20220133 Ver 1_Shoreline Stabilization_20220125

Shoreline Stabilization Application Form
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
Submission Form
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*
Owner Information:
Name: *
Email:*
Phone Number:
Mailing Address: *
[e-mail]
Please provide an email address for payment and requests for more information here.
Craig Lynch
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
5242 36th Street Drive Northeast
Address Line 2
City
Hickory
Postal / Zip Code
28601
Is there an agent working on the project?*
Agent/Consultant Information
Name: *
Company Affiliation: *
Email: *
Phone Number:*
Yes
No
Charlie Washburn
Marine Construction LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
United States

Mailing Address: *
Street Address
1173 Shiloh Church Rd
Address Line 2
City State / Province / Region
Hickory NC
Postal / Zip Code Country
28601 United States
A signed and dated copy of the Agent Authorization letter: *
Craig Lynch - Agent Authorization.pdf 334.29KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Lynch - Hickory
If your project has a formal name please use this. If your project does not have 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. *
Upload File
Look up address
Upload Map: Craig Lynch - Directions, GIS and Survey.pdf 2.5MB
Latitude: * 35.805638
Longitude: *-81.257981
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*
Craig Lynch - Scope of Work.pdf 2.37MB
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.)
Craig Lynch - Property Pic and Buffer.pdf 1.85MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Hickory
County:* Catawba
Lake/ river/ ocean adjacent to Hickory
property:
Subdivisions name or site address: *
5242 36th St Dr NE Hickory (Lot 4, Block E, Spring Lake)
Include phase/lot number

Directions to site: *
Included above.
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
Residential / Developed
Residential, undeveloped, etc.
6. Property Size .46
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
We plan to float in riprap by barge to prevent further erosion of the
shoreline.
8. How will the work be done?*
From Land
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.)
140
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.)
140
square feet
11. 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)
Grassy yard wtih no trees or bushes.
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:
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 I 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:* Charlie Washburn

Signature:
Submittal Date:
Gx,:7,,t7e.,moth,
1/25/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220133 Version:* 1
Select Reviewer: * Doug Perez:eads\djperez
Select Reviewing Office: Mooresville Regional Office - [phone]
Has payment been received? * No Payment Needed
Fee Received
• Need Fee - send electronic notification
What amount is owed?*
• $240.00
$570.00

lJ
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO:
STREET ADDRESS:
5242 36th St Dr NE
Hickory NC 28601
Please print:
Property Owner: Craig Lynch
Property Owner:
PLAN NO:
PARCEL ID: 373509055657
The undersigned, registered property owners of the above noted property, do hereby authorize
Charlie Washburn , of Marine Construction LLC
(Name of consulting firm)
(Contractor/Agent)
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 Address (if different than property above):
same
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
ur knowledge.
Authgrized . ignature
13 _ZAI-
Date /
Authorized Signature
Date

1/8/2022 1173 Shiloh Church Rd, Hickory, NC 28601-7855 to 5242 36th Street Dr NE, Hickory, NC 28601-7009 Directions - MapQuest
crib Save to My Maps
Use of directions and maps is subject to our Terms of Use. We don't guarantee accuracy, route conditions or usability. You assume all risk of use.
https://www.mapquest.com/directions/I ist/1 /us/north-carol ina/hickory/28601-7855/1173-shiloh-church-rd-35.816331,-81.308572/to/us/nc/hickory/28601... 2/2

