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HomeMy WebLinkAbout20240405 Ver 1_Shoreline Stabilization_20240312Submission 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: windsorkeith5@gmail.com Please provide an email address for payment and requests for more information here. Keith Windsor, Windsor Irrevoc Trust windsorkeith5@gmail.com (704)662-2508 (xxx)xxx-xxxx Street Address 125 Mallbrook Drive Address Line 2 City Mooresville Postal / Zip Code 28117-8869 Is there an agent working on the project?* Yes No Agent/Consultant Information ......... ......... ......... ......... ......... Name: * Janice Estep Company Affiliation: * CBC Stone & Recycling, LLC Email: * info@cbcstoneandrecycling.com Phone Number:* (704)660-5111 (xxx)xxx-xxxx State / Province / Region NC Country US Mailing Address: * Street Address 638 Oakridge Farm Hwy Address Line 2 City Mooresville Postal / Zip Code 28115 A signed and dated copy of the Agent Authorization letter: Agent Form.pdf Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* Windsor Shoreline State / Province / Region NC Country United States 575.76KB 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 125 Mallbrook Drive Address Line 2 City Mooresville Postal / Zip Code 28117-8869 Latitude: * 35.616280 State / Province / Region NC Country US Longitude: *-80.918376 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: * Mooresville County: * Iredell Lake/ river/ ocean adjacent to Norman property: Subdivisions name or site address: * Lot 195 Crescent Land & Timber Corp. Include phase/lot number Directions to site: 610 E Center Ave Mooresville, NC 28115 Head south on Evergreen St toward E Center Ave 197 ft Turn right onto E Center Ave 0.5 mi Turn left onto S Church St 397 ft Turn right onto E McLelland Ave 1.1 mi Use any lane to turn left onto NC-150 W Pass by Zaxby's Chicken Fingers & Buffalo Wings (on the right in 1.3 mi) 4.7 mi Turn right onto Robinson Rd 1.0 mi Turn left onto Mallbrook Dr Destination will be on the left 0.1 mi 125 Mallbrook Dr Mooresville, NC 28117 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 0.86 acres Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): Remove old wood wall and haul off site for disposal. Shape and slope bank, install matting and install boulder rip rap to redo shoreline using existing boat ramp for access. 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.) 3.5' below (570.5 sf) 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.) F above (163 sf) 10' x 50' access corridor (500 sf of temp. impact) 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) Grass buffer, no trees removed, minimal disturbance to buffer. Sketch: 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: 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"); 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:* Janice Estep Signature: Submittal Date: 3/7/2024 Initial Review Is this accepted into the review process?* Yes No Project Number:* 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