HomeMy WebLinkAbout20230454 Ver 1_Shoreline Stabilization_20230328Submission 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* laureenhilll@gmail.com
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 3/23/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
......................................
Laureen Hill
laureenhilll@gmail.com
(714)293-9507
(xxx)xxx-xxxx
Street Address
168 Hazelton Loop
Address Line 2
City
Mooresville
Postal / Zip Code
28117
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...............................................................................................................................................................................
Name: * Janice Estep
Company Affiliation: * CBC Stone & Recycling, LLC
Email: * info@cbcstoneandrecycling.com
State / Province / Region
NC
Country
US
Phone Number:*
(704)660-5111
(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:* Hill Shoreline
State / Province / Region
NC
Country
United States
546.07KB
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
168 Hazelton Loop
Address Line 2
City
Mooresville
Postal / Zip Code
28117
Latitude: * 35.571264
State / Province / Region
NC
Country
US
Longitude: *-80.880250
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 *
for
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: * Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: * Lot 11 Regency Lake Village
Include phase/lot number
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Head south on Evergreen St toward E Center Ave
14 sec (197 ft)
Turn right onto E Center Ave
2 min (0.5 mi)
Turn left onto S Church St
1 min (0.4 mi)
Take NC- 1100/Brawley School Rd to Canvasback Rd
11 min (4.6 mi)
Turn right onto E Wilson Ave
1.5 mi
Continue onto NC-1100Brawley School Rd
1.0 mi
Continue straight to stay on NC-1100Brawley School Rd
2.2 mi
Take Regency Rd to Hazelton Loop
3 min (0.8 mi)
Use the left lane to turn left onto Canvasback Rd
0.2 mi
Turn left onto Regency Rd
0.4 mi
Turn right onto Hazelton Loop
Destination will be on the right
0.3 mi
168 Hazelton Loop
Mooresville, NC 28117
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 0.500 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, re -install existing stone and add a fresh layer
of boulder rip rap to refurbish shoreline. The proposed shoreline will match the neighbor's shoreline on the right if looking at the
property from the dock. Neighbor's shoreline can be seen in the shoreline photos submitted.
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.)
4' below (436 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.)
F above (109 sf)
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, no trees removed, no disturbance to buffer. Project to be done by barge with permission to use approved access to
load materials onto barge for project.
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:
Submittal Date: 3/23/2023
Initial Review
Is this accepted into the review process?* Yes O No
Project Number: * 20230454 Version:*
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Andrew Pitner:andrew.pitner@ncdenr.gov
Mooresville Regional Office - (704) 663-1699
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00