20221481 Ver 1_Shoreline Stabilization_20221026

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 10/25/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Robert Weber
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
4477 Sarah Marie Court
Address Line 2
City
Nazareth
Postal / Zip Code
18064-8595
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
State / Province / Region
PA
Country
US
Name: * Janice Estep
Company Affiliation: * CBC Stone & Recycling, LLC
Email: * [e-mail]

Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
638 Oakridge Farm Hwy
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28115 United States
A signed and dated copy of the Agent Authorization letter:*
Agent Form.pdf 603.O1KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC O2H .05O2(a) & (b)]
Project Name:*
Weber Shoreline
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: * 35.505029
Street Address
208 Sunstede Drive
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117-7322 US
Longitude: *-80.958568
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*
Site Plan.pdf
Buffer Form.pdf
Please use the diagram at the link below:
940KB
1.O1MB
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 Pics.pdf 13.78MB
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: *
Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Lot 284 Crescent Land & Timber Corp.
Include phase/lot number
Head south on Evergreen St toward E Center Ave
13 s (197 ft)
Take NC-1100 to Tuskarora Trail
23 min (11.7 mi)
Turn right onto E Center Ave
0.5 mi
Turn left onto S Church St
0.4 mi
Turn right onto E Wilson Ave
1.5 mi
Continue onto NC-1100Brawley School Rd
1.0 mi
Continue straight to stay on NC-1100Brawley School Rd
6.4 mi
At the traffic circle, take the 2nd exit onto NC-1100
2.0 mi
Continue on Tuskarora Trail. Drive to Sunstede Dr
3 min (1.4 mi)
Turn right onto Tuskarora Trail
0.9 mi
Turn right onto Sunstede Dr
Destination will be on the right
0.4 mi
208 Sunstede Dr
Mooresville, NC 28117
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
1.072 acres
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Push down existing rip rap, reshape and re -slope shoreline, install matting,
re -install existing rip rap and add fresh layer of rip rap to refurbish
shoreline. Install TN Crab Orchard steps for lake access.
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.)
5' below (875 sf)
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.)
1' above (175 sf) 10'
x 50' access
corridor (500 sf of
temp. impact)
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)
Grass buffer, no trees removed, minimal disturbance to buffer. Access
through buffer will be restored to original condition.
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:
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
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:* Janice Estep
Signature:
Submittal Date: 10/25/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20221481 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

AGENT AUTHORISATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT No. a 8� PLAN NO. + _--- PARCEL I#):
STREET ADDRESS`
Please print: -, s
Property Owner: C
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
�ouri,C e L �I of 0-13c rye .L 1 . f C- a I , no, LI C.
(Contractor { Agent) (Name of consulting firm) � Jj—
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).
Telephone: ' i o - z C. S Lf.
We hereby certify the above information submitted in thisapplication is true and accurate to the
best of our knowledge.
1 �w
Authorized Signature
Date: l�� i1
Authorized Signature
Date:

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October 24, ZU22
N
Tax Map Information
• PIN
4614741442.000
• Address
208 SUNSTEDE DR
• Account #
Acct 80032494
• Tax Owner
WEBER ROBERT C II
• Mailing
4477 SARAH MARIE CT
Address
•
NAZARETH, PA 18064
• GIS Owner
WEBER ROBERT C II+CYNTHIA E
• Deed Info
2403 / 143 - WD - 20160208
• Tax Acres
1.072 AC
• Lot #
284
• Description
CLT S6 M17-628 MECK-NECK PB48-77
P664-63
• Zoning
R-20
Old Parcel #
001391 19
• Bldg Value
$209,640
• OBXF Value
$19,420
• Land Value
$403,750
• Total Value
$632,810
• Defer Value
$0
• Tax Districts
-ALLCOUNTY FIRE- -
MAP FOR REFERENCE ONLY
NOT LEGAL DOCUMENT
Iredell County, North Carolina makes no claims and no
warranties, expressed or implied, concerning the validity or
accuracy of the GIS data presented on this map.
1" = 117.16016715356818 ft
Print map scale is approximate.
Critical layout or measurement
activities should not be done using
this resource.

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Tax Map Information
-'
Print map scale is approximate.
•PIN
Critical layout or measurement
Y
• Address
208SUNSTE00
208 SUNSTEDE DR
,
•Account#
Acct80032494
activities should not be done using
•Tax Owner
WEBER ROBERTC If
this resource.
• Mailing
4477 SARAH MARIE CT
Address
MAP FOR REFERENCE ONLY
•
NAZARETH, PA18064
NOT A LEGAL DOCUMENT
• GIS Owner
WEBER ROBERT C II+CYNTHIA E
• Deed Info
2403 / 143 - WD - 20160208
Iredell County, North Carolina makes no claims and no
• Tax Acres
1.072 AC
warranties, expressed or implied, concerning the validity or
• Lot #
284
accuracy of the GIS data presented on this map.
• Description
CLT S6 M17-628 MECK-NECK PB48-77
PB64-63
• Zoning
R-20
• Old Parcel #
001391 19
• Bldg Value
$101,6411
• OBXF Value
$19,420
• Land Value
$403,750
-Total Value
I�i
$632,810
• Defer Value
$0
• Tax Districts
-ALLCOUNTY FIRE- -

La ke
(At Full Pond/Normal Water Level)
is, �C. ow -fit Iris-'
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Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such as loft x too ft)*:
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining wails, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
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Project Name/address: _ �> .t �� i�r o _+1 _County:
Owner: n
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Print
Contractor/agent: C
Print
ature
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. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(B)]
Trees are not allowed to be removed from Zone 1 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 .0243(6)]
Benching, grading in the buffer 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. [25A 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. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02W .0502 and 15A NCAC 02B .0243 (4), (6), (S)]
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 .0243(5), (6)]
Acknowledgement of Notifieodon
I"n' tom' hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work 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 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 plan(s) and specifFcation(s), and other supporting
materials.
Si nature(owner): Date:

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