20230411 Ver 1_Shoreline Stabilization_20230320

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 3/16/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Robert Myers
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
19701 Bethel Church Road
Address Line 2
City
Cornelius
Postal / Zip Code
28031
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...............................................................................................................................................................................
Name: * Janice Estep
Company Affiliation: * CBC Stone & Recycling, LLC
Email: * [e-mail]
State / Province / Region
NC
Country
US

Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
638 Oakridge Farm Hwy
Address Line 2
City
Mooresville
Postal / Zip Code
28115
A signed and dated copy of the Agent Authorization letter:
Agent Form.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Myers Shoreline
State / Province / Region
NC
Country
United States
717.32KB
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:* Street Address
16906 Lakeshore Drive
Address Line 2
City
State / Province / Region
Cornelius
NC
Postal / Zip Code
Country
28031-8690
US
Latitude: * 35.445304
Longitude: *-80.903598
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:Hedocs.deq.nc.gov/WaterResources/o/edoc/616616/Shoreline%2OLayout.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
property:
Subdivisions name or site address: * Lot 4 Lake Norman Island
Include phase/lot number

Directions to site: *
610 E Center Ave
Mooresville, NC 28115
Get on I-77 S/US-21 S from S Main St, NC-115 S and Langtree Rd
13 min (5.7 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
0.5 mi
Turn right onto College St
0.1 mi
Turn left onto S Main St
1.2 mi
Continue onto NC-115 S
2.1 mi
Turn right onto Langtree Rd
1.1 mi
Use the 2nd from the left lane to turn left to merge onto I-77 S/US-21 S
0.2 mi
Continue on I-77 S to Cornelius
10 min (7.4 mi)
Merge onto I-77 S/US-21 S
Continue to follow I-77 S
5.7 mi
Take exit 25 toward Concord/Huntersville
0.3 mi
Turn right onto NC-73 W/Sam Furr Rd
Continue to follow NC-73 W
1.4 mi
Continue on Norman Island Dr. Drive to Lakeshore Dr
2 min (0.6 mi)
Turn right onto Norman Island Dr
0.5 mi
Turn left onto Lakeshore Dr
Destination will be on the left
358 ft
16906 Lakeshore Dr
Cornelius, NC 28031
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, home under construction.
Residential, undeveloped, etc.
6. Property Size 0.755 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Push down existing rip rap on shoreline. Reshape and re -slope bank. Install matting and add fresh layer of boulder rip rap to
refurbish shoreline. Install TN Crab Orchard steps through rip rap for lake access.
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.)
Y below (720 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 (240 sf) 10' x 50' access
corridor (500 sf of temp. impact)
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)
Grass buffer, remove small undermined trees/brush on immediate shoreline necessary to properly stabilize bank, minimal
disturbance to buffer. 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):
0 $240.00 for impacts to lake (below normal water level) of less than 1 acre
0 $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");
0 1 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:* Janice Estep

Signature:
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Submittal Date: 3/16/2023

Initial Review
Is this accepted into the review process?* Yes G No
Project Number: * 20230411 Version:*
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Andrew Pitner:[e-mail]
Mooresville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00