20211131 Ver 1_Shoreline Stabilization_20210720

Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
pre -meet request.pdf 439.63KB
Pre -fling Meeting or Request Date 6/15/2021
ID# Version
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]
Rease provide an email address for payrrent and requests for pure information here.
Owner Information:
Name: * Gary L Mills
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
4802 Pebble Beach Circle North
Address Line 2
city
State / Frovince / Region
Wilson
NC
Fbstal / Zip Code
Country
27896-9150
us

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Seawall on Moretz Court
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 acti\Aty (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that ha\je 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
Upload Map: vicinityMap.pdf
Latitude:* 35.802968
156.96KB
Longitude:*-81.313678
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*
Arial Photo. pdf 1015.89KB
Plans l.pdf 1.15MB
Plans 2.pdf 1.08MB
Please use the diagram at the link below:
https://edocs.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.)*
Pictures 4.pdf 1.13NM
Pictures l.pdf 971.58KB
Pictures 3.pdf 1MB
GL WM Mills River Lot.pdf 357.85KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Hickory, NC
County:* Alexander
Lake/ river/ ocean adjacent to Lake Hickory
property:
Subdivisions name or site address: * Lot B of survey for R Bruce and Lois Moretz. Previously shown as Lot
#4 of AT. Moretz property
Include phase/lot number
Directions to site:*
From Hickory, NC - North on Hwy 127, cross Lake Hickory, turn left
onto Shiloh Church Rd, then left onto Wildlife access Rd, then left on
Cemetery Loop Rd, then left onto Moretz Court. Go approximately 1/2
mile and lot is beside 511 Moretz Court
Aease include road nacres and nunbers, landmarks etc.

5. Describe the existing land use or condition of the site at the time of this application:*
Residential vacant lot beside 511 Moretz Court
lbsidential, undeveloped, etc.
6. Property Size .6 Acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Existing seawall was built 30+ years ago and has deteriorated and eroding
the lot as shown in photos. Project is to replace the seawall with a new
one the same height, same length, and in the exact same place as the
current wall. Current wall will be removed and then new wall will be built
as shown on the plans. Area behind wall will be seeded.
8. How will the work be done?* rJ From Land
r 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.)
2500
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward: *
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
2500
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)
Grassed lot with one large pecan tree (Not impacted). Once wall is re-
built, land behind wall will be seeded.
Sketch: Pictures l.pdf 971.58KB
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):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certifythat:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
a 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.
a 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');
a 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');
a 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:* Gary LMills

Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20211131
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
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

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DWR Pre -Filing Meeting Request Form
Contact Name*
Gary L. Mills
Contact Email Address*
[e-mail]
Project Owner*
Gary L. Mills
Project Name*
Seawall on Moretz Court
Project County*
Alexander
Owner Address: *
4802 Pebble Beach Circle
State / Province / Region
Wilson NC
Country
27896 USA
Is this a transportation project? * Yes No
Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Individual Permit Modification
Shoreline Stabilization
Does this project have an existing project ID#?
Yes No
Do you know the name of the staff member you would like to request a meeting with?
No.
Please give a brief project description below and include location information.
Replacing an existing seawall on Lake Hickory that is deteriorated. Existing wall was built over 40 years ago. New wall will
be put in the same location, same length and height as the existing wall. The area behind the wall is a vacant lot with an
established grass ground cover. The lot contains .605 acres. Location is beside 511 Moretz Court. Parcel ID# 0004800.
Lat35.802968 Long-81.313678.
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401
Certification Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting
location and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you
can submit an application.
Signature*
Submittal Date 6/15/2021
https:Hedocs.deq.nc.gov/Forms/Form/Submit 1 /1

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Submittal Information
ID# 20211131
Project Name: Seawall on Moretz Court
Is this a transportation project?
Non -DOT
App Received Date:
Contact Emails
[e-mail]
County (or Counties)
Alexander
Version: 1
Application Type:
Buffer Authorization
Web Access URL: https://edocs.deq.nc.gov/Laserfiche/indexaspx?
db=WaterResources#id=1912909;view=browse
Public URL: https://edocs.deq.nc.gov/WaterResources/Browse.aspx?dbid=0&startid=1912909
Payment Information
Fee Received* r Yes
f No - Application withdrawn by Applicant
r No - On hold for more than 30 days - application returned
Date Fee 7/20/2021
Received:*
Select Reviewer:* Alan Johnson:eads\adjohnson1
Select Reviewing Office:*
Mooresville Regional Office - [phone]