1/8/2022 1173 Shiloh Church Rd, Hickory, NC 28601-7855 to 5242 36th Street Dr NE, Hickory, NC 28601-7009 Directions - MapQuest
YOUR TRIP TO:
5242 36th Street Dr NE, Hickory, NC 28601-7...
15 MIN I 7.3 M1
Est. fuel cost: $0.87
Trip time based on traffic conditions as of 2:35 PM on January 8,
2022. Current Traffic: Light
Scan this QR code for
directions on your mobile
device:
a 1_, re: f yOL, c. ve _h
h: :iI I ; ; 3,)0)
1. Start out going northeast on Shiloh Church Rd toward Lynwood Ln.
Then 0.16 miles
2. Turn right onto NC Highway 127/NC-127. Continue to follow NC-127.
Then 1.86 miles
t 3. Turn left onto Cloninger Mill Rd.
Cloninger Mill Rd is 0.5 miles past 48th Ave.
If you reach 1st Street PI you've gone a little too far.
Then 1.15 miles
jei4. Turn sharp left onto 16th St.
If you are on Kool Park Rd and reach 36th Ave you've gone about 0.2 miles too far.
Then 0.44 miles
I+ 5. Turn right onto Snow Creek Rd.
Snow Creek Rd is 0.1 miles past 17th St.
If you reach 43rd Ave you've gone a little too far.
0.16 total miles
2.02 total miles
3.17 total miles
3.61 total miles
Then 1.85 miles 5.46 total miles
6. Turn left onto Sulphur Springs Rd.
Then 1.35 miles 6.81 total miles
tI 7. Turn left onto 36th Street Dr.
36th Street Dr is 0.2 miles past 48th Avenue Ln.
If you reach Floyd Darvin Rd you've gone about 0.1 miles too far.
Then 0.45 miles
{Q 8. 5242 36th Street Dr NE, Hickory, NC 28601-7009, 5242 36TH STREET DR NE
is on the right.
If you reach the end of 36th Street Dr you've gone about 0.1 miles too far.
7.26 total miles
https://www. mapquest.com/directions/I ist/1 /us/north-carol ina/hickory/28601-7855/1173-shiloh-church-rd-35.816331,-81.308572/to/us/nc/hickory/28601... 1/2

ba county Geospatial Real Estate Search
r�R�Mc. uriNc. 4FITIR. Information Services
nN
W-VG-E
Parcel: 373509055657, 5242 36TH ST DR NE HICKORY, 28601
Owners: LYNCH CRAIG T, LYNCH MITZI C
Owner Address: 2615 OAKMEADE DR
Values - Building(s): $159,200, Land: $99,800, Total: $259,000
1 in=300ft
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2021 Catawba County NC
01/08/2022

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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: Catawba Nearest Town: Hickory
Lake/ river/ ocean adjacent to property: Hickory
Property size (acres): 0.46 acres
Subdivision name or site address (include phase/lot number):
5242 36th St Dr NE Hickory NC 28601 (Lot 4, Block E, Spring Lake)
Directions to site - please include road names and numbers, landmarks, etc.:
Included in packet
Latitude (in decimal degrees) 35.805638 Longitude (decimal degrees) -81.257981
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential/Developed
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): We plan to float in riprap by barge to prevent further
erosion of the shoreline.
7. Will work be conducted from land? (1 From water? XX
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:
140 sqft
Temporary impacts in square feet:
0
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:
140 sgft
Temporary impacts (temporary clearing, construction corridor) in square feet:
0
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):
Grassy yard with no trees or bushes.
11.
Zb2Z
Owner/Aent's Signature" [1 NCAC 02H .0502 f
Date
"Agent's si nature is valid onl 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:
All proposed vegetation clearing
Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
Location of any proposed structures such as buildings, retaining walls, docks, etc.
Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
a.
b.
c.
d.
e.
(At Full Pond/ Normal Water Level)
Full Pond/ later Level
am alma IIMIS INUNI
Shoreline
Plan View
r
r
hove line
2 ft. 150 ft.
additional clearing
1 necessary
Plan View
Lake
tI Po9 d/ Nwrnaf Water
Riprap
Existing Dock
30fixlft
3 ft.<150t1
Peiaw l 0 pond., N WL
aft.15nn
Above full pond/ N W L
FORM: SSGP 02-2017
Page 3 of 4

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ake
Side View
c
0
Q..
IJ—
.11111016140.1litualarsoma..SODS MM. Nil pa cum atm, war..
10 ft. bank
height
Side Vi
3 ft. below hill pond water level 4 ft. above full pond water level
2 ft. additional clearing
If necessary
FORM: SSGP 02-2017
Page 4 of 4

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Lynch - Hickory 'ty::atawba
Owner: Crai: L
Print ignature
Contractor/agent: Charlie Washburn — Marine Construction LLC
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. [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 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)]
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 Notification
I, Craig Lynch , hereby state that I have been informed of the Catawba Riparian
Buffer 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 (ow
Date: 1 / 3 �v2