20200741 Ver 1_Shoreline Stabilization_20200529

*• - ,�>
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY 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.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street RECEIVED
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address
Telephone Number:
E-mail Address:
MAY 2 9 2020
Iv e,-Barre_* `' bar rc j `' Pm n i 0 g S NCDEQIDWR MES
iro+ �P7aIcen Ro(
was+ 'Bend IIJ L 2-77OIb
3(o g7)"80Zy Fax Number: —
arr h to omega.
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:
httD://www.saw.usace.armv.mil/Portals/59/docs/reRulatorv/reRdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: Tan vlI r
Company Affiliation: (Y 10-n Cie, LCnSfy"0110y) ©+— `t't1CK�'��,.J4qc_
Mailing Address: I PI 3 `oh l a' I t r-01 d .
Mt C, 26 01
Telephone Number: �Z.$ 4'15- Fax Number:
E-mail Address: -q--C Q,Y' 0-V_rr'ry) Cu I - COYY2
B. Project Information [15A NCAC 02H .0502(a) & (b)]
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

Irm
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: A1�xQr�t��' Nearest Town:
f �, Hiw' r�
Lak�river/ ocean adjacent to property: LGLkea IT I Ck.O fi�(J
Property size (acres): + 4ol acre
Subdivision name or site address (include phase/lot number):
5� i A ke.-, i dam_ LoDo -r-.-I- �h r-VDr,4 NC
Directions to site - please include road names and numbers, landmarks, etc.:
i✓X oce_ - d1 f' oc A- r oas Gt;ftvLel-wc -
Latitude (in decimal degrees) 3 S. S ( 2— Longitude (decimal degrees) — 8 I .. 3,3 2
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): bAC-k • '-61
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):" c✓d )1 �xi Sfs`.,a ; 5 �� fifer, ti,. ,� Q co b r r,
7. Will work be conducted from land? e 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:
Temporary impacts in square feet:
9L-3
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:
Tem orary impacts (temporary clearing, construction corridor) in square feet:
�U0 6-4. -F+
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to be impacted (number of trees, for instance): 1 a r 9.
11. Signa re
O er/Agent's Signature' [15A NCAC 02H .0502(f)] Date
*Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

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.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Full Pond/ Normal Water Level
1 S i 1• i 1• f•
Shoreline XV
`a xo5 f4
JP� bJ4
Plan View
Full Pond/ Normal Water Lev
r� nthoreone
2 ft.x 150 ft.
additional clearing
if necessary
E'
Plan View
Lake
(At Full Pond/ Normal Water Level)
Lake
(At Full Pond/ Normal Water Level)
Riprap
E*M
Existing Dock
/ 30ftx 7ft
3 ftx 150ft
Below full pond/ NWL
4ftx150ft
Above full pond/ NWL
EE
a'�x ilS�
Belot,/
�S�I� Laity
FORM: SSGP 02-2017 Page 3 of 4

Lake
I (At Full Pond/ Normal Water Level)
c
Side View CL
LL-
,.— 5eo`iJe\.\`
�\V,I
a ley -A
FORM: SSGP 02-2017 Page 4 of 4

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project
Owner:
Print
Contractor/agent: Tq I
Print
IE
HTC.L'Orj
1UC County:
28 01
is Q� 2
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. [15A NCAC
02H .0506 and 15A NCAC 02B .0243(8)]
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. [15A NCAC 02B .0243(6)]
Benching, 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)]
Stormwater 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. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notifrcatfon
I, UDI? Pam* 4e I a i a S hereby state that I have been informed of the Catawba
Riparian Buffer Rule. Any work cond ed 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 ap tved plan(s) and specification(s), and other supporting
materials. � /�
Signature (owner): Dater/��

i �1! if r. •. � '� }
' � U
' F��� � �� y � '����. , ,rat �•
4 �

4/10/2020
Google Maps
1173 Shiloh Church Rd to 50 Lakeside Loop, Hickory, NC - Google Maps
1173 Shiloh Church Rd to 50 Lakeside Loop, Hickory, Drive 2.2 miles, 4 min
NC
Map data 02020 1000 it,
1173 Shiloh Church Rd
Hickory, NC 28601
t
1.
Head southwest on Shiloh Church Rd toward
Rosenbalm Ln
387 ft
t
2.
Continue straight onto Hubbard Rd
1.6 mi
3.
Turn left onto Icard Ridge Rd
µ.,..,.,
_...,..: _
0.5 mi
4.
Turn left onto Lakeside Loop
279ft
41
5.
Turn left to stay on Lakeside Loop
269 ft
50 Lakeside Loop
Hickory, NC 28601
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
https://www.google.com/maps/dir/1173+Shiloh+Church+Rd,+Hickory,+NC+28601-7855,+U SA/50+Lakeside+Loop,+Hickory,+NC/@35.8129609,-81.32... 112

