20230226 Ver 1_Shoreline Stabilization_20230209

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 2/7/2023
submitted on:*
Owner Information:
Name: *
JEFFREY W NUNNALEY REVOCABLE LIVING
TRUST
Email: * [e-mail]
Phone Number:
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
277 Patternote Road
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117-5911 US
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...................................................................................................................................
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:*
AUTH NUNNALEYpdf 175.07KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
NUNNALEY REVOCABLE LIVING TRUST
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: NUNNALEY SURVEY.pdf
Latitude:*
35.580066
Longitude: *-80.905770
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*
NUNNALEY SURVEY.pdf 152.8KB
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.)
NUNNALEY SHORELINE PICS 1.pdf 73.42KB
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: *
LOT 176 CRESENT LAND & TIMBER
Include phase/lot number
Directions to site: *
FROM MARSHALL STEAM STATION TRAVEL WEST ON HWY 150
5.4 MILES, TURN RIGHYT ONTO MORRISON PLANTATION PKWY
1.1 MILES, TURN RIGHT ONTO BLUME RD 1.8 MILES, TURN
RIGHT ONTO PATTERNOTE RD 1.3 MILES, PROPERTY ON LEFT
.70 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 .68
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
RIP RAP TO 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: NUNNALEY SKETCH.pdf 101.06KB
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
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:*
Signature:
JEFFREY W NUNNALEY REVOCABLE LIVING
TRUST
JS+?'Pd3' Ev 0.tlikef +@c v PLC rater
Submittal Date: 2/7/2023

Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20230226 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

1! + 4 nr
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Print signature
i~ontractcor/agape, a
print Slifristurs
Th'a approval is for the purpose and design described In your applicedon. tripacts not !ndicaled In the
app€fcation is a violation of zha Buffer Rule. 5ite spectftc work should be provided in the Eopllcstlon. j.15A NCAC
02H .0505 and 15A NCAC 02B .024a(8)
Trews are not allowed to bm removed from Zone! of the SuiYer (wrth€n 80 ft of the fill pond ele=41Dn), unies_c
approved. Exception, those trees that ara soverely undermined elongtt* immediate shorelina flan be ramoYed.
Minimal shaping and slopir4 ;Ilor)g the Immediate sha.,-ellna is allowaci. 115►L ,,JCAC 028.024316)i
Benching, grading !n the bu4ftr ft notallowad_ Excersive disturbance of ground avvsr. [15A NCAC 028 A24.3 € A
8.esch os, l-wparvlau_s rastioa, im pervious walkways, etc_ are not ail owed in the burr unIm spec€flcailY approved
av the DtviJon. There are €€mItatlon cm size for docks. [15A NCAC 028.02r43(4) and {6))
Wort to be conductied'mm IanC must Indicate ar ss acceand €ndicaU any tress that are to be removed. Y ;!
work carridor thou Id be ^_'esrrrbed- The aoproved ecum corridor kall be ruWred. 3tagirkL tpo#I, corig trvctler.
rnst_rrai must be outside the o�"er_ [15A NCAC ni .0502 si id 15A MC -AC' ON .0242 i4„ I5), 48t}
5tormwater cennvt be piped Or channeled far direct discharge to the laks. Ali eonstruY'tee S-`_,CrMwMts'
dlschergff mlust be ut th! no%ra! e'aYstion and discharged prior to smearing the buffer directed a5 Oftad o'
Ghaat fow at non-eresive •,iocMas to the €aka. [1.5A NCAC 028.0243 (5), (6)]
A ckn o wledgement of Nog rcatrar
MCA hlc % ►� - 1 rus-
t, . fl h°�bu state that I havPe een irY6m,-,m d of the Catawba
R?oarian 8ufnsr Rule. Ann work mnducted i .-the bus'-r not speciitcaliv stated in the appllcuVar. and approveC
EAU tha Division of WaW Rmurou (OWR), is a violetlen and riubject M enrarcernant_ Clue dtllwca will be
taicen such that the construction will be bu-Itwithin aubs*. ntal compliance and hitait of the 401 water
00-213ty r•rtlf:cation and Buffer Ru1w, the approved plants) and specMcaton(s), an other 3upporting
materials.
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Tamara Hager
704-575-2227
The information contained in this message is confidential and is intended solely for the
recipient(s) identified above. If you are not the intended recipient or there are any
problems, please notify the sender immediately. The unauthorized use, disclosure, ❑r
copying of this message is strictly forbidden and may subject you to legal action,

Ful[ Pond/
IVarmIV r
shoreline
La ke
(At Full Pond/Normal WatarLevel
&5) 3a"v."/
rob -rZEE�
Ta 13U j2.-
jAiN)6- LAID(
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Please approximately sketch the fallowing lnforrnation on this plan �providr dimensionsfo�eech
item, such as 10 ftx 100 ft]+:
I. All proposed vegetation clearing
2. Location a2 rip rap or fill to be placed above the Full Pond/worrnal 'tNater Level elevation
3. Location of rlp rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retain Ing 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
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