20230101 Ver 1_Shoreline Stabilization_20230119

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*
FGL71 @yahoo.com
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 1/17/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Frank Lietke
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
4513 Inlet Pointe Ct
Address Line 2
City
Charlotte
Postal / Zip Code
28216
Is there an agent working on the project? * Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
State / Province / Region
NC
Country
United States
Project Name: * 4513 inlet pointe court
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: * 35.347331
Street Address
4513 Inlet Pointe Court
Address Line 2
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28216-6731 US
Longitude: *-80.946562
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*
SCAN 003009 (003).pdf 542.04KB
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.)
IMG_2011.pdf 165.47KB
IMG_2346.pdf 158.25KB
4. Location of the property (where work is to be conducted)
Nearest Town: *
County:*
Lake/ river/ ocean adjacent to
property:
Subdivisions name or site address: *
Charlotte
Mecklenburg
mountain island lake
overlook
Include phase/lot number
Directions to site: *
cross road closest is preservation pointe dr
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 .785
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
trees are falling into the lake and causing a safety hazard to people and
structures due to root wash out from lack of shoreline stabilization rocks.
A seawall like buffer is needed to prevent further erosion and destruction

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.)
100
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.)
1200
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)
several large mature trees on site, will not be impacted. Mix of hardwood
trees, oak and american beech. residential back yard area
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:
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:*
Signature:
Frank Lietke
Submittal Date: 1/17/2023

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20230101 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

Property subject to recorded or unrecorded RMS, easements, agreements, restrictions. The boundary description prepared from this survey is the surveyors opinion of the location of boundan
nes of me property based on monuments found in field and is not to be construed as a certification of the quality of title or location of title to the property. A full title investigation is recommender
Area by coordinates
ECM = Existing Concrete Monument
EIR = EzisGng iron rod I EIP =Existing _ iron, pipe EN =Existing Nail OUL =Overhead utility Lines
SIR =1/2' iron rod set I CP = Computed Point S.T. = Sight Triangle LIB = Utility Box
SSR = Sanitary Sewer R/W or Easement I PSDE = Public Storm Drainage Easement EMH = Existing Manhole EMN = Existing Magnetic Nail
Boundary Surveyed
Setback line (SBQ
x_x Fence
Boundary by deed/plat
Street r/w
Easement
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PROPERTY OF
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PHYSICAL SURVEY OF ?sue g IMd
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LOCATED IN WARD NO. CITY OFu-&—eTv+e ' Au1�V-kg_ TOWNSHIP: A116lrK�L�ullCOUNTY, NC
Scale
I certify that this map was drawn under my supervision from an actual survey made under my supervision (Deed Recorded in
Book 1 4o47Page Z3 �, Map Recorded in Map Book 34C$ Page jU% ; that the boundaries not
surveyed are indicated as drawn from information in DeR�dsf61'Maps shown hereon; that the ratio of precision does not exceed
an error of closure of one foot per 10,000 feet; anr, l i %,the requirements of The Standards of Practice for Land
Surveying in North Carolina (21 NCAC 56.1600)4'�y4��`�SIU/d
OG� P^wperty shown doeskWaswet lie in a flood hazard zone
This �_ day of 20 � . •; ` a
_ S� Reference by FIRM No.3 7tOd5IGbG
8 c�'
r«» L ,m effective date:
d c kta . y
Billy B. Long, Jr. Professional Land Surveyor - L Ili ; --.' iO IBiIIy B. Long, Jr, PLS • This Plat a not to be transfered to third parties without permission.
BILLY B. LONG; JR. •PLS-L4178 • 1p acx4 ONY DRIVE, NW • CONCORD, NC 28027
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