20230829 Ver 1_Shoreline Stabilization_20230613

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 6/11/2023
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Jeffery Keith Mullins
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
3653 Melica Drive
Address Line 2
City
Catawba
Postal / Zip Code
28609
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...............................................................................................................................................................................
Name: * Tina C Little
Company Affiliation: * Little's Lake Permit services LLC
Email: * [e-mail]
State / Province / Region
NC
Country
United States

Phone Number:*
[phone]
(XXX)XXX-xxxx
Mailing Address: *
Street Address
1076 Heather Glen Drive
Address Line 2
City
Catawba
Postal / Zip Code
28609
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:* Jeffery Mullins Shoreline and Dredge
State / Province / Region
NC
Country
United States
428.67KB
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: * 35.577427
Street Address
428 Lakeview Shores Loop
Address Line 2
City
Mooresville
Postal / Zip Code
28117-6633
State / Province / Region
NC
Country
US
Longitude: *-80.945418
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: * Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: * 428 Lakeview shores loop, Mooresville NC 28117
Include phase/lot number
Directions to site: *
From Brawiey School Road turn Right on to Mc Kendree, then turn right on to lakeview shores loop turn left on to Abbot road
then turn right on to lakeview shores loop turn left into 428 lakeview shores loop.
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, Site is being prepared to build home on
Residential, undeveloped, etc.
6. Property Size 1.46
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Add rip rap to existing riprap and repair erosion to shoreline also will be dredging at the dock area.
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.)
752
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.)
1576
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)
5 trees in the buffer area mostly grassy
Sketch: access.pdf
Application Fee:
292.11KB
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):

d $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
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.
d 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
d I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Tina C Little
Signature:
RCiYlt clwmle
Submittal Date: 6/11/2023

Initial Review
Is this accepted into the review process?* Yes O No
Project Number: * 20230929 Version:*
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Andrew Pitner:andrew.pitner
Mooresville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00