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Home My WebLink About20221608 Ver 1_Shoreline Stabilization_20221115Shoreline 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* hager@lakepermit.com Please provide an email address for payment and requests for more information here. Pre -Filing Meeting Date Request was 11/11/2022 submitted on: * Owner Information: Name: * Email: * Phone Number: Mailing Address: * DOUGLAS R JEFFERY DOUGLAS.JEFFERY55 @GMAIL.COM (858)242-9797 (xxx)xxx-xxxx Street Address 168 Sunrise Circle Address Line 2 City Mooresville Postal / Zip Code 28117-6675 Is there an agent working on the project? * Yes No Agent/Consultant Information State / Province / Region NC Country US Name: * TAMARA HAGER Company Affiliation: * LAKE PERMIT LLC Email:* hager@lakepermit.com Phone Number:* (704)575-2227 (xxx)xxx-xxxx Mailing Address:* 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:* JEFFERY AUTH.pdf 164.44KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* JEFFERY 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: JEFFERY SURVEY.pdf Latitude:* 35.544659 Longitude: *-80.934819 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* JEFFERY SKETCH.pdf 100.86KB 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.) Jeffery pics.pdf 100.51 KB 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: * THE HARBOUR LOT NUMBER 36 Include phase/lot number Directions to site: * FROM MARSHALL STEAM STATION TRAVEL NW ON HWY 150 11 MILES, TURN RIGHT ONTO MORRISON PLANTATION PKWY 1.1 MILES, TURN RIGHT ONTO BRAWLEY SCHOOL RD 3.6 MILES, TURN RIGHT ONTO BAY HARBOUR RD .40 MILES, TURN LEFT ONTO LAKE MIST DR .20 MILES, TURN RIGHT ONTO SUNRISE CIR .20 MILES , PROPERTY ON RIGHT 325 FT. 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 1.04 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): RIP RAP 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: * 0 (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) NONE BY BARGE Sketch: JEFFERY SKETCH.pdf 100.86KB 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"); a 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:* DOUGLAS R JEFFERY Signature: .60WAS Ffe Submittal Date: 11/11/2022 Initial Review Is this accepted into the review process?* Yes No Project Number: * 20221608 Version: * 1 Select Reviewer: * Andrew Pitner:eads\ahpitner Select Reviewing Office: Mooresville Regional Office - (704) 663-1699 Has payment been received?* No Payment Needed Fee Received Need Fee - send electronic notification What amount is owed?* $240.00 $570.00 i}mj'w.t Nsma)ad*w n Prlrit LS ltnrrk �IUU34r, ihs xppraVal is for the purpose and design described in your application. Itnpacts nat Indluned In the AP011cation Is a viofaifan of the Bu,For Rule. Sftsapecffie work should be provided in the oppllcPtion_ j'A3A NCAT 02H .0506 and I A NCACO2B .024318p Tress*(* not allowed to be removed from Zone 1 of the Surer {wfthIn30 ft of the nalI pond e4evation), uniese ePPraVOC- areaptJon, those trees tilt im severmly undsrrnrned afongthl§ €mmedfate shoref ine cen he removed. MIN meI shaafng Ynd sloping along the irnmedl*te shordlna is Clawed. (15A NCAC 028.024.3(6}? Berichtng, grading fr+ the bufcar;s not allowed_ Excessilye d€st`urbance Crf Ira und coves. (15A NCAC 02B.0243 (d)' 3a2chas, lrnpe?viatcs pettoz, imper+rrous iAralkways, etc- are nat allowed In the buffer unless sp>=c3?lcally approved by thS fJMsta,7. Them are Itmttatlon on siaeivr decks. i15A NCAC 026.132r43141 and (6)) Work to be conducted iron land mvrt IndIcate 8r i zcLness ;ind iindicats env trees that are to be removed, y rsE work ooMdor should be desptbed. The eooroved access corridor steal] be restored_ Staging, spoil, constructior material must be outside the buffer_ (i5A NCAC 028.0602 end l5A ,'fC:Ar 0s8 .0243 !A), IE), EBi 5ta�rnufater cannrrt ba PTged or channefed for dtract ditcherfe to tna ;;xa_ All cons`ru�'ea Drr.r�:ta' dIsCr 8r9xs Must be st the natural sievetron end rdfacherwed prior to entering the buffer dIrecced as c1'Nsa cr sheet flow st non-arosiva veloctdw to the Lake. MA NCAC 028 .0243 (5), (6), i cknow liedgerne7t of Natift aeon 4 hareby state that I have been Informed V the Catawba fter,an 8 er Rule. Any W_Orkco'Aductdl to the buffo=-, not specMally Tatted 1;1 the appucata on -and approved by the Dfwislon of W*tar Resoearcts (DWR), is s violaticri and subject to enforcement. Due diilgsnce will ba taken such that the eonsctructicj w(fj be auf tw€thIn substantial compliance and intent ofthe 401 Water Quailty Cer;iftcstlon and Buffer Ru}as, the approved plan Is) and saecfPlcatan(s), and other supporting materials_ 5fgnature (owneit. i egg 4tp M Lake * FL'11 Pond/Normal Water Level 1 Fi r l l Gn �,4 ■ ,f:;,, -ve 73 3�iAgM WiM6 L3N� FCC VAT6,2— v Please apprgxlmately sketch the following information on this plan 1provid4r dlmens:ons foreoch rt", such as IOft x 100 ft] *: s- All proposed vegetation cfearfng 2. Location of rip rap or fill to be placed above the Full Pond/•Normal Water Level elevation 3. Location of rip rap or tlll to be placed below the Full Pond/ Normal Water Level elevation 4. Location of any proposed structures such as buildings, retaining walls, docks, etc. 5, location of any excavation or dredging below the Full Pond/ Normal Water Level elevatlon �• Location of construction access corridors F-DRPA: SSGp 10-2013 Page 3 of 3 From Tamara M&W ternwahagwO doud corn &*Joct: 3ellery shormins pres l]&ta_ NcnBmbor 5, 21M at 10.28 Aloe To- TAMARA HAGER hagdrislak"rrnit com M Lake * FL'11 Pond/Normal Water Level 1 Fi r l l Gn �,4 ■ ,f:;,, -ve 73 3�iAgM WiM6 L3N� FCC VAT6,2— v Please apprgxlmately sketch the following information on this plan 1provid4r dlmens:ons foreoch rt", such as IOft x 100 ft] *: s- All proposed vegetation cfearfng 2. Location of rip rap or fill to be placed above the Full Pond/•Normal Water Level elevation 3. Location of rip rap or tlll to be placed below the Full Pond/ Normal Water Level elevation 4. Location of any proposed structures such as buildings, retaining walls, docks, etc. 5, location of any excavation or dredging below the Full Pond/ Normal Water Level elevatlon �• Location of construction access corridors F-DRPA: SSGp 10-2013 Page 3 of 3