20201312 Ver 1_Pre-Filing Meeting Request_20200925

ID#* 20201312 Version* 1
Regional Office* Asheville Regional Office - [phone]
Reviewer List* Kaylie Yankura
Pre -Filing Meeting Request submitted 9/25/2020
......................................................................................................................................................................................................................................................................................................
Contact Name * Tony Gaines - Marine Construction of Hickory
Contact Email Address* [e-mail]
Project Name* Tamera Osgood - Granite Falls NC
Project Owner*
Project County*
Owner Address:
Tamera Osgood
Caldwell
Street Address
5064 Harbor View Dr East
Address Line 2
aty
Granite Falls
Rbstal / Zip Code
28630
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
r- Individual Permit r- Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
State / Frovince / Region
NC
Country
USA
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.
(Project and mailing addresses are the same).
We will install fabric and riprap along shoreline to slowthe erosion.
Please give a couple of dates you are available for a meeting.

9/28/2020
9/29/2020
9/30/2020
10/1 /2020
Please attach the documentation you would like to have the meeting about.
Tamera Osgood - Prefile NC Water.pdf 1.95MB
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.
Signature
9e 6ww
Submittal Date 9/25/2020
Reviewer Meeting Request Decision
Has a meeting been scheduled?* r Yes r No

f: 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
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Name: Tamera Osgood
Mailing Address: 5064 Harbor View Dr East
Granite Falls NC 28630
Telephone Number: 404-610-4882 Fax Number:
E-mail Address: tamaraeosRood@Rmail com
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:
http://www saw usace army mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: Tony Gaines -
Company Affiliation: Marine Construction of Hickory Inc.
Mailing Address: 1173 Shiloh Church Rd
Hickory, NC 28601
Telephone Number: 828-495-3040 Fax Number:
E-mail Address: [e-mail]
B. Project Information [15A NCAC 02H .0502 a & b ]
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.
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

1, Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include a scale of
some sort- a yard stick, shovel handle, etO
4. Location of the property (where work is to be conducted)
County: _Caldwell ._ Nearest Town:
_ ,Granite Falls
Lake/ river/ ocean adjacent to property:
Property size (acres): ________1.74 acres
Subdivision name or site address (include phase/lot number):
Anchors
Directions to site - please include road names and numbers, landmarks, etc.;
Latitude fin decimal degrees)_1_5.792 Longitude {decimal
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.)- —Restidential
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): IV or,
u., oidwa.
7. Will work be conducted from land? From water?
R. Total amount of impacts below the normal pool take level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Temporary impacts in square feet:
9, Total amount of impacts above the normal pool lake level/ Normal Water Level and 50 feet
land -ward
impacts (including back fill, excavation, HY rap, retaining walls, etc,) in square., feet:
Temporary impacts (temporary clearing, construction corridor) in square feet:
I - A. I - — — flit I __ C, .ni- -.I- I L -, 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): ��1'6
A . f n _L5 -5"4ry
11. Signature,,-'
Owne Signur 15A CACO2H.0 Date
`A s signature is only if an authorization letter from the owner is provided.
FORM: SSGP -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
Lake
(At Full pond/ Normal Water Level) Existing Dock
30ftx7ft
3 ftx 150ft
Below full pond/ NWL
Full Pond/ Normal Water level
7horeone oa 4ftx150ft
>.0 > Riprap Above full pond/NWL
2 ft.x 150 ft.
additional clearing
' If necessary
E AMPLE
Plan View
FORM: SSGP 02-2017
Page 3 of 4

�- 4 e � Ji Fkw2i
Side View
U-
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
Q
Side Vi
FORM: SSGP 02-2017 Page 4 of 4