20221166 Ver 1_Shoreline Stabilization_20220830

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 8/24/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Michael Tutas
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
17711 Burnt Hickory Dr
Address Line 2
City
Charlotte
Postal / Zip Code
28278
Is there an agent working on the project? * Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
State / Province / Region
NC
Country
United States
Project Name: * Tutas Cove Shore Stabilization
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: * 35.070121
Street Address
17711 Burnt Hickory Dr
Address Line 2
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28278 United States
Longitude: *-81.053253
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*
ShorelineLayoutDiagram W Examples08-
2018-3 copy.pdf
ShorelineLayoutDiagramWExamples_08-
2018-2.pdf
Please use the diagram at the link below:
4.55MB
3.95MB
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 41721.pdf 1.73MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Charlotte
County: * Mecklenburg
Lake/ river/ ocean adjacent to Lake Wylie
property:
Subdivisions name or site address:*
Highcliff at Palisades lot 65
Include phase/lot number
Directions to site: *
turn left onto Burnt Hickory from Cozy Cove Road. Project is last house
on the right. There is a double gate entrance in the back yard that leads to
the shoreline.
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: *
Existing land at site is in an undisturbed state, with significant erosion at
the shoreline.
Residential, undeveloped, etc.
6. Property Size .59
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Riprap is to be installed in order to mitigate further erosion of the
shoreline. It has been avoided thus far as the land was undeveloped until
recently.
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.)
80
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.)
80
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)
One tree growing out of the shoreline will be cut to make room for riprap.
There is some seasonal vegetation at the shoreline that will be covered up
by riprap. Please see photo for reference.
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");
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
a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Michael Tutas
Signature:
Submittal Date: 8/26/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20221166 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?* $240.00
$570.00

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Proposed
(Plan View)
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Level
Shoreline
2ftx40ft
Below full pond/ NWL
2ftx40ft
Above full pond/ NWL
Full Pond/ Normal Water Level
mm — — — —
mo
m
2 ft. x 150 ft.
additional clearing
• if necessary
E
Plan View
Lake
(At Full Pond/ Normal Water Level)
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Existing Dock
30 ft x 7 ft
3 ft x 150 ft
Below full pond/ NWL
4 ft x 150 ft
Above full pond/ NWL