20230818 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: *
THOMAS RECHTIENE
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
4004 Pollock View
Address Line 2
City
Mt Holly
Postal / Zip Code
28120
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * TAMARA HAGER
State / Province / Region
NC
Country
US
Company Affiliation: * LAKE WYLIE DOCK CONSTRUCTION
Email: * [e-mail]

Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
PO BOX 5335
Address Line 2
City
MOORESVILLE
Postal / Zip Code
28117
A signed and dated copy of the Agent Authorization letter:
RECHLENE AUTH.PDF
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * RECHTIENE
State / Province / Region
NC
Country
US
475.62KB
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: * 35.359961
Longitude: *-80.932285
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.)
4. Location of the property (where work is to be conducted)
Nearest Town: *
MOUNT HOLLY
County: * Gaston

Lake/ river/ ocean adjacent to MOUNTAIN ISLAND LAKE/CATAWBA
property:
Subdivisions name or site address:* IMAGERY ON MOUNTAIN ISLAND/ LOT 328
Include phase/lot number
Directions to site:*
FROM MOUNTAIN ISLAND DAM HWY 273 TRAVEL WEST 2.0 MILES, RIGHT LUCIA RIVERBEND HWY 3.0 MILES,
LEFT IMAGERY BLVD , ROUNDABOUT FIRST EXIT DALI BLVD .30 MILES, RIGHT CHEGALL CROSSING WAY .60
MILES, RIGHT POLLOCK VIEW 200 FT. PROPERTY ON 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 .76
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
RIP RAP SHORELINE FOR STABILIZATION
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.)
100
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.)
300
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)
SEVERAL TREES TO BE REMOVED IN THE 30 FT BUFFER TO INSTALL SHORELINE AND CONSTRUCT PIER/DOCK.
Sketch: RECHLENE PIC.pdf 212.9KB
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
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');

d I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* THOMAS RECHTIENE
Signature:
MAAS RCCNT/EAIC
Submittal Date: 6/5/2023

Initial Review
Is this accepted into the review process?* Yes O No
Project Number: * 20230918 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

CATAWBA RIPARIAN_BUFFER_NOTIFICATION FORM
Project Name/address:__--- —J4004 Pollock view MT Holly NC 28278—County:Gastori
Owner: Denise &Tom-Rechiene
Prirt Signature
/f�'�
Contractor/agent:_Todd Flowers(Lake Wylie Dock Construction}_ � p!
Signature
Print
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. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
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. [15A NCAC 02B .0243(6)]
Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 028 .0243
(6)]
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 access 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 02B .0243 (4), (6), (8)]
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 02B .0243(5), (6)]
Acknowledgement of Notification
I,_Denise &Tom Rechiene_, hereby state that I have been informed of the Catawba Riparian Buffer Rule. Any
work 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 Quality Certification and
Buffer Rules,the approved plan(s) and specification(s), and other supporting materials.
Signature (owner):��.�c.,, Date:_5/28/2023 -� -�

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: �fj
LOT NO, a N� 1431`7�51r{ PARCEL ID: ��� ��✓
"1ft;M
STREET ADDRESS: 4004 Pollock View MT. Holly NC 28120
Please print:
Property Owner: Denise Rechiene
Property Owner: Tom Rechiene
The undersigned, registered property owners of the above noted property, do hereby authorize
Todd Flowers of Lake Wylie Dock Construction LLC
(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 certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Same
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Sig"ature
">'
Date: c7_/_mil -�— Date:

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;At FUJI Pond/Nomial Water Level I
Full Pond/ �'�
Normal �e
Shorejne
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Please approximately sketch the followingInformation on this inn
item, such as 10 ftx 100 ft}*: A (Pmv'dt d%menslOns foreach
I All proposed vegetation clearing
Loon of rip rap or fill to be placed above the Full Pond/-Normal Water L
3• Location of rip rap or fill to be placed below the Full Pond/ Normal Water evel elevation
4• Location of any proposed structures such as buildings, retaining walls do Level elevation
r
5• Location of any excavation or dredging below the Full pond/ Normal Wates, etc,
b. Location Of Construction access corridors r Level elevation
FORM:SSGP 10-7.013
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161Y SLPERVISION: THAT THE BOUNDARIES NOT SURVEYED ARE INDICATED AS DRAWN FROM REFORESsICED
MAP; THAT THE RATIO OF PRECISION OR POSITIONAL ACCURACY EXCEEOS 1:100M: AND THAT THIS
MAP MEETS THE REDU I REPIENTS OF THE STANDARDS OF PRACTICEjTE--
RMAY20r23
I NG I N NORTH
CAROLINA I21 NCAC 56.I6001..
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CURVE DELTA ANGLE RADIUS ARC TANGENT CHORD CHORD BEARING
j C 1 16'18'24" 425.M' 120.96' 69.99' 120.55' S 67'22'13'E
LIPS BEARING DISTANCE LINE IEARING5 DISTAHM
L 1 S 24'07'28"E 39.86' L 4 N 85'28-43"W 41.23-
L 2 N 8t'59'30-W 28.88- L 5 S 82'42'58'W 6.54'
L 3 5 74"3$-02'W 48.39' L 5 N 24'07'28"W 12.08'