20230995 Ver 1_Shoreline Stabilization_20230717

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 7/12/2023
submitted on: *
Owner Information:
......... ........ ........ ........ ......... ........
Name: * John White - Cell Number 704-437-6185
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address: * Street Address
PO Box 368
Address Line 2
City
Terrell
Postal / Zip Code
28682
.................................................................................................................................................
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * L48
State / Province / Region
NC
Country
Catawba
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: * 35.557336
Street Address
4897 Kiser Island Rd
Address Line 2
City
Lake Norman of Catawba - Terrell
Postal / Zip Code
28682-9772
State / Province / Region
NC
Country
Us
Longitude: *-80.961889
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
Lot
48 ...
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.)
lot
4. Location of the property (where work is to be conducted)
Nearest Town: * Terrell
County: * Catawba
Lake/ river/ ocean adjacent to Lake Norman
property:
Subdivisions name or site address: * L48 - 4897 Kaiser Island Rd
Include phase/lot number
Directions to site: *
2 miles in on Kaiser Rd on right side, off of 150 East, across from Power Plant, undeveloped lot, right after causeway
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.. *
Undeveloped, we want to build on the land and want to apply for a rip -rap and dock permit from Duke and need a 401 certification
from your department. The site is currently just full of trees and grass. It appeared at some time in the pass there was a black top
road on property, maybe before Duke set up the lake
Residential, undeveloped, etc.
6. Property Size .43
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Want to build a duplex as in picture uploaded, need to clear to 30 foot buffer and any other trees etc that we can remove to make a
nice lake front view
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.)
none
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.)
approx 10,000 sq feet
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)
trees and grasses, make foot print for duplex, and drive way
Sketch: Kiser lot 48.pdf 1.35MB
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
o $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');
0 1 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
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* John White
Signature:
Submittal Date: 7/12/2023

Initial Review
Is this accepted into the review process?* Yes O No
Project Number: * 20230995 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