20240024 Ver 1_Shoreline Stabilization_20240103

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*
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
[e-mail]
Please provide an email address for payment and requests for more information here.
EMMA LOVE LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
4880 Emma Love Drive
Address Line 2
City
Denver
Postal / Zip Code
28037
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: *
Company Affiliation:
Email: *
Phone Number:*
TAMARA HAGER
LAKE PERMIT LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
US

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:
4880 EMMA LOVE AGENT.pdf
4880 EMMA LOVE AUTH.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * EMMA LOVE LLC
State / Province / Region
NC
Country
US
92.13KB
155.79KB
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: * 35.559268
Longitude: *-81.029840
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/WaterResou rces/0/edoc/616616/ShoreI i ne%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.)
4. Location of the property (where work is to be conducted)
Nearest Town: * DENVER
County: * Lincoln
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:
Subdivisions name or site address: * EMMA LOVE SUBDIVISION LOT 29
Include phase/lot number
Directions to site:*
FROM MARSHALL STEAM STATION HWY 150 WEST 4.8 MILES, LEFT GRASSY CREEK RD .80 MILES, LEFT LOVE
POINT RD , RIGHT EMMA LOVE DR .60 MILES, PROPERTY ON LEFT 500 FT.
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 .520
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
DREDGE 30 X 20 X 8' DEPTH
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.)
348' SHORELINE,
1248' DREDGE ,
.029 ACRES
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.)
522'
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)
522'
SMALL TREES REMOVED FOR SHORELINE AND CONSTRUCTION OF PIER

Sketch: 4880 EMMA LOVE SHORELINE
64.58KB
SKETCH.pdf
4880 EMMA LOVE SKETCH.pdf 194.52KB
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):
0 $323.00 for impacts to lake (below normal water level) of less than 1 acre
0 $767.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
0 I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
0 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 1 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');
d 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
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* EMMA LOVE LLC
Signature:
fiNiOfLLC
Submittal Date: 12/20/2023

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20240024 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
$323.00
$767.00

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S. Describe tee existing land use or coAdItlor of the site at the time of this application (resWentl&l,
undevelapec, etc,): . 1 7I - -
Describe Pro nosed work ;include discuss lon as to how hardening of shoreline has been avoided, or
why tt Is necassaryf: - 'T)"- nd l . - __s30 ` VG 1D, g e.► J.�_ . -
7. Will work be conducted from land? �L From water? ❑
IL Totai amojo; or 1npactS .4Wow the normal peal lake lave' ''formal Water Level
Parraa:.'! n l=cts (inctudtng ail excava:',on, oacf 11, rip rap, retaIning wails, etc.) in square fftt;
iempo y irripatts In square feet:
9. Tatai amount of unpacks i ".m the normal pool lake lever � Nomml Water Level and 50 feet land-
%vard
Permanent impacts (inciuoing crack fills r�av tion, rip rap, retaining wails, etc.I In square feet:
'� r
•,_j3cts --�rl Clearing, :-ansiruc!?on car,iL-r;'n square `eet
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10. ?lease nescr!--e the vege,.t an alvave the :ormal pool lake ievell Normal Water Level and 50 feet
'andwam to rie Impacted i number of trees, for Instance):
1I, SLAW-' ure
By signing oesow, f, as the proper: proper -.t, certify to the foilow] ng:
The :rc;ect prWrtrt harabv cart'f, _ that at: Irifor—atIon conulned herein is true, accurate,
and cornp4te to the best of my know Image and belief
• -.1a Project proponent hereby requests that the car.�?v�ng authority review and take actlon on
^i certi''cat'an the appllc3-.'e reasonable period of time
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12. ?false a;)F,�;xlmataty sketch the following information or. :his plank and provide dJownsions for
R _:;sad o*j .s:lon clearing
NOfmal ►dater Level elevation
crate 3f rip eau or fell to be pea.:e� belowthe fv 0ond/ Normal Water Level elevation
.c cfiz, :. i of env propc-sed strt:ct..re::.uh as b4:'d!, ii ., retaining vralls, docks, etc-
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..:,t,s n of any exca; stlon or dredge ng below the Fu!I Pond/ Normal Water Level elevation
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CATAMMA RIPARIAN BUFFER NOTIFICATION FORM
Project N-Rm'/aiddresv'�'; &l �alr 1111 `I &616 J �� 1 Cn
ntr
Owner: tit/ltd, c4GMQe L�"►.'� LL—�
Print signature
Pint $
r.e appro%al is for +.he Qurpase and design described in your application. Impacts not indicated in the
application is a Ooiadon OF the Buffer Rule. Site specific work should be provided in the application. 115A NCAC
Oin .b545 IiA Nr_ACO28 .0243(8)1
Trees are 'lot allowed to be removed from tone 1 of the Buffer (within 30 ft of the ft:ll pond elevation), unless
ap�,r4 red. r—ceiltaon, those gees that are severely undermined along the immediate shoreline can be removed,
Ariinirnai srlapiag an'l sloping along the immediate shoreline is allowed. 115A NCAC 02B .0243{6)l
aen&ng. grading in the buffer is not 3ilo►ved_ Excessive disturbance of ground cover, T15A NCAC 02B ,0243 (6))
'wr:l'cr+rs, it ", er .;Gus Pa dos, impervious walkways, etc, are not allowed in the buffer unless specifically approved
&,V the Givis, ; ,, '[ Ain'e are I'sr ; adon on size for decks. I3..5A NCAC C23.0243(4) and (6)1
',,Vork :o ba u,04uZtt0 from land must Indkate an access and indicate any trees that are to be removed. The
work corridor shoulo be described. The approved access corridor shall be restored, Staging, spoil, construction
'i'j ;erlal rt:us► Ot C,,,Z irde Me auffer. 115A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (b), (8)I
5tarmwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
a:scharges must ;.e : the natural elevation and discharged prior to entering the buffer directed as diffuse or
S:Idet l.`:uw _--. rr,;;-et we ocities to the lake. 115A NCAC 02B .0243(5), (6)l
A,: _knQyV>Z dj' -.n&rf c, Norification
- � hereby state that l have been informed of the Catawba
;tip .rLIP 1L. ,! J.-ark c=ci.cted in the buffer, not specifically stated in the application and approved
-f a OVls t VvL:er Resources (DWR), is a violation and subject to enforcement. Due diligence will be
= ��• "+. c .':a : 3..s..,.�cir,^ vaill be built within substantial c❑mpiiance and intent of the 401 Water
QLBiity Cetritication tnd Buffer Rules, the approved plan(s) and specification(s), and other supporting
�terfsis.

AGENT AUTHORIZATION FORM
:.r.�. ....,' M�•2
L01 NO. PLAN N0. PARCEL ID-. &k!a 6 q 4e 41 a SS,S
lease print:�/��t �
Property Owner:_
The undersigned, registered property owners of the abme noted property, do hereby authortce
r
ntractor ent (Name 6f consults firm)
to ixt on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and arty and all standard and special conditions attached,
Property Owner's Address (if dffFermt than property above):
We hereby certify the aoove information submIlded In thIs application is Mee and accurate to the
Lest of our knowledge,
l�
Autftiorix
Date:
4
Authorized
Date: