20230022 Ver 1_Shoreline Stabilization_20230105

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 12/23/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
ALMON B BARTFIELD
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
223 WOOD DUCK LOOP
Address Line 2
City
MOORESVILLE
Postal / Zip Code
28117
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:* [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
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:*
BARFIELD AUTH.pdf 169.5KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
BARFIELD
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: BARFIELD SURVEY.pdf 248.33KB
Latitude:*
35.568206
Longitude: *-80.879787
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*
BARFIELD SKETCH.pdf 100.19KB
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.)
BARFIELD PICS 1.pdf 95.04KB
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: *
LAKESHORE ESTATES LOT 25
Include phase/lot number
Directions to site: *
FROM MARSHALL STEAM STATION TRAVEL NORTHWEST 6.0
MILES RIGHT ONTO MORRISON PLANTATION PKWY 1.1 MILES,
RIGHT ONTO BRAWLEY SCHOOL RD.60 MILES , LEFT ONTO
CANVASBACK RD .30 MILES, DESTINATION ON LEFT .50 MILES.
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 .25
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
RIP RAP BARE ERODED AREAS 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: *
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
0
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: BARFIELD SKETCH.pdf 100.19KB
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: * ALMON B BARFIELD
Signature:
Submittal Date: 12/23/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20230022 Version: * 1
Select Reviewer: * Andrew Pitner:eads\ahpitner
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

Projac� FI 1P au jr: rr
Owner: oid J�L' '
Hnt �
�oii7racmrlegaYt: _ �T • � O _ Si +
prfnt
the approval Is for the purpose and assign dastribad In your appllcai:on. Impacts not Indicated In the
application is a viohMon of the Buffar Rule. 51te speed work shout d bs provided In the 2PplIcatlon. 1? SA NC;C
02H .0506 and 15ANCAC 07» .o243jaj'
7naes are not allowed to 5e removed from Zone x eftha suffer [within 30 �t of the full pond elevation), unias=
apprOVSCL 5(naptfon, thosetrers that are severely undermined alm)j thi; €rnmedfete shorellne can be r� n e-.er.
Minimal shaping and sloping -along the Immediate shorNln& Is allowed_ {15A i�.AC: 028.0243(6);
9ench'ng, biding in the buffar ?S riot allowed. E1cc=€lve d(stjrbanre a ground cover. {ISA N+_.AC 023.0243 y'61;
3e2rh as, Ir ipsrvieus patios, Irnperv€ous walkways, etc, are n ci ahawad in the bufer unless spacnC-.IIY ap proved
by the 0M.Eian. i nerL- are Ilsrllta:',10n on sue far decks. i15A NC4CO28.OZ43{41 and (6),
Work to be cariductad from tanci roust lnd'state an, access ;nd Ind#cata anv tr'irss`oat are to be r9mo►►ed. Tje
world corridor should be defcribed. The approved ■cress corridors'hell be restored. Staging, spoli, constructor
metririal must he outside the buffer_ (15A NCAC 02H -%07 and 15A i~l'�AC L'2B .1;24? ;4jf [I;), i8))
Storrnueater crnncrt be piped or channelad for direct discharge :o tha lska. All constructed s`crrnw='.a�
dlscxrargas must be at the natural eia,,a <(on and drsrherseo prior to arrtering the buffer directed as dTiRsa or
sleet flow at non-erosrva velocities to the igkm (15A NCAC 028 .0243 (5), j51i
AcknowJ,Rdawment oftloti}Icatior.,
It!V hvibf state�at i have been fnfarined Vl the Catawba,
Riparian Buffar Rule.. Any work c onducord N, tVf3 err not spectficxiip stYt d in t:he applTm ion and approved
by the O(vtirlon of Neer Resources (DWRI, i■ ■ viadrhnn and sub lect Co enforcernerd- Due cfiliganee w1l os
Mkarr sucdn thatthe Mnr ruction wfl] be hufltwithin sub tan�tlal compliance and intent ofthe 401 VVetE*
Quailty Certiitcatlon and auff'er Rules, d1e approved ptanjs) and soecifltation(s), and cthersupporbn-
•i+aterfals_
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Full PonA /
Al o rrn Qvqw
Shorelin
Lake
iAt Full Pond/Normal Water Laved
-, DEW !
l3U
[,tS l IM 4 Lmj ('-� R 9,ko
R)C CAv5ACrse— 4`S�zr:q C
Ple85e approximately sketch the following information
"tan this plan (P+vvide dimensions
ems such as I0 ftX I00 �!I *: far rnch
1. All proposed vegetation clearing
1• 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 Prflposed structures suCh as buildin
g, retain ing wall5• LOCatlon of any excavation or dredging below the Fulls
ll Pond/ NormallsWater�Level elevation
6. L OCation of construction access corridors
FORM: 55GP 10-7013
Page of

Tamara Hager
704-575-2227
The information contained in this message is confidential and
is intended solely for the recipients) identified above. if you
are not the intended recipient or there are any problems,
please notify the sender immediately. The unauthorized use,
disclosure, or copying of this message is strictly forbidden
and may subject you to legal action.

Full PonA /
Al o rrn Qvqw
Shorelin
Lake
iAt Full Pond/Normal Water Laved
-, DEW !
l3U
[,tS l IM 4 Lmj ('-� R 9,ko
R)C CAv5ACrse— 4`S�zr:q C
Ple85e approximately sketch the following information
"tan this plan (P+vvide dimensions
ems such as I0 ftX I00 �!I *: far rnch
1. All proposed vegetation clearing
1• 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 Prflposed structures suCh as buildin
g, retain ing wall5• LOCatlon of any excavation or dredging below the Fulls
ll Pond/ NormallsWater�Level elevation
6. L OCation of construction access corridors
FORM: 55GP 10-7013
Page of