20230816 Ver 1_Shoreline Stabilization_20230610

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 6/5/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Richard Bywater
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
16429 Pinwhenny Road
Address Line 2
City
Cornelius
Postal / Zip Code
28031
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...............................................................................................................................................................................
Name: * Randy Keith
Company Affiliation:
Email: *
VP
[e-mail]
State / Province / Region
NC
Country
Us

Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
164 Stutts Road
Address Line 2
City
Mooresville
Postal / Zip Code
28117
A signed and dated copy of the Agent Authorization letter:
Bywater agent authorization form.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Bywater 2023
State / Province / Region
NC
Country
US
325.8KB
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: * 35.462128
Longitude: *-80.934113
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/Shoreli ne%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.)
s...
r...
for
s...
4. Location of the property (where work is to be conducted)
Nearest Town: * Cornelius
County: * Mecklenburg
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: * Lot 136
Include phase/lot number
Directions to site: *
Via 77S, exit 28 onto Catawba, Right on Jetton, Left on Harbor Light Blvd, Left on Yawl Rd, Right on Green Dolphin Ln,
destination on the 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 0.75
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Propose dredge cut and access channel to new proposed dock structure. All work to be performed by water with long reach
excavator and barges. Material removed by cargo barges and disposed at an approved commercial site.
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.)
4500
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)
no vegetation impacted. Illustration of existing rip rap shoreline.
Dredging to be done by water and spoils transported to approved commercial staging site via water.

Sketch: Bywater existing rip rap DWR.pdf 398.01KB
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
d $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 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:* Randy Keith
Signature:
Submittal Date: 6/5/2023

Initial Review
Is this accepted into the review process?* Yes O No
Project Number: * 20230916 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

AGENT AUTHORIZATION FORM
PROPERTY LEGAL.DESCRIPTION:
LOT NO.. i 3 tr PLAN NO. PARCEL ID: L= 2
STREET ADDRESS: 4 q 211
Please print: n
RnpertyOwner:
Properly Owner: r— - --The undersigned, registered property owners of the above noted property,do.hereby authorize
1U N V-ti t ,rtl of 1^1 kTk.QS 1 >Jti hoc Y s )F>t4-ZS
(Contractor/Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or ceEt kat ed
on and any and all standard and special conditions attach .
Property Owner's Address(if different than property above):
Telephone: I-v4 e`i
We hereby catty the above information submitted in this application is true and accurate to the
best:of our knowledge.
Auffiorized *nature
Date: 6- Y-�9 bate:

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Proposed
(Plan �i � cud cl�prh
View)
SOOcu4d Lake
i0U xl�U K3.�S �Z7 Guud (At Full Pond/ Norma'LZ
�L 4 "4
15' x�0" x I Z" cupid = 5q yds �-
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47Full Pond/ Normal Water Level
Shoreline
NO Gl Wr6QhCl IL)
butitr; oveclgi,y s
SNIICA K G119pac'I uenc
bg WcLter
Lake
(At Full Pond/Normal Water Level)
Existing Dock
30 It x 7 ft
3ftx 150 ft
Full Pond/Normal Water Level ` -P. Below full Pond/NWL
�rl or2line ti. 4 ft x 1s0 ft
Rlprap Above full Pond/NWL
x'50 ft.
additional clearing
'it necessary
E AMPLE
Plan View

b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Lake
(At Full Pond/Normal Water Level)
LFull Pond/ Normal Water Level 3rVi-* �
Shoreline C,e'
Plan View
Lake
lAt Full Pond/Normal Water Levell
Existing Dock
3ftx150h
Below full pond/NW L
Full Pond/Normal Water Lev,"311'It
nhoreTne ak.SSo ftAbove full pond/NWL
2 ft.x 150 ft.
additional clearing
•if necessary
E AMPLE
Plan View
D E North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919.707.9000

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