20211714 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*
[e-mail]
Please provide an email address for payment and requests for more information here.
Owner Information:
Name: * Matthew Hall
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
1134 Cherbourg Drive
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:*
Matthew Hall - Agent Authorization.pdf 1.46MB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Hall - Granite Falls
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: Matthew Hall - Directions, GIS and
Survey.pdf
Latitude:*
35.802000
3.2MB
Longitude: *-81.337000
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*
Matthew Hall - Scope of Work.pdf 3.36MB
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.)
Matthew Hall - Property Pic and Buffer.pdf 2.95MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Granite Falls
County: * Caldwell
Lake/ river/ ocean adjacent to Hickory
property:
Subdivisions name or site address: *
6196 Plantation Pointe Dr, Granite Falls (Lot 53 Plantation Pt)
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 / Undeveloped
Residential, undeveloped, etc.
6. Property Size
1.29
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
We plan to place riprap along the shoreline to prevent further erosion.
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.)
470
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.)
470 with 1880
(construction
corridor)
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)
Wooded lot. Multiple trees and bushes.
(Please note: Payment has been made on 12/03/2021. Proof of payment
included below)
Sketch: Matthew Hall - Payment to NC DEQ on Dec 3
665.74KB
2021.pdf
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
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");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND

a I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Charlie Washburn
Signature:
Submittal Date: 1/25/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20211714 Version:* 1
Select Reviewer: * Amy Annino:eads\amannino
Select Reviewing Office: Asheville Regional Office - [phone]
Has payment been received? * • No Payment Needed
Fee Received
Need Fee - send electronic notification

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO:
53
PLAN NO: PARCEL ID: 08147 1 53
STREET ADDRESS:
6196 Plantation Pointe Dr
Granite Falls, NC 28630
Please print:
Property Owner: Matthew Hall
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
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):
630 Thomas Loop Rd
Sevierville, TN 37876
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
01422021
Date
Authorized Sign ture
2-d
Date

1/8/2022 1173 Shiloh Church Rd, Hickory, NC 28601-7855 to 6196 Plantation Pointe Dr, Granite Falls, NC 28630-8769 Directions - MapQuest
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 i na/hickory/28601-7855/1173-shiloh-church-rd-35.816331,-81.308572/to/us/nc/granite-falls/2... 2/2

1/8/2022 1173 Shiloh Church Rd, Hickory, NC 28601-7855 to 6196 Plantation Pointe Dr, Granite Falls, NC 28630-8769 Directions - MapQuest
YOUR TRIP TO:
6196 Plantation Pointe Dr, Granite Falls, NC 2863...
14 MIN I 6.2 M1 gi
Est. fuel cost: $0.75
Trip time based on traffic conditions as of 3:53 PM on January 8,
2022. Current Traffic: Light
Scan this QR code for
directions on your mobile
device:
12'tnt 3 I l heal h 'E; Y yOu _h I'
\ _'l'•'.'0 i g' 1(. ) .) 9 , >.;_
1. Start out going southwest on Shiloh Church Rd toward Rosenbalm Ln.
Then 0.05 miles
T 2. Stay straight to go onto Hubbard Rd.
Then 0.62 miles
3. Turn right to stay on Hubbard Rd.
Hubbard Rd is just past Cook Ln.
0.05 total miles
0.67 total miles
If you are on Cemetery Loop and reach Doberman Ln you've gone a little too far.
Then 1.37 miles 2.04 total miles
• 4. Hubbard Rd becomes (card Dam Rd.
Then 1.38 miles 3.41 total miles
ei 5. Turn left onto Petra Mill Rd.
Then 0.88 miles 4.29 total miles
t 6. Turn left onto Rocky Mount Rd.
Then 1.12 miles 5.42 total miles
7. Turn left onto Lovelady Dr.
`' if you reach Landing View Dr you've gone about 0.2 miles too far.
Then 0.08 miles
8. Turn right onto Plantation Pointe Dr.
Then 0.74 miles
9. 6196 Plantation Pointe Dr, Granite Falls, NC 28630-8769, 6196 PLANTATION
POINTE DR is on the left.
Your destination is 0.5 miles past Pier Point Dr.
5.50 total miles
6.24 total miles
If you reach Peninsula Dr you've gone about 0.1 miles too far.
fr4b Save to My Maps
https://www.mapquest.com/directions/I ist/1 /us/north-Carolina/hickory/28601-7855/1173-shiloh-church-rd-35.816331,-81.308572/to/us/nc/granite-falls/2... 1/2

This map is NOT of land survey quality and is NOT suitable for such use.
Caldwell County
Deferred Val
Assessed Val
E
ti
N
O
O
E
O
N
O
O
O — O
1.29027639
Calc Acreage
Land Units
BK 2018 PG 1020 YR 2021 ST 390.00
J umber
December 31, 2021
00019/00417
3705742855
d Z D Z
c L a
0 Q a z
6196 PLANTATION POINTE DR
Property Addr

