20230385 Ver 1_Shoreline Stabilization_20230314

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 3/10/2023
submitted on: *
Owner Information:
Name: *
Email:*
Phone Number:
Mailing Address: *
Leland Honeyman
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
631 Brawley School Rd ste 300
Address Line 2
City
Mooresville
Postal / Zip Code
28117
Is there an agent working on the project? * Yes
No
Agent/Consultant Information
...............................................................................................................................
Name: *
Company Affiliation: *
Email: *
Randy j Jordan
Lyfe Marine, Inc
[e-mail]
State / Province / Region
NC
Country
United States

Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
19109 West Catawba Avenue
Address Line 2
Suite 200
City State / Province / Region
Cornelius NC
Postal / Zip Code Country
28031 US
A signed and dated copy of the Agent Authorization letter:*
Agent Auth + Catawba Riparian.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Honeyman Shoreline
248.92KB
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:*
35.548309
Street Address
113 Keats Road
Address Line 2
City State / Province / Region
Mooresville NC
Postal / Zip Code Country
28117 US
Longitude: *-80.880346
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/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.)
to
be
r..
9
4-
4. Location of the property (where work is to be conducted)
Nearest Town: * Mooresville
County:* Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: *
113 Keats Rd, Lot 9 and PT 10
Include phase/lot number
Directions to site: *
77N to Exit 31; turn L onto Langtree Rd to R onto Alcove to L onto Templeton to R onto Irish to L onto Keats.
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 under development.
Residential, undeveloped, etc.
6. Property Size .70
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
New Rip Rap Shoreline. The client is proposing that the remaining trees at the shoreline be removed per the evaluation letter he
obtained. The removal of trees count proposed is 8 large trees and 1 smaller tree. The client is under shoreline remediation and is
working with Andrew Pitner to propose a mutually agreed -upon plan to restore the trees cleared from this lot. We have been
advised that we can submit the application for shoreline stabilization while Mr. Honeyman and Mr. Pitner work toward a resolution
for the remediation.
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.)
491
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.)
163
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)
Vacant lot with minimal vegetation and trees remaining at the shoreline.
Sketch: Diagram.pdf 140.86KB
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:* Randy Jordan
Signature:
&9ock JordaH
Submittal Date: 3/10/2023

Initial Review
Is this accepted into the review process?* Yes 0 No
Project Number:* 20230385 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

,GFNT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT No: PAN NO: PMM V.
STREET ADDRESS:
Property Owner
Property Owner:
The undersigned, registered property owners of the above noted Property, do herebyautMortm
Randy Jordan of Lyte Marine, Inc.
(Cantra[mrlAgert) (Name of oxmu rg r m)
to act On rrry behalf and take all anions necessary far the processing, issuance and aoceptuic, Of this
permit or certfcation and any and all standard and special conditiarts attached_
Property Owners Address (if different than property above):
Telephone:
We hereby certo the above informatiun submitted in this application Is true and arcuate tothe
best. ,)`•.. 'knowledge.
AuthorizEd ".'e
Date

CAT FORM
I \
Project Name/address:
\�\� �•��~� `,�\�� County��°• l
owner.��\sc ���1C\
Print Sig
Contractor/agent:
Print Ignature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule. Site specific work should be provided in the application. 115A NCAC
02H .OS06 and I5A NCAC 026 A243(8)1
Trees are not allowed to be removed from Zone 1 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. 115A NCAC 026.0243(6)]
Benching and grading: in the buffer is not allowed. Excessive disturbance of ground cover. (15A NCAC 02B .0243
(611
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. (15A NCAC 02B .0243(4) and {6)]
Work to be conducted from land must indicate an acress 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 15A NCAC 028 .0243 (4), (6), (B))
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. (15A NCAC 028-0243(5), (6)]
PdaK wfedgement of NOO icadon
herehy state that I have been informed of the Catawba
Riparian Buffer Rule_ Any wo& 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 be built within substantial compliance and intent of the 401 Water
Ctuafrty Certification and Buffer Rules, the approved plan{s) and specification(s), and other supporting
materials.
St—ure (owner): •J ---- Date: �Gfll3

Owner/Agent's Signature
, ��& 1` vQ,
Printed Name
[15A NCAC 02H .0502f 01
'Agent's signature is valid only if an authorization letter from the awner is provided.
La ke
(At Full Pond/ Normai Water Level)
Full Pond/ r
Norma
SI
Date
Please tu'Lc:y sketch tl.e ',oiiowing information on this plan, length Gi shoreline
(provide dimensions for each item, such as 10 ft x 100 ft)*:
1. Ail proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3 Location of ri❑ ran or fill to be placed below the Full Pondl Normal Water Level elevation
c Location of any proposes structures such as buildings, retaining walls, locks, etc.
5. Location of anv excavaticn or dredging below the Full Pond/ Normal Vbater Level elevation
E. Location of construction access corridors
Page 3 of 3

