20240747 Ver 1_Site Plan_20240531

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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Wor r Resources 15A NCAC 02H .0500 - Water Quality Certification, Shoreline Stabilization
UNVfii ONO t N rr.L GUAL. T v FORM: SSGP 02-2017
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 if sending via delivery service (UPS, FedEx, etc. )
Paul Wojoski Paul Wojoski
DWR — 401 & Suffer Permitting Branch DWI — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [13A [NCAC 0211 0502(ail
1. Owner information
Name: deremv and Lori Bowen
Mailing Address: 7900 Noland Wnods-Driye ---
Charlotte NC 28277
Telephone Number: ,f330) 461-6656 Fax Number: NIA
E-mail Address: ierem bowen239hotma€l.corn
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:
Iit r)://wwr i,saw.usace,a1-,iiv.miI/Porials/59/dons/regulato.rv/regdocs/Permits/SAMPLF- AGENT AUTHORiZ
ATION FdRM,pdfy
Name: Charlie Washburn
Company Affiliation: Marine Construction LLC
Mailing Address: PO Box 6400
Hickorv. NC 28603
Telephone Number: 828-495-3040 Fax }Number: N/A
E-mail Address: [e-mail]
H. Project Information [15A NCAC 02H .0502(a) & (b)l
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 02-2617

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: Burke Dearest Town: Connelly Springs
Lake/ river/ ocean adjacent to property: Lake Rhodhiss
Property size (acres): V
Subdivision name or site address (include phase/lot number): 2139 Ellln[lwood pg. Conneliy_spr_inps
NC 28 12_ Lakeside Re ery . Phase 2 L t 120 & 121 Qombined ywomua claw On XW_
Directions to site - please include road names and numbers, landmarks, etc.:
Included in 2acket
Latitude �rn decimal degrees) 35.781
Longitude (decimal degrees�t
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): _ Residential. Qndeve=ed
6_ Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or Why It E5 necessary): lisle stabilize ' g�o el P_ Wiflh to- ap to t3reven#
7. Will work be conducted from land?
From water? J� -
S. Total amount of impacts below the normal pool lake level j Normal Water Level
Permanent impacts (including all excavation, backfil€, rip rap, retaining walls, etc.) in square feet:
13`,0 soft
Temporary impacts in square feet:
❑ s ft
3. 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:
32,E sqft
Temporary impacts {temporary clearing, construction corridor) in square feet:
Construction corridor= Q s ft
10. Please describe the vegetation above the normal pool lake lever Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): The lot is wooded. We plan ta.r*nDv6
91 trees. Any dis#ur17ed area will Etaye mulch applied #o it-
11. Sig e 1
L fj�_�
03 ne Agent's Sign re` t15A N-.r" ;. 02- .OF Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSG€' 02-2017

12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
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.
P I nratinn of anv excavation or dredginp, below the Full Pond/ Normal Water Level elevation
�Fuli Pond/ Normal Water Level
Shoreline
Plan View
La ke
(At Full Pond/ Normal Water Level)
N a Col 5YN chi bin Colrn be
00 leforo { lMRC/ S
M\ nnckVaid uitlb4. KOAVCA
Fuli Ponds Normal Water Level
' "�horeTne � a.
1 U—
zfL X ISO ft.
addirionadeerins
' H n¢�esaary
E
Flan view
Lake
{nc Full ftrKV Hl al wain 1a 10 Existing Dock
.1 Mftx7ft
rr r1r'i j �
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it Li�vtgl�andOWL
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FORM: 55GP 02-2017 Page 3 of 4

L`xO`
��4b Nk\ -
oa l�Sw'-
Lake
(At full Pond/ Normal Watf
\�x
bow.)
Wov
Side View
l-
�
1a,al v M W n0aV4,tin G
r rOk, v\\\
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3 ft, below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
if necessary
Existing bank
10 ft. bank
height
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Qi
Side Vi MPLE
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FORM. SSGP 02-2017 Page 4 of 4

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Bowen -Lot 120 Lakeside Reserve County: Burke
Owner:
Jeremy and Lori Bowen
Print ' `" Signature
Contractor/agent: Charlie Washburn —
ruction
Print Signature
The approval is for the purpose and design described in your application. Impacts not indicated in the
application is a violation of the Buffer Rule_ Site specific work should be provided in the application. 115A NCAC
02H .0506 and 15A NCAC 02B .0243(g)]
Trees are not allowed to be removed from Zone 1 of the Buffer (within 30 ft of the full pond elevation), unless
approved. Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. 115A NCACO2B .0243(6))
Benching and grading In the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 02B .0243
(6)]
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
by the Division. There are limitation on size for decks. [15A NCAC 02B .0243(4) and (6))
Work to be conducted from land must indicate an access and indicate any trees that are to be removed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)]
5tormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. 115A NCAC 028 .0243(5), (6)]
Acknowledgement of Notification
I, _ Jeremy and Lori 'Bowen , hereby state that I have been informed of the Catawba Riparian Suffer Rule.
Any work conducted in the buffer, not specifically stated in the application and approved by the Division of
Water Resources (DWR), is a violation and subject to enforcement. Due diligence will be taken such that the
construction will be built within substantial compliance and intent of the 401 Water Quality Certification and
Buffer Rules, the approved plan(s) and specification(s), and other supporting materials.
Signature (owner): Z Date: ")b / Z LI

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AGENT AUTHORIZATION FORM
Please note that multiple forms may be necessary if there are more than two owners of the property.
PROPERTY LEGAL DESCRIPTION:
STREET ADDRESS OF EXISTING HOME or LATI"WDE/LONGITUDE OF NEW CONSii RUC ON:
2139 Ellingwood Pt Connelly Springs NC 28612
35.7811-81.452
Parcel ID: 2774381373
Property Owner Name(s) — please print:
Property Owner: Jeremy Bowen
Property Owner: Lori Bowen - - - -
The undersigned, registered property owners of the above noted property, do herebyauthorize
Charlie Washburn , of Marine Construction LLC
(Gmtractorffigent)
(Name of company)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owners Mailing Address (if different than property address above):
7900 Noland Woods Drive Charlotte NC 28277
Property Owner(s) Telephone- [phone] & [phone]
We hereb certify that the above information submitted in this application is true and accurate to the
r
•� best of our knowledge.
AM15orized Signata Authorized Signature
V m _ -S i%A
Date Date