20230116 Ver 1_Shoreline Stabilization_20230123

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 1/18/2023
submitted on: *
Owner Information:
......................................................................................................
Name: * Courtney Reames
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
4600 Ivy Run Lane
Address Line 2
City
Denver
Postal / Zip Code
28037-9372
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
State / Province / Region
NC
Country
US
Name: * Janice Estep
Company Affiliation: * CBC Stone & Recycling, LLC
Email: * [e-mail]

Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
638 Oakridge Farm Hwy
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28115 United States
A signed and dated copy of the Agent Authorization letter:*
Agent Form.pdf 715.7KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
Reames Shoreline
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: * 35.539148
Street Address
4600 Ivy Run Lane
Address Line 2
City State / Province / Region
Denver NC
Postal / Zip Code Country
28037-9372 US
Longitude: *-80.987258
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*
Site Plan.pdf
Buffer Form.pdf
Please use the diagram at the link below:
914.57KB
1.72MB
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.)
Shoreline Pics.pdf 16.75MB
4. Location of the property (where work is to be conducted)

Nearest Town:* Denver
County: * Lincoln
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Lot 60 Crescent Land & Timber Corp.
Include phase/lot number
Follow E Center Ave and E McLelland Ave to NC-150 W/E Plaza Dr
6 min (1.7 mi)
Head south on Evergreen St toward E Center Ave
197 ft
Turn right onto E Center Ave
0.5 mi
Turn left onto S Church St
397 ft
Turn right onto E McLelland Ave
1.1 mi
Use any lane to turn left onto NC-150 W/E Plaza Dr
Continue to follow NC-150 W
Pass by Zaxby's Chicken Fingers & Buffalo Wings (on the right in 1.3 mi)
18 min (9.9 mi)
Continue on Slanting Bridge Rd. Take Pine Ridge Dr to Ivy Run Ln in
Lincoln County
9 min (5.6 mi)
Turn left onto Slanting Bridge Rd
2.7 mi
Continue onto Campground Rd
1.1 mi
Sharp left onto Pine Ridge Dr
1.8 mi
Turn right onto Ivy Run Ln
Destination will be on the left
85 ft
4600 Ivy Run Ln
Denver, NC 28037
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
0.837
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Remove existing rip rap and relocate to an area on property outside of
buffer zone. Reshape and re -slope bank, install matting and install boulder
rip rap to refurbish shoreline.
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.)
4' below (400 sf)
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.)
1' above (100 sf)
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)
No trees removed, minimal disturbance to buffer. Existing beach area will
not be disturbed. Access corridor will be restored to original condition.
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
a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Janice Estep
Signature:
CA C er*«y,.iaOsr cr
Submittal Date: 1/18/2023

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20230116 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

I US
PROPERTY LEGAL DESCRIPTION:
LOT NO, a" PLAN NO, PARCELID: 3126'
S
476; "RED'" ADDRESS- 1W - -If k-1 V let -VV I Z-
.......................
Please print:
Property Owner:
Property Owner:
he
he undersigned, registered property owners of the above noted property, do hereby authorize
:Ev6c e C, I
(Contractor / Agent'
(Name of consuffing fir
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached,
Property Owner's Address (if different than property above):
Telephone,. �* ?
We hereby certifythe above information submitted in this application is true and accurate to the
best of our krivyviedge,
Authorized Signature
bate:

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Please approximately sketch the following information on this plan, length of shoreline
(provide dimensions for each item, such as 10 ff x 100 ft)*:
1. All proposed vegetation clearing
2. 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 proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Formal Water Level elevation
G. Location of construction access corridors
FORM: SSGP 10-2013 Page 3 of 3

AT BA RI AMA SUFFER NOTIFICATION FORM
P %De roject Name/address; i mfle, It -e- O'K u
Owner.
Print
contractodagent: �
Print
The approval is for the purpose and design described in your apOcation. Impacts not indicated in the
application is a violation of the Buffer Ruie. Site specific viork should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 029.0243(8)]
Trees are not allowed to be removed from Zone I of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 028.0243(6)]
Benching, grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 0213.0243 (6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. J15A NCAC 02B .0243(4) and (6))
Work to be conducted from land must indicate wi access and indicate any trees that are to be removed. The
work corridor should be described- The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer, [15A NCAC 02H.0502 and 1SA NCAC 028 .0243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake: 115A NCAC 028.0243(5), (6)]
ACknawledgetent of Notification
/I
I'L' "1 0 1 ;; V
t.11 .1R Lit 7A 1A hereby state that I have been informed of the Catawba
Riparian Buffer Rule.,,AAy work conducted in the buffer, not specifically stated in the application and approved
by the Division of Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be
taken such that the construction will e built within substantial compliance and intent of the 401 Water
Quality Certification and duffer Rul the approved plan(s) and sp
/ ,ecification(s), and other supporting
materials. Z-1 F,
Signature (owner),- aO—Date:

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