20240025 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
4886 EMMA LOVE DR
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:
4886 EMMA LOVE AGENT.pdf
4886 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
93.78KB
155.83KB
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: * 35.559222
Longitude: *-81.029875
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: * DENVER
County: * Lincoln
Lake/ river/ ocean adjacent to NORMAN/CATAWBA
property:
Subdivisions name or site address: * LOVE POINT PHASE 11 , LOT #30
Include phase/lot number
Directions to site: *
FROM MARSHAL STEAM STATION HWY 150 WEST 4.8 MILES, LEFT GRASSY CREEK RD .80 MILES, LEFT LOVE
POINT RD .60 MILES, RIGHT EMMA LOVE DR, PROPERTY ON LEFT 600FT
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 .640
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
DREDGE 30 X 30 X 8' DEPTH
SHORELINE WOOD WALL 102'
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.)
204' SHORELINE,
1104' DREDGE _
.025 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.)
306'
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)
306' IMPACTS
SMALL TREES REMOVED FOR SHORELINE CONSTRUCTION AND CONSTRUCT PIER

Sketch: 4886 EMMA LOVE SHORELINE
65.29KB
SKETCH.pdf
4886 EMMA LOVE DREDGE SKETCH.pdf 129.66KB
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:* 20240025 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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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Projact liarne/adC.i ass:_ Lf' -co1111t'IKI �-A
Owner- L.
f%rinr signature
ConvactWagent:
Print 5 t
Tier apprOlMl Is for the purpose and design described in your application, impacts not indicated in the
application Is a violation of'the Buffer Rule, Site specific work should be provided in the application, [15A NCAC
101. 1 .0506 :s,;-� Ia-A NCAC 028.0243(8)I
Trees are :zot allowed to he removed from Lone 1 of the Buffer (within 30 ft of the full pond elevation), unless
appru'ied. ,..:eat tii3se :reel that are severely undermined along the immediate shoreline can be removed,
Polinirr.at s,iapi.ig at10 Ig along ine Irn mediate shoreline IS allowed. IISA NCAC 02B ,0243(6)j
Bench irig, grading In ;he !)offer is not allowed, Excessive disturbance of ground cover. (I5A NCAC 02B .0243 (6))
ue:ct'les, irn,;z .►oLis pal'cs, ir�ipe�-vioas walkways, etc. are not allowed in the buffer unless specifically approved
4Y the COials' w.. I rie k ai'c I nitatbri on site for decks. [15A NCAC 02B ,0243(4) and �'6)1
�rlfork x be Cumucted frjin'and must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
r;.a-zar a, mus.- ;5e me puffer. L15A NCAC 02N ,0502 and 15A NCAC 02B 0243 (4), (6), (8)1
5tormwater cannot ze piped or channeled for direct discharge to the fake. All constructed stormwater
Ui SZhVges must -)e a'i the +aturai elevation and discharged prior to entering the buffer directed as diffuse or
sheet'Uw = : rofir-ei*o.4:,iL ielociiles to the lake. (15A NCAC 028 .0243(5), (6)]
Ac"owWg nant c; , ►,err, f�cat1w
�....L 111 - _ hereby state that I have been informed of the Catawba
urA tor.Cucted In the buffer, not specifically stated in the application and approved
by t: a DWs r Resources (DWR), is a violation and subject to enforcement. Due diligence will be
.A!r., . JU. -,: •.'•' :=•.:':',tiiiU Will be built within substantial compliance and Intent of the 401 Water
QLa6ty Certification aril Buffer Rules, the approved plan(s) and speclfication(s), and other supporting
�lalYu�u1E 4_ r.s•_ 1: —a' !�[ �" Date:

PROPERTY LEGAL DbSOPTION:
LOT No. 3 6
AGENT AUTHORIZATION FORM
PLAN NO. Pmca m:3Iv
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Pleme prints
Property owner: !GAVWAr--- Lo VL LL L
Property Owner;441
The Linde r,;lC flprl, registered property owners of the above noted property, do hereby auttwrize
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to act on my behalf and twice all aebons new -wry for the processing, issuarvice and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property OwruWs Ad&ess of different than property above):
Telephone-
We hereby certify tJv above kftnution submAted in this application is true and accurate to die
best of our knowledge,
mow.
w
Autfi re
Date: