20051863 Ver 2_Shoreline Stabilization_20200710

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/9/2020 3:52:11 PM (Submittal)
Approve by Montalvo, Sheri A 7/10/2020 12:08:29 PM (Non -DOT - Approver)
• The task was assigned to Montalvo, Sheri A 7/9/2020 3:52 PM

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:*
Is there an agent working on the
project?*
[e-mail]
Rease provide an enail address for payment and requests for pore infornation here.
J. Dietz Family LLC
cashking6l @gmail.com
[phone]
(xxx)xxx-xxxx
Street Address
1729 N. Center St.
Address Line 2
city
Hickory
Fbstal / Zip Code
28601
r Yes
r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* J. Dietz Family bulkhead wall
State / Frovince / Region
NC
Country
US
If your project has a formal name please use this. If your project does not hake 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.
f Upload File
r Lookup address

Property Address Lookup:* Street Address
4008 6th St NW
Address Line 2
city
fckory
Fbstal / Zip Code
28601-8042
Latitude:* 35.790368
State / Province / Pegion
NC
Country
US
Longitude:*-81.334494
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*
map. jpg 2.67MB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/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.)*
map 2.jpg 2.19MB
4. Location of the property (where work is to be conducted)
Nearest Town:* fckory
County:* Catawba
Lake/ river/ ocean adjacent to Lake Hickory
property:
Subdivisions name or site address:* Captains Cove 4008 6th St NW
Include phase/lot number
Directions to site:*
Hwy 127 N, left on 29th Ave, right on 39th St, left on 6th St, property on
right 4008 6 th St NW
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
Pesidential, undeveloped, etc.
6. Property Size .75 acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
4 foot high x 100 foot long bulkhead with riprap front and backfill back.
Grass seeded.
8. How will the work be done?* I7 From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*

0
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
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.)
600 sq ft
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunber of trees, for instance)
no trees, grass yard.
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):
$240.00 for impacts to lake (below normal water level) of less than 1 acre
$570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• 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 this form.
Full Name:* James D Dietz
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20051863
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 2
Alan Johnsomeads\adjohnsonl
Mooresville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

N 1. 1 .,„7
►7
r ^# 0
v
K/
O
O
qqt
,;.
c
41 �
L ry
O
O
v2
aryl
r
m
11wsyg
H
A
4£ 4�2h V,g
v^ a'
3(ygxp .�
Y
0
0
N
O
N
c0
r
cD
a
c0
�ia W
p co
/C^
v l
L
O
0)
# O
O
V J
{•h►4 L
W
Z
z
r� Q)
v J cu
>
CD CO
00
N
%*0 U
Z
00 c
to
O Q
O
O O
U"" L

I
O
qr� d'
O O
(0 �
00 qr�
N 60—
crf
O O
Y ~
U o
= O
CIO
O
z
E�
Cf) U) 70
I- W
00 ---i Z O
C) -� W o
-� z o
Q N ^}
(` L.L r%�
N w
U) C:
Q) 70
LO
O 0 L M�•y�
co Q
i L U)
CL >
U) T
a)
OC E
� O
a� E O
E�
C ca L
�EU)(a
w
�- O c.c
Ca)U_
En cu cy).0
a)
cn m
70 cu
mOa).-
E E W�C
cn m 01a�
T+T In
"Ca)C
7 p � o
U C)
co 0
m n�--
coca aa)
��CII�
caUU c
o U
cn O .T (D
a) QC.L
U Q) 7 T3
Z o
/o •NUta)
VJ Y W
L U
a)
OiO� o
o U
E -n 0 3
a.. 0 cn >' c
0� o o"U
a)c�cn aCio
za)0Moo
Q- E o �
m�o�0)
ccQ a)
0L) m0�CL
ccnCmU
� oCo
3�cc.n
L o m V-
0
�OQ)
O-� a)
C:
o-0 o-0 Z)
"E m a) a)
�-0 15 -E. :s
mc70m`
m .Q O
CL C .
Q) O C 0
Qmw�
cn U O— _O
m0CLQ
?ro-2w�
U m •0 o
U 4=. m Q)
Co -�
OL j Q) E G1
aU >._
E
O () (n cn
� ) 70
i a) Q a) E
m0Q)co
E U') -0 c,�
C .c O
�ma)cncn
O � Q)
n m
Pi