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TREESCAPE'"
Tree Experts
�'+41I4� llwfd ltn!-��''1rfr ri in,i.,
Evaluation done for;
Leland Honeyman
113 Kcat-, Road
Mociresvillc, NC 28117
Tree Services
View Enhancement • Tree inspections ■ Crown Reduction a Tnrrlmrng a Cabling
Pruning • Removal ■ Fertilizing • Lot Clearing ■ Tree Preservation ■ Cram Setv-cc
L i,vonr Svrvncv • Stump Grinding ■ Bucket Truck Ser"Ce • Right of Why
Maintenance • Storm Damage ■ Removal & Clean up
I-mi&,zaoe Desi n and Installation + Spvcirna*! Tr" and Shrub InSfalioiiiun
rat and Diseasc Diagnosis and 1 reat►nent
Cerrifieri ArharisT on Staff
The following trees are covered in vines and English Ivy. The ground around the Maple and
Ashe tree is unstable due to shore erosion.
The Poplar, Maple and Ashe trees all have roots that extend Into the construction zone and will
be severely compromised once constructianjexcavation begins at shoreline.
Due to permitted construction, it is my recommendation that the trees be removed due to their
instability and the knowledge that main roots will be severed within 6' of trunk once
constrirctlon begins.
Remove (2) dead Elm trees around 6-8 inches in diameter. Remove (1) poplar tree 30" caliper,
(1) Maple tree 24" caliper, (1) Ashe tree 28" caliper
Evaluation done by:
Rondel Gulfey, ISA SO-10641A
ISA Tree Risk Assessment Qualification
Corporate Office-- 606 Linwood Road • Gastonia. NC 28052
Gastonia. 704-867-4100 • Chadotte 704-598-6641 • Fax- 704-867-4063 - www.T►eescapeTreeExpetts_com
24 Hour Emergency Service

TREESCAPE" TM �" �"`
V1aw ErH.xic.meat -True 4->peTM - sarr+ ged,nra� • Tr.rnny .) • LaNmn
I • a n E w o e r f s Pruning • Rep • Fertffrtny • I'll
L:lexi� • Tree Yr-mwativn •Winne 5!rl.�.
— rHO—r S�,r,r� • Rr Grindin y• I2; Tr-+.. S—i- • R wl', r,f w.,.
LAaintenanee • Siva.. Damngr • Ramarai 9 [span ur
X r .anrhrape Des+�n ani rnM11.1 an • Spvnrmn Tr¢o- and'SM't+ IWAIa I,,
r i.._•.i efl and D�scnar Otgrw and 1 reannanI
CwliF-d Arbarrt as Sv{t
Eva luat Ion done for:
Leland I Imcyman
113 Kral, Roa!
3rtoompvi le. NC 28117
The Wlvwl ng'"es are covemd .n nnes and t: rnSFsh hy- The ground around ttc Maple and
+she tree is unstable due to share erO9on-
The Pop{ar. Ma pip and As he urns an have rnntt That ert Pn.i Inr.l thn rn n•t r ur r l n n rune and will
be severely mmprpmised cm�e crostrLctlOr/etcavatinn beglrss at shorelne-
Due tO permitted canstrActipi, it IA my recommendatlon that the trees be removed due to their
instabilit vand the knowledgir that main rppts will be severed within 5' of trunk once
D Chu t on bogini.
Remwe (4) dead On trees around G-8 inches in diameter. Remove (1) poplar tree 30' cali pe•,
(1) Maple tree 2V caliper, (11 Ashe tree 28' calwer
Eraluativn dore by.
Ronde Guffev. ISA S0-1g6414
ISA free Usk AssesSmen[ Owl Ificatlon
Corporafe Ofte: 606 tirwoui Roars • Gastonia- NC 28052
(+asrnnia : G4-8C7.4700 • Cha-lofhr: 7R4-593-6611 • Fax• 744-867-4063 • www-TreesrapeTreeEtperrs-com
24 Hour Emergency Se"Ice

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Owner/Agent's Signature
, ��& 1` vQ,
Printed Name
[15A NCAC 02H .0502f 01
'Agent's signature is valid only if an authorization letter from the awner is provided.
La ke
(At Full Pond/ Normai Water Level)
Full Pond/ r
Norma
SI
Date
Please tu'Lc:y sketch tl.e ',oiiowing information on this plan, length Gi shoreline
(provide dimensions for each item, such as 10 ft x 100 ft)*:
1. Ail proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3 Location of ri❑ ran or fill to be placed below the Full Pondl Normal Water Level elevation
c Location of any proposes structures such as buildings, retaining walls, locks, etc.
5. Location of anv excavaticn or dredging below the Full Pond/ Normal Vbater Level elevation
E. Location of construction access corridors
Page 3 of 3