20230051 Ver 1_Shoreline Stabilization_20230111

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 1/10/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
NEST HOMES OF THE CAROLINAS
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
4496 Kiser Island Road
Address Line 2
City
Lake Norman of Catawba
Postal / Zip Code
28682
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
State / Province / Region
NC
Country
US
Name: * TAMARA HAGER
Company Affiliation: * RENEGAR CONSTRUCTION
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:*
NEST HOMES AUTH.pdf 343.67KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
NEST HOMES OF THE CAROLINAS
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: NEST HOMES SURVEY.pdf 151.13KB
Latitude: * 35.569872
Longitude: *-80.965157
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*
NEST HOMES SKETCH.pdf 112.7KB
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.)
NEST HOMES.PDF 61.22KB
4. Location of the property (where work is to be conducted)
Nearest Town: * TERRELL
County:* Catawba
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:

Subdivisions name or site address: *
LOT 2 ELIZABETH SHERRILL BAILEY SUBDIVISION
Include phase/lot number
Directions to site: *
FROM MARSHALL STEAM STATION TRAVEL KISER ISLAND
ROAD 1.9 MILES AND DESTINATION ON LEFT.
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 .54
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
DREDGE 20X20X10' DEPTH
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: NEST HOMES SKETCH.pdf 112.7KB
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
o I intend to electronically sign and submit the Shoreline Stabilization online form.

Full Name: * NEST HOMES OF THE CAROLINAS
Signature:
.1+ 5f OAKS OF nig G.dedl1I45
Submittal Date: 1/10/2023

Initial Review
Is this accepted into the review process?* -. Yes No
Project Number: * 20230051 Version: * 1
Select Reviewer: * Andrew Pitney:eads\ahpitner:[e-mail]
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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I Signature
Sigratura
The appmvat is ,ter the purpoca and daS1gn described in your appllcation. Impacts r1crt indicated In the
appllcation is a violation of Zee Buffer Aide.51tespecifie workshouId be provided in the appitWlon. i75A NCAC
02H .0506 and 15A NCAC D2B.Q24,3;8j?
rats are not elloNved to be removed from Zone 1 of the Buffer f vilthln 30 ft of the full pond akv tion), uniass
approved. Ejimptfon, thosetrazs that are severely undermined along tllti €rnmediafx shoreline an be reran oven.
Minimal shepfrg and sloping slangthe immedssashoreiina is a!law-ed. {15A NCAC 02i3.02Q(6j;
9enc—hing, noyi,;Oowed. E6s=s1ve dtsturbance of graund cover. [15A NCAC 02E .024.3 {5j
&each as, Impervious oatas, lrnaerAot s s►ralkways, ---tr- are not al lowed fn the buffer uniass specifically approv--d
b'! the Qlvfsfon. Thera are limit Ion or, sdi fnr decks. [15A NCAC 02B .117A3 (4) and (6)1
Work 'to be conducb&d from land :rust ir4dlcate an axes xnd indicate arty trams that art to be r-moved. Th9
work corridor should hat described. 1 he approved access c6rridor "H be -,es'tored. ?bgin.#, spoil, constructior,
material must be outside the bud-fer_ (3.5A NCAC 02H .3502 .nd 15A NCAC C12B .7243 1A), ; 6i, [$;,
5tormwater carEnct be piped or channeled for d'rect discrssr£s to the 1-,icr_ All COr,6Tr'JCtld storrriww.V
discharges must be 9t the natural alevatlon and dlsck-trgad prior to entering the buffer directed ss dlthssa or
sheet'Flow st non-wostva vvlocniss to the iOe. flSA PiCAC 023.0243(5y, (5);
AOno wlgdgement oy lllac'fttjar.
'> + _ Cr..��,�_, ;,e.-ek�t, state that f have boa Irmo ,�ned af#`te Ca�whs
Rlparil:n 8ufFer RLle. A,ny vibrk conducted In the b+�i?ar, not specifically stated In the appl';Cstlon a,d approvad
key the Olvlafon of Ulster Resources faWit), is a vtoUrUo s end sublectto enforce+neart. Due dillgan. ce wail be
taken such that the aonstructfori twill be bulitwithin substantlal compliance and intent ofthe A01 Water
Quality Cartiflcatlan and Buffer flutes, the approved plan(s) and spsciftation(s), and othersupportl:rg
��aterials. /1
SfInirture {owner � :

