20240852 Ver 1_Shoreline Stabilization_20240625

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.
Ken Radecki
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
109 Belfry Loop
Address Line 2
City
Mooresville
Postal / Zip Code
28117-2407
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:* Radecki Dredge
State / Province / Region
NC
Country
United States
215.51KB
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
249 Hideaway Ln
Address Line 2
City
Mooresville
Postal / Zip Code
28117
Latitude: * 35.621257
State / Province / Region
NC
Country
US
Longitude: *-80.894703
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: * Mooresville
County: * Iredell
Lake/ river/ ocean adjacent to Norman
property:
Subdivisions name or site address: * Lot 1055 Crescent Land & Timber Corp.
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 to Hideaway Ln
16 min (7.9 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
3.8 mi
Turn left onto Perth Rd
0.8 mi
Turn right onto Hideaway Ln
Destination will be on the left
2 min (0.6 mi)
249 Hideaway Ln
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:
Undeveloped lot
Residential, undeveloped, etc.
6. Property Size 1 acre
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Dredge a 30' x 25' area at existing dock to allow for boat 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.)
111.11 cubic yards
below
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.)
0' above
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, no disturbance to buffer. Dredge by barge and haul spoils off by barge.
Sketch: Dredge App.pdf 3.75MB
Dredge Spoils Info.pdf 2.33MB
Sketch.pdf 116.65KB
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:
,�Ayy r ✓rip I r . %CAW,-.b
Submittal Date: 6/20/2024

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20240952 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