20240621 Ver 1_Shoreline Stabilization_20240430

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.
................................................................................
Tony Key, Key Family Living Trust
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
251 Sunny Path Lane
Address Line 2
City
Statesville
Postal / Zip Code
28677
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...............................................................................................................................................................................
Name: * Janice Estep
Company Affiliation: * CBC Stone & Recycling, LLC
Email: * [e-mail]
Phone Number:* [phone]
(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:* Key Shoreline
State / Province / Region
NC
Country
United States
568.81KB
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
251 Sunny Path Lane
Address Line 2
City
Statesville
Postal / Zip Code
28677
Latitude: * 35.673439
State / Province / Region
NC
Country
US
Longitude: *-80.963289
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.)
for
4. Location of the property (where work is to be conducted)
Nearest Town: * Statesville
County: * Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: * Lot 1 Key Family Living Trust
Include phase/lot number
Directions to site:*
610 E Center Ave
Mooresville, NC 28115
Take Evergreen St to E Statesville Ave
51 sec (0.2 mi)
Head north on Evergreen St toward Carpenter Ave
0.1 mi
Turn left onto Carpenter Ave
338 ft
Take Cornelius Rd and Perth Rd to Hicks Creek Rd
20 min (11.0 mi)
Turn right onto E Statesville Ave
1.0 mi
E Statesville Ave turns slightly right and becomes NC-115 N/N Broad St
Continue to follow NC-115 N
1.4 mi
Turn left onto Connector Rd
0.8 mi
Continue onto Cornelius Rd
2.4 mi
Turn right onto Judas Rd

1.2 mi
Turn right onto Perth Rd
3.0 mi
Turn left onto State Park Rd
1.1 mi
Follow Hicks Creek Rd to E Monbo Rd
3 min (2.0 mi)
Turn right onto Hicks Creek Rd
1.3 mi
Continue straight to stay on Hicks Creek Rd
0.7 mi
Follow E Monbo Rd to Sunny Path Ln
3 min (2.3 mi)
Sharp left onto E Monbo Rd
2.1 mi
Turn right onto Pineville Rd
0.2 mi
Turn left onto Sunny Path Ln
Destination will be on the left
2 min (0.6 mi)
251 Sunny Path Ln
Statesville, NC 28677
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 1.104 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
At right side of dock, push down existing rip rap on 114' section of shoreline. Reshape and re -slope bank, install matting and install
boulder rip rap to refurbish existing shoreline stabilization. No trees removed on right side of stabilized shoreline. On left side of
dock, remove small undermined trees/brush on a 116' section of immediate shoreline. Shape and slope bank, install matting and
install boulder rip rap for new stabilization. Install TN Crab Orchard steps through rip rap for lake 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.)
5' below (1,150 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 (230 so
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, remove small undermined trees/brush on immediate un-stabilized 116' section of shoreline at left side of dock. No
trees removed on 114' section of stabilized shoreline at right side of dock. No 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: 4/25/2024

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20240621 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