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Home My WebLink About20211169 Ver 1_Shoreline Stabilization_20210728Submission 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: Ben Hinson Pre-Filing-Meeting-Request.pdf 552.48KB Pre -fling Meeting or Request Date 7/28/2021 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 * midlakeremodel@gmail.com Rease provide an email address for payment and requests for pure information here. Owner Information: Name: * Ben Hinson Email: * midlakeremodel@gmail. com Phone Number:* (980)521-5924 (xxx)xxx-xxxx Mailing Address:* Street Address 7374 Right Angle Street Address Line 2 City State / Frovince / Region Denver nc Fbstal / Zip Code Country 28037 United States Is there an agent working on the F Yes project?* r No Agent/Consultant Information Name: * Jason Freeman Company Affiliation: * Midlake Email:* midiakeremodel@gmaiL com Phone Number:* (980)521-5924 (xxx)xxx-xxxx Address:* Street Address 7034 executive circle Address Line 2 Oty Denver Fbstal / Zip Code 28037 Asigned and dated copy of the Agent Authorization letter:* Ben 14inson Pre-Filing-Meeting-Request.pdf 552.48KB Link to: Sample Agent Authorization Form Project Information [15A NCAC 02H .0502(a) & (b)] Project Name:* ben hinson State / Province / Fbgion nc Country United States 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.* r Upload File r Lookup address Property Address Lookup:* Street Address 7374 Right Angle Street Address Line 2 City State / Province / Region Sherr& Ford NC Fbstal / Zip Code Country 28673-7768 US Latitude:* 35.584918 Longitude:*-81.009573 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* BH proposed wall.pdf 185.57KB Please use the diagram at the link below: https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.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.)* Ben Hinson Wall pics.pdf 719.24KB 4. Location of the property (where work is to be conducted) Nearest Town:* Sherrills Ford County:* Catawba Lake/ river/ ocean adjacent to Lake Norman property: Subdivisions name or site address:* 7374 Right Angle Street Include phase/lot number Directions to site:* highyway 150 turn right on little mountain rd turn right on angle street, turn right on right angle street house is on left Rease include road narres and numbers, landmarks etc. 5. Describe the existing land use or condition of the site at the time of this application:* existing house used as primary dwelling Fbsidential, undeveloped, etc. 6. Property Size 1 Acres 7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): existing wood wall is rotten and causing sink holes in yard 8. How will the work be done? * m From Land ❑ From Water 9. Total amount of disturbance below the normal pool lake level/ normal water level:* (including all clearing, backfill, excavation, rip rap, retaining walls, etc.) 300 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.) 300 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 will be impacted only grass 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): 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 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:* Jason Freeman Signature: Initial Review Is this accepted into the review process?* Project Number:* 20211169 Select Reviewer:* Select Reviewing Office Has payment been received?* What amount is owed?* rYes allo Version:* 1 Alan Johnsomeads\adjohnsonl Mooresville Regional Office - (704) 663-1699 r No Payment Needed r Fee Received r Need Fee - send electronic notification r $240.00 f $570.00 New Submission https://edoes.deq.ne.gov/Fonns/DWR-Pre-Filing-Meeting-Request DWR Pre -Filing Meeting Request Form NORTH CAROLINA EMmnmrrrfnl Quofily Contact Name* Jason Freeman Contact Email Address* midlakeremodel@gmail.com . Project Owner* James B "Ben" Hinson Project Name* Seawall replacement Project County* Catawba v Owner Address: * Street Address 7374 Right Angle Street Address Line 2 City State / Province / Region Sherrills Ford NC Postal / Zip Code Country 28674 USA Is this a transportation project?* O Yes O No Type(s) of approval sought from the DWR: ❑ 401 Water Quality Certification - Regular ❑ Individual Permit ❑� Shoreline Stabilization Does this project have an existing project ID#?* 0Yes *No ❑ 401 Water Quality Certification - Express ❑ Modification Do you know the name of the staff member you would like to request a meeting with? Please give a brief project description below.* 1 of 2 1/15/2021, 10:30 AM New Submission https://edoes.deq.ne.gov/Fonns/DWR-Pre-Filing-Meeting-Request Value is required. Please give a couple of dates you are available for a meeting. Add additional dates Please attach the documentation you would like to have the meeting about. Upload pdf only 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. Digitally signed by James B Hinson Signature* X DN: cn=James B Hinson, o, ou, �ittj�s� / ' email=ben.hinson@charter.net, c=US Date:2021.01.15 10:34:11-05'00' Submittal Date Date captured on form submission Submit 2 of 2 1/15/2021, 10:30 AM • 1 = 5 i � s a ��e � .r� r..i+�� New Submission https://edoes.deq.ne.gov/Fonns/DWR-Pre-Filing-Meeting-Request DWR Pre -Filing Meeting Request Form NORTH CAROLINA EMmnmrrrfnl Quofily Contact Name* Jason Freeman Contact Email Address* midlakeremodel@gmail.com . Project Owner* James B "Ben" Hinson Project Name* Seawall replacement Project County* Catawba v Owner Address: * Street Address 7374 Right Angle Street Address Line 2 City State / Province / Region Sherrills Ford NC Postal / Zip Code Country 28674 USA Is this a transportation project?* O Yes O No Type(s) of approval sought from the DWR: ❑ 401 Water Quality Certification - Regular ❑ Individual Permit ❑� Shoreline Stabilization Does this project have an existing project ID#?* 0Yes *No ❑ 401 Water Quality Certification - Express ❑ Modification Do you know the name of the staff member you would like to request a meeting with? Please give a brief project description below.* 1 of 2 1/15/2021, 10:30 AM New Submission https://edoes.deq.ne.gov/Fonns/DWR-Pre-Filing-Meeting-Request Value is required. Please give a couple of dates you are available for a meeting. Add additional dates Please attach the documentation you would like to have the meeting about. Upload pdf only 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. Digitally signed by James B Hinson Signature* X DN: cn=James B Hinson, o, ou, �ittj�s� / ' email=ben.hinson@charter.net, c=US Date:2021.01.15 10:34:11-05'00' Submittal Date Date captured on form submission Submit 2 of 2 1/15/2021, 10:30 AM .ar` � ' « - � to,. . ( .� � w� �} ��. r : — . - f rd `AL', » § - . . � �� •%> z�K � �, sea� - _ .40- 1 - �� ¥Z- �