONALDSON SHORELINE BEFORE.pdf 398.06KB
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: * Brittany Hepler
Signature:

Submittal Date: 6/23/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220849 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

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: /I
LOT NO. -1ZPLLAN NO. PARCEL
IID1: "f GO b'7g oo21`
STREET ADDRESS: —�) jj L&��/y�l.A eAJV 21r V t`'� )4 wz*
Ng/ 2003-7
Please print: I(t��l n„'e ,y I /C 9, _
Property Owner: P/V�1� 1Lt�Iul l.t,CUol7 V'
Property Owner: OAO-. ICS 11 tCt 1 ?
The undersigned,sied registeredi' property owners of theh�above/ noted property,ppe do hereby authorize
131A (M i /T{'� e ,of L Ll'1i u-re 1 r VVIi ,U .
(Contractor/Agent) (Name 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):
po oo,cis2 2003-1
Telephone: -3d•308 S S'
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
171,06e1,49-A--. itair CIO
Authorized Sig at ri)e • . ed Signatu;
Date: —11'1 Date:
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Proposed
(Plan View)
Lake
(At Full Pond/Normal Water Level)
rip iP
Full Pond/Norma l Wa�-•'i"W. r � ��"��'t'1�
iffigifiropiftiktiolfa-3 Vack/V
Shoreline Ottatitel*A1401 4.4'r;11git/Ss'1rr1 a...
f� llef?re?g �3,� randto>l� �'',:r� ZX I9
lo,
Cce - - - - - - _ _ D
�/J� co'
04/0 l it,',
-ISo Sol - soSO L areuc
J�I'1wriVZ- '0301
Lake
(At cull none/xm wader letup
Existing Dock
lon.rn
:.:: ::e eeeeee
.-.auu 1ht15ph
Full P.2w tormaI WaLger evgl late tI����B r¢ tzi. eaow mllxo�a xwl
ti� •' ti More Ine �s '���;5• !��
Y�1� 411 a15p It
i fir lSoh. 1 1ti't':�'� r�•� .�::J AbwelullpanE/NWl
e0'li netessaryna
EAMP E
Plan View
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Proposed
(Side View)
2X
a — A20\A-c n 1(( RiAr%I
Arlo ' �.s e.
filyeetio
1(9�7''�'1`'1�
Lake o '�',���' z e050 LQKevnev -0'1v�
(At Full Pond/N. v y t1tj _ . _ 1 ' 2?0 J-7
•& 'S LL' vti
3 ft.below fultpond water level a ft above full pond water level d it.ade;una tleatlng
i •il necessary
I
Existing bank
10 ft.bank
beiely y¢D
Q�
.___7_,H..,:. A P
. 11
Side View
NA--.n' ,....
L
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VICINITY MAP
NO SCALE
I, RUFUS JACKSON LOVE CERTIFY THAT THIS MAP WAS DRAWN FROM AN ACTUAL SURVEY UNDER MY
DIRECT SUPERVISION, THAT THE RA110 OF PRECISION IS 1:10,900+ BEFORE ADJUSTMENTS; AND THAT
THE ANGULAR ERROR WAS < 7.5 SEC1DSPK,1 7URN. ,.
WITNESS MY F '% THIS 'DAYOF NAl2
\ 27 i
UCEN NO."S E 7ONj
L-28
SU \
C K S
LAND SURVEYOR
CP
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7
4 /LOT 22
4v'?' CHARLES DONALDSON
7 MELANIE DONALDSON
7 DB 8130-907
PIN 4604818214
PB C-39
oil-
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PIER PROJECTION LINE
s 8801 '50"F
4,
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. 4LOAtA',$
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PIER tK
AA
RrBAR
CP
1'
4 LOT 21
RICHARD CPJSLER
DB 788-48
PIN 4604818186
PB C-39
PIER PERMIT SURVEY NOTES:
PROPERTY OF CHARLES V. DONALDSON e MELANIE DONALDSON 1.THIS PROPERTY IS LOCATED IN A DESIGNATED FLOOD ZONE.
2.AREA DETERMINED BY COORDINATE COMPUTATION.
8050 LAKEVIEW DRIVE
3.CR DENOTES COMPUTED POINT, NO MONUMENT FOUND OR SET.
4.UNDERGROUND UTIUTIES NOT LOCATED AS OF 1111S DATE.
LOT 22, NIXON'S LAKEVIEW LOTS, PB C-39
5.ALL MONUMENTS SHOWN ARE EXISTING UNLESS OTHERWISE NOTED.
6.NO GRID MONUMENTS WITHIN 2000' OF SUBJECT PROPERTY.
DEED BOOK 3130-907, PIN 4604818214
CATAWBA SPRINGS TOWNSHIP, LINCOLN COUNTY
NORTH CAROLINA LEGEND:
MARCH 4, 2022 PROPERTY UNE
FILE: DONALDSON—CHARLES
TIE UNE
----
UNSURVEYED UNE
- - --- - - - - - - - - - - - -BACK OF CURB/EDGE OF PWT. - -------SETBACK UNE cP COMPUTED POINT Pp POWER POLE
40 0 40 80 ___________________________________ 12C PYR4MI.D LAND SURVEYING PA C-1341
1 BOX 11 DAVIDSON, NORTH CAROIJNA
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