20230030 Ver 1_Shoreline Stabilization_20230109

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: *
RONALD & MARGERY NATALIE
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
1337 TERRAPIN RIDGE RD
Address Line 2
City
CATAWBA
Postal / Zip Code
28609
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:*
NATALIE AUTH.pdf 167.35KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
NATALIE
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: NATALIE SURVEY.pdf 206.84KB
Latitude:*
35.656305
Longitude: *-80.980291
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*
NATALIE SKETCH.pdf 100.71KB
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.)
NATALIE PICS.pdf 102.83KB
4. Location of the property (where work is to be conducted)
Nearest Town: * CATAWBA
County:* Catawba
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:

Subdivisions name or site address: *
CRESENT LAND &N TIMBER LOT # 7
Include phase/lot number
Directions to site: *
FROM MARSHALL STEAM STATION TRAVEL RIGHT 250 FT
TURN RIGHT ONTO SHERRILLS FORD RD .80 MILES, RIGHT
ONTO MOLLY BACKBONE RD 3.0 MILES, RIGHT ROWE ST 2.2
MILES, RIGHT TERRAPIN RIDGE RD .30 MILES, DESTINATION
ON RIGHT 150 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 .50
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
RIP RAP SHORELINE FOR STABILIZATION
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: NATALIE SKETCH.pdf 100.71KB
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: * RONALD & MARGERY NATALIE
Signature:
,F-6d dv�R6yrd4r�1LT
Submittal Date: 12/23/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20230030 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

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The approval is for the purpose and design. described In your application. Impacts not Indicated in the
appiration is a vioietfon of the Buffer Bute. Site spectric work should be provided In the application. J15A NCAC
02H .0506 and 15A NCAC 02B .024818)]
'"re-eS are not ell°Wad to be removed from Zone 1 of the Bailer iwFthrn 30 ft of the full pond elevation}, uniess
approved. Exc p on, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal sheping and sloping along the immediate shoreline lc allowed. WA FICAC D28-0243(6)1
Benching, grading in the. buffer is net allowed. Excessive disturbance of around cover_ [15A NCAC 02a _024.3 i6j]
a ag- es, Impervious patios, impervlotu wal}awayS, ehC are rent allowed in the burr unless specifically approve'
b'the Division. There are limitation on site for decks. f 15A 11CACO2B .0243(4) and (IV
Work to be conducted from land must indicate art access and indimte any trees thht are to be remaued. The
work corridor should be described. The approved access corridor shall be restored. Stash'', 9poii, ccn truct#o±.
material must be outside the buffer. fjSA T+�._AC 02)-i .C1502 and 15A'NrAC 028 .0242 fall
Starmwster cannot be piped or channeled for direct discharge to the lake_ Ali constructed rt.crrnwativ
discharges must be at the natural elewtfon end drscherged prior ea srrtsring the butler directed as d3lfvse or
sheet flow at non-ercxive velocities to the lake. [1. R NCAC 02B .0243 (5), 3E)1
Acknowledpernerrt of NDtifiartion
f Aid* J' 4reb'i state that I have been infarrned o;the Ca'Iawba
4toarian Buffer Rule. Any ork amduoted in the beer, nat specifically st d in the application end a-pproved
by the Division of \Niter Resources (DWR), is a Volition and subject to enforcement. Due diligence MI be
taken such that the corstmcdon will be built within substantial compliance and intent of the 401 Vtimr
Quality Certification end 8uf17ar Rules, the approved plan (a) and specrffcationisj, and ether support ng
materiais.
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Full Pond/
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Shoreline
Lake
1At Full Ponds Normal Water Levelj
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Please approximately sketch the following information on this plan fpravrds dimensions eftth
item, such as 10 ft. x 1OQ f`t) #:
1. All proposed vegetation clearing
2. Location of rip rap or fi;l to be placed above the Fuji Pond/Norma: 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 walls, 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

From Tamara Hager [e-mail]
Subject Natalie shoreline pics
Date Nov 30, 2022 at 5:08:49 PM
To TAMARA HAGER [e-mail]
Tamara Hager

Full Pond/
Norm 6iike
Shoreline
Lake
1At Full Ponds Normal Water Levelj
TaDekt
OAS.Ii !a��r01 ��9.rlt1-441'r,►r ofii'•s'�raOita fr•
lir dr�+Parm 4tvlrit.lrgrew lafa, t rltrh•tit.lIa'•i.•a
fD �5 ZGo'Z
Ativi I L NSTL.treL rt
Liu
L )N6 LaaRCAo
RLC (trn 6f ` '5
Please approximately sketch the following information on this plan fpravrds dimensions eftth
item, such as 10 ft. x 1OQ f`t) #:
1. All proposed vegetation clearing
2. Location of rip rap or fi;l to be placed above the Fuji Pond/Norma: 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 walls, 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