Legend:
o - 1/2' Reber (.)
0 - Iron Found (f)
* - Calculated Point (.P)
- Mag Nail or Concrete Nail
nt. Not to Scale
r/w - Right of Way
Aerial UUIRi,.
hp — Heat Pump
Ip - Propane Tank
pm - Power Meter
pp — Power Pak
Line Table
Um
g
Dlow—
u
i.
L2
L3
15'I 3
Aaron T. Scott \
Mimi Scott \
Db. 567, Pg. 2281
1/2'nEx L1
N86'59'00'E 142.06' (f)
woe
d.a
gyY pon"
f.!��3o
ba 1 bar, Z1•I
250 P 5z1'
o Pm
hp
bl.
toff 1 z S86.15'3r'W 140.3W
/9 P
a�
/ James D. Propst, Jr. /
/ Sandra W. Propst
Db. 550, Pg. 2091 /
Catawba Counly North Carolim
1 ao h.rsby c:tWy that the .ulvy pkrt as shown hsrson
I. In all nap is comet and ww prepared from an
actual field sby the lot dy urrey mac m. on
April
SN� ECSAIp�
. 2020. noes.
?O�Qe' y7
4 fr
>a�,,.ww.
DonaldSEAL
S. M�Iler^ W
�C `12_577
Donald S. Miller N.C.P.LS J1257
%,(OSS
James D. Propst, Jr
Sandra W. Propst
Db. 550, Pg. 2091
Little
River
\ Little
River
Lz
O.
3f �
wN-
9lte
9 Vicinity Yap
No Scale
J Notee:
Current tm raeorde an owed to Identify adjdnirp
Property
wmn.
me property whown hereon bject a II
wwmenb, Hght .f way.. r:Nriction.. E
.grearnwrde not shown hereon.
There w m Narth Carolina hmizanto oard,al
markers found to euet within 2D00' of the
.urveYsd property
Total Mee: 0'401 Acre (17,454 of)
a (area computed by the Coordinate method)
q Ratio of Precision---- 1: 10,ODD+.
d Bra n ones repnwent properly 11— hkh ore
mt actually wurmyed. Thew, dashed lines were
taken from dwwds or other spumes.
Sunny for
David James Watson
Add— 50 Lakeside Laap Ed. Hic", NC 28601
Bethlehem Twmhip Abtandwr County North Corelfm
Smk: 1'-30' Drawn By'. two rtl.: 320104
owed Rwfwnnw: Soak 494 Page 1943
Pin Number. J705-88-5844
Plot Rwfwr_' n/o
Parool I.D.: 0003786
�■
GRAPHIC SCALE Suny Sr.gg/gt Date of survey: D4-01-20
a s rse Drawing Number. HM-5392
Donald S. Miller— Surveying
( 1N yap) 3815 22M Strest NE-- Hlakery, NC 28601
1 tach - 30 tL Phww. [phone]

".r,
4
Owner:
WATSON DAVID JAMES &
Mailing Address:
50 LAKESIDE LOOP EXT
HICKORY, NC 28601
Physical Address:
50 LAKESIDE LOOP EXT
Parcel ID:
0003786
PIN:
3705885644
Deed Reference:
494 1943
'�U7 �LJ7
1+'Sj rY
'o
311 `
190
a 319 i
s = rn
cn
r' $, 70 a .327
O '
.C'
v 14219
.1711 335
50 $ 1
2a ss
� aP°
t
b
h \a
ae „
b
�h
111
rT
Acreage:
0
Fire District:
BETHLEHEM FIRE
Structure Value:
137788
Land Value:
122850
Misc Value:
3171
Fair Market Value
263809
Tax Value:
263809
Account #:
0307194
Alexander County
�L
42,
a
219 ♦1
0 0.005 0.01 0.02 m1
0 0.01 0.0 = 0.04�24
Alexander County
assumes no legal responsibill ty
for the information
contained on this map.