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HomeMy WebLinkAbout20231515 Ver 1_Shoreline Stabilization_20231109Submission 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* kim@dockmastersonline.com Please provide an email address for payment and requests for more information here. Pre -Filing Meeting Date Request was 11/6/2023 submitted on: * Owner Information: ..................................................................................................................................................................................................... Name: * Steve & Joni Smith Email: * smithnc@msn.com Phone Number: (704)839-1332 (xxx)xxx-xxxx Mailing Address: * Street Address 7138 Wessynton Drive Address Line 2 City Clover Postal / Zip Code 29710 Is there an agent working on the project?* Yes No Agent/Consultant Information ............................................................................................................................................................................... Name: * Kim Broome Company Affiliation: Email: * Phone Number:* Dockmasters Inc kim@dockmastersonline.com (803)831-1633 (xxx)xxx-xxxx State / Province / Region SC Country US Mailing Address: * Street Address 5850 Charlotte Hwy Address Line 2 City Lake Wylie Postal / Zip Code 29710 A signed and dated copy of the Agent Authorization letter: Stevesmithagentlet.pdf Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name: * Smith Shoreline State / Province / Region South Carolina Country United States 255.44KB 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: s... ... Latitude: * 35.127720 Longitude: *-81.031130 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* s... ... Please use the diagram at the link below: https:Hedocs.deq.nc.gov/WaterResources/o/edoc/616616/Shoreline%20Layout.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... ... 4. Location of the property (where work is to be conducted) Nearest Town: * Charlotte County: * Mecklenburg Lake/ river/ ocean adjacent to Lake Wylie property: Subdivisions name or site address: * 8740 Island Point Rd. Charlotte NC Include phase/lot number Directions to site: * 49 n entering North Carolina L onto shopton rd.L onto Island Point Rd. Destination will be 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: undeveloped Residential, undeveloped, etc. 6. Property Size 1.26 acres Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): PLace rip rap along approx 180' of shoreline to aid in erosion control 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.) 540' 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.) 360' 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 trees will be removed unless dead, undermined or 2" or less Sketch: stevesmithpics.pdf 926.43KB 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 $323.00 for impacts to lake (below normal water level) of less than 1 acre d $767.00 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 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:* Kim Broome Signature: �ii� �tAA1r/ Submittal Date: 11/6/2023 Initial Review Is this accepted into the review process?* Yes No Project Number:* 20231515 Version: * Select Reviewer: * Select Reviewing Office Has payment been received?* What amount is owed?* Andrew Pitner:andrew.pitner Mooresville Regional Office - (704) 663-1699 No Payment Needed Fee Received Need Fee - send electronic notification $240.00 $570.00 $323.00 $767.00