20181628 Ver 1_Shoreline Stabilization_20181128

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#*
20181628
Version* 1
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Alan Johnson:eads\adjohnson1
Select Reviewing Office:* Mooresville Regional Office - [phone]
Submittal Type:*
Shoreline Stabilization
Does this project require a request for payment to be sent?*
r
Yes
r
No
How much is r $240.00
owed?* r $570.00

Project Submittal Form
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.
Project Type: F New Project
r Pre -Application Submittal
r More Information Response
r Other Agency Comments
r For the Record Only (Courtesy Copy)
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre -Application Submittal - Please check the pre -application submittal if you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an existing project.
Project Contact Information
Name: wyatt goodrum
Who is subrritting the information?
Email Address: [e-mail]
Project Information
Project Name: Lot 30 2065 Beauhaven In
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes(' No r Unknown
County (ies)
Gaston
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
Lot 30 Shoreline stabilization 11.15.18.pdf 724.88KB
Shoreline pictures.pdf 282.53KB
Flood Plain Form Lot 30.pdf 9.62MB
Only pdf or k rm files are accepted.
Describe the attachments:
Trees falling into lake from erosion and roots showing on others to be removed and shoreline stabilized with
riprap. Let me know if anything further is needed.
V By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the

"Uniform Electronic Transactions Act")
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');
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
I intend to electronically sign and submit the online form."
Signature:
Submittal Date:

City of Belmont
Floodplain Development Permit Application
SECTION 1• (Applicant to read and sign):
1. No work of an kind may start until a permit is issued for such work.
2. The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until the permit is re -issued. issued.
b ed or occupied until a certificate of compliance is
4. Development shall not e us
d within six (6) months of issuance date.
5. The permit will expire if no work is commence
that other ermits may be required to fulfill local, state, and federal
6. Applicant is hereby informed t p
regulatory requirements.
7. Applicant hereby gives consent to the local administrator or representative to make reasonable
inspections required to verify compliance.
As the applicant, I have
read and acknowledge the terms above, and further affirm that all statements
herein and the attachments to this application are true and accurate, to the best of my knowledge.
Applicant signature:
Printed name:
SECTION 2.
Proposed development (to be completed by the applicant):
Project address: b (a S '�) � oak) �^0\,vC
Property owner (if different from applicant):
Builder/contractor:
Date: �-
Engineer/surveyor (if required): ,rA2
Telephone: �.� -� �\ Cell: E-mail:
Development activity.
New structure 'V One or two family residential V/
Addition to existing Multi -family residential
Non-residential structure Re -location Accessory building
Demolition Manufactured home Private lot
Alteration
Replacement structure
Outside storage building
Manufactured home park
Other (please specify):
Other develop ent activities (check all that apply):
Clearing Filling Grading Dredging
Excavation Watercourse alteration Drainage improvements
Subdivision Other (please specify):
Total property area (in sq. ft.)
Total property area in floodplain (in sq. ft.) ��-
Total area disturbed within floodplain (in sq. ft.) O
Proposed amount of cut (in cubic yards) (if applicable)
Proposed total amount of fill (in cubic yards) (if applicable)
Proposed amount of net fill (In cubic yards) (if applicable)

Upon completion, please submit this application to the City of Belmont planning department, alr,,oo th
the survey(s) and other documents. The appropriate fee(s) must be paid in full, and this applicati-7,1Jst
d in full. Attach a sheet with the names, addresses, phone numbers, and e-mail ad�Jr
be complete r�
of the builder, contractor, surveyor, and/or engineer as needed..
00
r r . . s �. r r . . . . . . .r .
DO NOT WRITE BELOW THIS LINE C
This section is to be completed by the floodplain administrator.
SECTION 3.
The proposed development or other activity is located on FIRM panel number
dated
The property is Gaston County (six -digit) PID no.
The property is is not located in a floodway, and development is
is not allowed.
The property is located in a special flood hazard area and a floodplain development permit is required.
FIRM flood zone designation is -
An elevation or floodproofing certificate must be submitted to the floodplain administrator prior to
issuance of a certificate of occupancy.
Other:
BFE is ft. Lowest lot elevation is ft.
Signed: Date:

State of North Carolina
N
1-,1
ivision of Water Resources
02H 0500 Quality
FORM:/ 1
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Karen Higgins � (") a-, I O (p M
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
A. Applicant Information [25A NCAC 02H .0502(a)]
1. Owner Information
If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins
DWR-401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Name: Wyatt Goodrum
Mailing Address: 1205 S Tryon St, apartment 1428, Charlotte, NC 28203
Telephone Number: 706-410-7696 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached if the Agent has
signed this application form. (A form can be downloaded here:
http://www.saw.usace army m IJPartals159(docs{regufatory(reRdoes/PermitslSAMPLE AGENT AUTHORIZ
J10N FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
B. Project Information [15A NCAC 02H .0502fai & Cb}]
1. Attach 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.
2. Provide a detailed site plan showing property boundaries and proposed locations of
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip rap, excavation
or dredging below Full Pond/ Normal Water Level elevations, and construction access
corridors. You may use the diagram provided at the end of this application form.
FORM: SSGP 02-2017 Page 1 of 3

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)
County: Gaston Nearest Town: Belmont
Lal<e/ river/ ocean adjacent to property: Lake Wylie
Property size (acres): .532 Acres
Subdivision name or site address (include phase/lot number): Reflection Pointe Lot 30
2065 Beauhaven Ln Belmont, NC 28012
Directions to site - please include road names and numbers, landmarks, etc.: Off Hwy 85 onto
Park st going south then left on S. Central Ave. then right onto reflection point blvd, gate code
#8934, then take a left on Beauhaven In and lool<for lot # 2065.
Latitude (in decimal degrees) 35.157851 Longitude (decimal degrees) -81.016076
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): residential lot
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Multiple trees are close to falling off into the lake and
the clay shoreline continues to erode from wave activity. Plan to remove trees with roots
showing in a 50LF section and please 6" riprap stone on all exposed earth in the 5OLF section
tress will be removed in.
7. Will work be conducted from land? T yes From water? ❑
8. Total amount of impacts below the normal pool lake level /Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
2' Tall by 50' long Total area of 1O0SF
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level /Normal Water Level and 50 feet
land -ward Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in
square feet: If Tall by 50' long Total area of %00SF
Temporary impacts (temporary clearing, construction corridor) in square feet:
10. Please describe the
vegetation above the
norma) pool lake level/
Normal
Water Level and 50
feet landward to be
impacted (number of
trees, for instance):
Tall
trees with little
to no
11. Signature
FORM: SSGP 02-2017 Page 2 of 5

Owner/Agent's Signature* [15A NCAC 02H.0502(f}�
Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately
sketch the following information on this plan
and provide
dimensions for
each item:
of
rip rap or fill to be placed above
the Full Pond/ Normal Water Level elevation
a.
All proposed vegetation clearing
b.
Location
of
rip rap or fill to be placed above
the Full Pond/ Normal Water Level elevation
c.
Location
of
rip rap or fill to be placed below
the Full Pond/ Normal Water Level elevation
d.
Location
of
any proposed structures such as
buildings, retaining walls, docks, etc.
e.
Location
of
any excavation or dredging below the Full Pond/ Normal Water Level elevation
Plan View
FORM: SSGP 02-2017 Page 3 of 5

Ou
G'
2
Side View
LL
Take
(M Nil Pond/Nx. lWaleria l) Existing Dock
w ftx]h
3 Rx 150h
Beim Ul WM/ NM
Full Pond/ Normal Water Level
mS e9"in a� %ia:150 ft
Riprap nmr�mu POPd/Nw
211. x 150 ft.
add uoaal aeadoa
a oe<e n
E AMPLE
Plan View
FORM: SSGP 02-2017 Page 4 of 5

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