20240588 Ver 1_Shoreline Stabilization_20240423

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.
Owner Information:
Name: *
Christopher Kelley
Email: *
[e-mail]
Phone Number:
[phone]
(xxx)xxx-xxxx
Mailing Address: *
Street Address
4421 Calico rd
Address Line 2
City
Lenoir
Postal / Zip Code
28645
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Kelley Shoreline and Dock
State / Province / Region
NC
Country
[e-mail]
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
1385 Dry Ponds Road
Address Line 2
City
Granite Falls
Postal / Zip Code
28630
Latitude: * 35.792435
State / Province / Region
NC
Country
US
Longitude: *-81.515986
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 *
site
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.)
site
4. Location of the property (where work is to be conducted)
Nearest Town: * Baton
County: * Caldwell
Lake/ river/ ocean adjacent to Rhodhiss
property:
Subdivisions name or site address: * None
Include phase/lot number
Directions to site:*
Take Connelly Springs rd to Dry Ponds rd and turn right onto gravel drive across from Westwood dr. Go thm gate and then make
first right thru another gate and follow drive apx .8 miles down to lakeshore.
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:
Area has been cleared and sewed in grass above 50 ft lake buffer.
Residential, undeveloped, etc.
6. Property Size 70
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Proposal would be to remove trees and grade proper slope and install rip rap buffer to prevent any other future erosion and remove
trees around area of new dock to prevent any fallen tree damage in the future.

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.)
0
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.)
6000
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)
Approximately 35-40 trees in total, SOme are dead or dying, mostly pine trees, some hardwoods
Sketch: Shoreline site pic.pdf 590.87KB
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
d 1 intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Christopher Gwyn Kelley
Signature:
Submittal Date: 4/18/2024

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20240588 Version: *
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Tyler Hickman:Tyer.Hickman
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00 $570.00
$323.00
$767.00