20230258 Ver 1_Shoreline Stabilization_20230223

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Qualify
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 2/12/2023
submitted on: *
Owner Information:
Name: *
Email:*
Phone Number:
Mailing Address: *
DAVID & CAROLYN SPINNEY
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
22600 Torrence Chapel Road
Address Line 2
City
Cornelius
Postal / Zip Code
28031-6797
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
...............................................................................................................................
Name: *
Company Affiliation: *
Email: *
State / Province / Region
NC
Country
US
TAMARA HAGER
RENEGAR CONSTRUCTION & LAKE PERMIT LLC
[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:*
SPINNEY AUTH.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .O5O2(a) & (b)]
Project Name: * SPINNEY
166.56KB
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:
Latitude: * 35.502789
Longitude: *-80.892079
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*
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreli ne%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.)
4. Location of the property (where work is to be conducted)
Nearest Town: * CORNELIUS
County: * Mecklenburg

Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:
Subdivisions name or site address: *
COUNTRY CLUB SHORES NO 4 LOT NUMNER 1 BLOCK D
Include phase/lot number
Directions to site: *
FROM COWANS FORD DAM TRAVEL EAST HWY 73 7.5 MILES, LEFT ON W CATAWBA AVE 3.3 MILES, LEFT
TORRENCE CHAPEL RD 1.7 MILES, PROPERTY ON RIGHT
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 .380
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
RIP RAP MAINTIANCE FOR SHORELINE STATIBLIZATION
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.)
0
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: SPINNEY SKETCH.pdf 101.74KB
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):
cl $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:
d I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
d 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");

d 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:
DAVID & CAROLYN SPINNEY
aau1.0 £ GARCI A JP/AUJCY
Submittal Date: 2/12/2023

Initial Review
Is this accepted into the review process?* Yes 0 No
Project Number:* 20230258 Version:* 1
Select Reviewer: * Andrew Pitner:[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

Cwliar;
COM3act
The approval is for the purpose and design described In your ■ppilcatlom Impacts not Indicated In the
applrcatron Is a Violatron rxftie SUMr Rule 5lte specKic work should be provided in the apollrltlarl. 125A NCAC
02H .0506 and I5A NCAC D2B .p243(g)l
Tr": are nc L Clowad to be removed from 7n na 1 of the Buff r (wftl in 30 -R oft' @ mull pored eleva-LMn), unimic
app+nvad. Ewapton, those trans that airs sevaraly undarminad along this irn msdla'te shoreline can be removed.
Mlnlmal shaping and Sioping along the (mmedlate shoreline is allowaii 115A NCAC 028-0243(6)i
Benching, g; Eding in the buffs rs hat a(lowad. Excessive distur'bence of ground oover. Ci5A NCAC 02B.0243 fg)]
S eaci,, as, fmperviaus patios, ern pervious walkways, elm ara not allowed in the bufF>:r unism specl;icaily approved
bYthe Olylsion. Thum at'e iiinitatlon are sire fcr decks. (15A NCACO28.6243(4) and (6)J
Work to be ccnducbed from land must MIcats an s:cesa :-+0 17,lftate env trans that orato be removed. The
work corridor should be described. The approved aeons rorridor;hall be restored. 3dging, spoll, constructlor.
material muss be autsideti±E b&Ter_ (SSA NICAC 02.H .0502 and 154 NCAC C2B .0242 W, (5), (B
5tarMwatar cannot be prped ar channeled for &rant df3chargs to tfls laka. All cor►st-uC•'.ed sto-mvitter
discharges must be at the natural elevation and clecharyed prfor to ■ntnmg the buffer directaa as drffusa or
chest f+ow at non -emery. velocnies to the lake. (15A h1CAC 02B -02 iI(51, (6}
A ckrra wledgemerrf of NVvtfflc&+')nn
4 1 `' kly strte that l have been Informed pf the Cativb:
Rfparian 8ufrer resit. A.ny wort conducted In the buff, not spedf ally stated In the appilcation and approves
by the DIvIslon of Wattr Resources (OWR), is a via laton and subject to enforcement. Due diligence will be
C kin such that the constrvctlon will be built wftIn substarrtiaf campilance and font Of 'Ma 43:1 Vtlater,
Ctuallty CertH«t;a 81u ferftul, • e approved plane) and scecfftcatlon(s), and othersuppGrting
materlais
Signgure {owne Crt5: 7f

From
Subject
Date
To
Tamara Hager ;:[e-mail]
Spinney Shoreline
Feb 11, 2023 at 12:27:42 PM
Tamara Hager iagerCw1akepermit,com
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, or copying of this message is strictly forbidden
and may subject you to legal action.

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Please appruxlmateJy sketch tha following Inform on this plan, �pm�idw dIr"enslon7 r
+'hem, such as 10 ft x 100 ft) 0. fa .arah
1• All proposed vegetation clearing
2- Location of rip rap or R11 to be pfaced above the Full Pond/'Normal 'Rater Lave[ 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 bulldln 5• Locattlon of any excavatlon or dredging below the Full Pond/ Normalinlng Watedocks, Level el
6. LOCa'tlon Of constructJon access corridors evation
FORM: 55GP 1D.2()13
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