20221343 Ver 1_Shoreline Stabilization_20220929

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 9/19/2021
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Michael & Donna Chrobak
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
8194 Mallard RD
Address Line 2
City
Denver
Postal / Zip Code
28037
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: *
Shoreline Stablization / maintenance
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: *
35.469248
Street Address
8194 Mallard Rd
Address Line 2
City State / Province / Region
Denver NC
Postal / Zip Code Country
28037-8633 US
Longitude: *-80.971760
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*
Map with Parcel Information - 8194 Mallard
Rd Denver, NC.pdf
Please use the diagram at the link below:
1.38MB
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.)
Shoreline Stabilization 1.PDF 23.1MB
Shoreline Stabilization 2.PDF 23.88MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Denver
County:* Lincoln
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: *
8194 Mallard RD
Include phase/lot number
Directions to site: *
Hwy 16, turn on Unity Church. First right is Graham Rd, follow Graham
to Captain's Way, take and immediate right on to Mallard Rd.
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: *
Private yard
Residential, undeveloped, etc.
6. Property Size .87
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Reinforce shoreline stabilization with rock to prevent erosion. No dirt or
vegetation was damaged or removed. We simply added a layer of rock on
top of the existing rip rap. The water level was very low, so there was
minimal distrubance to the water.
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: *
6
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
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)
Mulched landscaping with some bushes/plants, and trees.
Sketch:
Aerial Photo.pdf
Map with Parcel Information - 8194 Mallard
Rd Denver, NC.pdf
Property Map - 8194 Mallard Rd Denver,
NC.pdf
Vicinity Location Map.pdf
Application Fee:
3.27MB
1.38MB
189.63KB
689.04KB
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:* DONNA CHROBAK

Signature:
Submittal Date:
PQw4- G f1/41'
9/28/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20221343 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

33129
TAD LOCK 7!3
34408
AE
Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division
Lincoln County and its mapping contractors assume no legal responsibility for
the information contained on this map. This map is not to be used for land
conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
Date: 7/25/2021
Parcel ID
Map
Account
Deed
Plat
Land Value
Previous Parcel
Description
Address
Township
34760
34408 Owner
4613 Mailing
0247406 Address
MALLARD RD
CHROBAK MICHAEL R
CHROBAK DONNA M
8194 MALLARD ROAD
DENVER, NC 28037
2756 327 Last Transaction Date 07/16/2018 Sale Price $760,000
C 57 Subdivision LINCOLN FOREST - DENVER Lot 28
$291,029 Improvement Value $373,917 Total Value $664,946
All values for Tax Year 2020
#28 LINCOLN FOREST-DENVER
8194 MALLARD RD
CATAWBA SPRINGS
Main Improvement
Main Sq Feet 1800
RANCH
Stories
Zoning District Calc Acres
R-SF 0.84
Watershed
0.84
Census County
109
Flood Zone Description
SPECIAL FLOOD HAZARD AREA BASE ELEVATION
DETERMINED - 100 YEAR
NO FLOOD HAZARD
Tax/Fire District
1
Voting Precinct Calc Acres
TA37 0.84
Sewer District
SEWER 0.84
Tract
071201
Deed Acres 0
Tax Acres 0.837
EAST LINCOLN
Value $343,675
Year Built 1986
Block
1016 0.84
Panel
3710461300 0.03
3710461300 0.81

Powered by Esri

33129
TAD LOCK 7!3
34408
AE
Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division
Lincoln County and its mapping contractors assume no legal responsibility for
the information contained on this map. This map is not to be used for land
conveyance. The map is based on NC State Plane Coordinate System 1983 NAD.
Date: 7/25/2021
Parcel ID
Map
Account
Deed
Plat
Land Value
Previous Parcel
Description
Address
Township
34760
34408 Owner
4613 Mailing
0247406 Address
MALLARD RD
CHROBAK MICHAEL R
CHROBAK DONNA M
8194 MALLARD ROAD
DENVER, NC 28037
2756 327 Last Transaction Date 07/16/2018 Sale Price $760,000
C 57 Subdivision LINCOLN FOREST - DENVER Lot 28
$291,029 Improvement Value $373,917 Total Value $664,946
All values for Tax Year 2020
#28 LINCOLN FOREST-DENVER
8194 MALLARD RD
CATAWBA SPRINGS
Main Improvement
Main Sq Feet 1800
RANCH
Stories
Zoning District Calc Acres
R-SF 0.84
Watershed
0.84
Census County
109
Flood Zone Description
SPECIAL FLOOD HAZARD AREA BASE ELEVATION
DETERMINED - 100 YEAR
NO FLOOD HAZARD
Tax/Fire District
1
Voting Precinct Calc Acres
TA37 0.84
Sewer District
SEWER 0.84
Tract
071201
Deed Acres 0
Tax Acres 0.837
EAST LINCOLN
Value $343,675
Year Built 1986
Block
1016 0.84
Panel
3710461300 0.03
3710461300 0.81

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