20231106 Ver 1_Shoreline Stabilization_20230810

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 8/5/2023
submitted on: *
Owner Information:
........ ........ ........ ........
Name: * Madeline C. Davis
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address: * Street Address
24 Highbridge Crossing
Address Line 2
#1316
City
Asheville
Postal / Zip Code
28803
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Davis Seawall Repair
State / Province / Region
NC
Country
US
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
481 Tocami Trail
Address Line 2
Latitude: * 35.162778
City
State / Province / Region
cullowhee
NC
Postal / Zip Code
Country
28723
Us
Longitude: *-83.144681
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: * Glenville
County: * Jackson
Lake/ river/ ocean adjacent to Glenville
property:
Subdivisions name or site address: * 481 Tocami Trail
Include phase/lot number
Directions to site: *
107 to N. Norton; Right onto Fenley Forest Trail; left onto Hummingbird trail; slight left onto Tocami Trl.
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
Residential, undeveloped, etc.

6. Property Size 1.71
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Repair 100 ft of existing failing boulder wall
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.)
700
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.)
600
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)
Small shrub vegetation
Sketch: davisdrawing220230805_13523525.pdf 23.89KB
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');
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
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Madeline C. Davis
Signature:
eWIMFIru� & 01urZr
Submittal Date: 8/5/2023

Initial Review
Is this accepted into the review process?* Yes O No
Project Number: * 20231106 Version:*
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Andrew Moore:andrew.w.moore
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00

Lake
(Tat Full Pond/Normal Water Level)
Full Pond/
Norma
city, W-f4ply-0
Shoreline
Please approximately sketch the following Information on this plan (provide dimensions for each
item, such as loft x 100 ft) *;
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Fall Pond/ Normal Water Level elevation
3. Location of rip rap or fill to he placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
S. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
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