20230287 Ver 1_Shoreline Stabilization_20230227

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 1/6/2023
submitted on: *
Owner Information:
Name: *
Email:*
Phone Number:
Mailing Address: *
Erin Johnston
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
2118 Cortelyou Road
Address Line 2
City
Charlotte
Postal / Zip Code
28211-3836
Is there an agent working on the project? * Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
State / Province / Region
NC
Country
US
Johnston Property, Shoreline Stabilization (283 Lakewood Cir)
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:*
35.341217
Street Address
283 Lakewood Cir
Address Line 2
City State / Province / Region
Troy NC
Postal / Zip Code Country
27371 US
Longitude: *-80.064210
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 *
J...
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.)
4. Location of the property (where work is to be conducted)
Nearest Town:* Troy, NC
County: * Montgomery

Lake/ river/ ocean adjacent to Pee Dee River
property:
Subdivisions name or site address: *
Directions to site: *
Holiday Shores lot 124
Include phase/lot number
From NC-24 / 27 / 73 head NW on River Rd
In 2.4 miles, make a right onto Holiday Dr
In 0.3 miles, make a left on Southcrest Dr
In 0.2 miles, make a right on Dogwood Trail
In 0.3 miles, make a left on Lakewood Cir
In 125' house is on right (grey residential dwelling #283)
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: *
Developed residential single family home
Residential, undeveloped, etc.
6. Property Size
0.19 ac
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
The project will consist of removal of a dilapidated dock, decking, and lattice wall screen; stabilization of 72' of shoreline that is
currently rock and hard, barren soil with little to no vegetation. Stabilize with natural rock at shoreline and with native plant
species above shoreline, up steep hill, elevation approx. 9'. Build a new dock in accordance with current federal, state, and local
requirements.
Pictures attached showing current shoreline w/ wood decking and visual barrier to be removed and current
condition of shoreline (views: straight on, left, and right). Last picture includes example of natural rock to be used
at shoreline.
8. How will the work be done? *
I From Land
I 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.)
144
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.)
288
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)
Very little vegetation; rock and hard soil under wood decking. Natural grasses and 3 oak trees above decking, past high water
mark; one tree to be removed. Another oak tree above high water mark, to right of stairs, heavily leaning toward river / downhill
with partial root exposure from hill to be removed. Native grasses to be replanted. See pictures attached.
Sketch: Johnston Property Pictures (5).pdf 672.91KB
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):

d $240.00 for impacts to lake (below normal water level) of less than 1 acre
• $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.
d 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
d I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Johnston Home
Signature:
5tlir e%sitar
Submittal Date: 2/23/2023

Initial Review
Is this accepted into the review process?* Yes 0 No
Project Number:* 20230287 Version:* 1
Select Reviewer: * Chad Turlington:[e-mail]
Select Reviewing Office: Fayetteville 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

2/8/23, 2:49 PM
Google Maps 283 Lakewood Cir
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2/8/23, 2:49 PM
283 Lakewood Cir - Google Maps
https://www.google.com/maps/place/283+Lakewood+Cir,+Troy,+NC+27371/@35.3412212,-80.0610341,17z/data=!4m5!3m4! 1 sOx885487dOOfl cd579:0... 2/3

2/8/23, 2:49 PM
283 Lakewood Cir - Google Maps
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