C3WV%W:
M
Cof "wWr[agent:
WMAMAM R ME-K&MM&W
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I SIgna
Griys T
Signature
The approval Is for ate purpors .nd deOgn desCpad In your applicirtlom impams nol !ndicatd in the
applIzation is a Vol don ofthe Buller Rule- 5i'te speclftc work should be provided to the aaallcatlon. 125A NCAC
02H .0506 a nd 15A NCAC i}2S .0243(ap
Tr%W are not allowed to be removed from Zone I of the Buftr (with In30 -? of tha full pond elevaion), unless
ipprovod. Exoeption; thosetrees that are severely undarmtnad along the immadiate shoreline can be ramoved.
Minimal she pfng and sloping alarigthe Immediate shore0ne 3s afiowa-d- ri=A tdCA.0 028 .0243(5)1
a ent:hIng, grading iln the buff- is, rot allowim. EKcassive dltturtvn= of "�,nd cover. [ISA NCAC 02B .D243 16j1
8eachto, Impervious patios, Ir+npervious wrticways, etc. ere not allowed in the buffar unless sp=cffl caily approved
by itha Division. The a are kimImUon on size for de6[ISA NCAC 02B .0W (4) and S51]
Work to be conducted from Isnd must indi ate ar, a:ass and Indlcate any trees Vhzt sreto lie removed. The
work corridor should be described. The approved ace carAdDf k-21i he restored. Staging, spoil, consti uctler.
maierfai must, be outEldnthe buffer_ [ISA NCAE 02H _3502 and 15A NCAC C12S ,024-2 't4,, !6 , {2yj
5tormwate:r caMot be p[pad or cAannaled for direct dlscnarga to the Jaka. AR tondructed stormw..W
discharges must be at tshe natural elevstton and dls&erged prior to erUring the bufbr dirreted Is drftuae ar
shoat flow at non-eroslva valocFres to t} to lake. EISA IN CAC 028.0243IS), (61;
Acknowledgement of Nord ixttor
i_ N� _ * C j C-C- -CV".
t a htroby stage tLiat I have hae=, tssFo - n ed of the Catawba
#Parton 8ufferRuIe. AM work k wnducted in the burg, not spmdFicaiiy stated In the appiiaatlon and approved
by the Div clan Of Water Resources (pWR1 r !r t vio lotion and sub}act to en-lbrcernent Due diligence wltl era
taicen such that the construcdon wiQ be bu'It wtthIn submits! compliance and intent of the 40!
QUWIEy Certii�cstlon and: Buffar Rules, t,`,a approved pian(s) and spseificatlon(s), and othersupgortni
materials n
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Plea a;30mx1mate1V gkgtrh F, such Zthe ioliowtn inform this �f�frxIoojv.(a+vvlda dimr,Wons
2 Af1acaaroporad v�tatfon dearfng for each
�. ttfon afriP -
rep or fl'll to be placed above the Full Pon
'• �ratfoR ofrf
Locatfon �p Or fill to fae placed below ttre Full P❑nil oMal Water Level elevation
ofany proposed d/ Norrr�I Waber i gel elevai n
5- Location ofan structures .,;u h as bt�Tldir�8 .
5. Locatfon ofoon �vatforl or dredging belay retafnfng walls, docks, etc.
structlon a=ers cvrrldors a Fuf l Pond/ Normal UlaterLvel elevation
FOAM: $Zp .W.ZQZ3
P
2,o x 7&k 10
Dr* Cr
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