CP
2
:'P
Plot North
PP .,.
''!)B Bola, o150089'
5 5J37973' r4a.93'
m r/1Y01 (Po:al 'A7
twee CummeA avow al
tot Sa a for 35 of
PId Boo. 19 Pg. air
Also Brine Corot.:
N I770797 35. 72'
rum r/217P (90.5 87
Being Common Comm of
La/ 3w & Lel 35 0l r
Pat Book 9 Po arr
V
Line Table Along Boundary
Course
Bearing
Distance
N..: 61. 37' 06" E
20.00'
53.50'
L2
N 62`06'15" E
L3-
N 64'06'41" E
49.63'
L4
S 76'04'22" E
36.75'
L5
S 45'44'00' E
75.40'
Curve Tobis Along Boundary
Curve
C1
Radius Chord T Chord Bear.
230.00' 38.26' 1 S 56'52'40' W
Certificale Of Survey And Accuracy
L R. Curtis Gaines, certify that this plat vox Jravvn under my
;open icon front an actual survey made under my Sltpervision
t deed description (wonted in Book t As). page (Shown. ate./
(other): that the txntndarics not surveyed are clearly indicated
as drawn fr0tn inl)'nnalion fond in Book tAs), pace
ISb owill: that the ratio of precision as calculated is I:
10 (NAM: that this plat was prepared in necolr1mce with the
Standards of Practice Tor Land Surveying. Witness my
original signature, registration number Dad seal this 26th Jay
01-August. 2021.
It Curtis (ianie3
Registration Number: 1.-4803
300r 0
CRAYIlIC St:ALE - PEfIT
30 (i0 DO
Lake Hickory
(Miaw. 935' Callowr
L3 CP
WESTERN CAROLINA SURVEYORS, P.A. :,alk , w,. p Pap.,
912 WILKESBORO BLVD. LEN01R, NC TELE. (82B)s 75B-5353
TITLE. Boundary Survey of the
Matthew Winston Nell and wolfs Amanda Nicole Hall Property
CLIENT: ITdYNSH1P: (COUNTY: STATE:
done aprinkle verlOOV Caldwell N.G.
Dee. Peet 9a tote Pe 102r, Lr9C PIN 9
41, ea 9 00 a:7 3706742665
APP 94
DRAWN BY
MY;
FILE
10113 Rap
DATE SCALE: 1'=30' GO: 9796 :Y:CAC RCG
00-26.2021 _ JOB N0. 10113 �FS: 0977 - ET 1
■
x C.P.
C.M
— _ • N.f..G 5
Contains: 1.29 Acres
Matthew Winston Ho//
0,,e
Amanda N'cho/e Hal/
Ned Rook 2016 Pg. 102(2
Lot 53
Plot Hook 19 Pg. 417
Lot 54
Pool Book 19 Pg. 41?
Pa., A
1 /2'Em
LEGEND
• E.I.P. IRON PPE rouND
0 NIP IRON PIPE SET
• E.I.R. RE -BAR FOUND
ORE -BAR SET
A NS. 1WIL ar (TYPE NOTED)
NAa. FOUND (IYPE NOTED)
COMPUTED POINT
CONCRETE MONUMENT
N.C.O.S. MONUMENT
RIGHT OF WAY
PROPERTY UNE
= GENIEP UNE
. BUILDING LINE
POWER UNE
= FENCE LINE
pc. - POWER POLE
R. = RAMOS
CH. . CHORD
TAN = TANGENT
45 H. = FlRE HYDRANt
�MH. MANHOLE
t,.e. = CATCH BASIN
=.W,M. = WATER METER
ST.PFD. = TELEPHONE PEDESTAL
Ream = 1RAN5FORMEP
IR
Lot 55
Plat Book 19 Pg. 417
t.a0 yAENa6,
Ncir.l, MOP
Not To Scow
P5KK0I Madras: 6196 PAmtakan Por'nt. a.
NOTES.:
1 - Arco By Coordinate Dedmenh
2 . 4('ti1 I Iurilunlai Control Tied At Time Of Stnvty.
3 . SuneT Doe: Not CLmtify To Title Or tawnershlp
4 - iota! Number Of Lut' • Evicting I. M
- total Acreage = 1.29 Acres
n - Pmpcny Zoned: RA-20 Caldwell County
7 - Building SelMck peons:
1'nml0l0 fl Side 10 fl Reor-'S fl - Per PO 19 I'g. 417
B - Iron Pipe Or Rehm At All (. orlon (!oleos (hhcrwlcc Noted
9. A Portion Of'The Pmpeny Is In A 11ooJ P111111,18 Per Caldwell
I1RA1 C'mnrmmin Panel No. 3710370.5001_ Dated: 07.07.260u
10- t'ropuny Is Located In.A WS-Pi Critical Watershed.
II - Property Shown Hereon May Be Subject To.
a.) All Matter Slone At Plat I3001 19 Pg. 417.
hJ Restrictive Covenants,* DBK 1353 Pe. ROl. DIM 1353 Pg. Nu
MO( 1699 Pg.139.
c. I Reserved Utility Laxo8ent - 10' Along AO Lot Linn, Stated o
of DBK 1333 Pg. BIRI.
d.l Flood L'.aoenlcnt I'o Gles:uion 94) AIW All (nhrr Reservation..
Restrictions and Lasen,enls it DNB. 6(11 Pg. 16,
Lot 52
Plat Book 19 Pg. 417
2 FIP
e �(
e Pol�t
v.2: 1/2"EIR
gw
.,)O010 60 ,v
1/2"EIa o\Ot
Raasinn0
01-16-2022'. ON To React Up09l*9 Tor finish. 110.46ery Mop.

l Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include a scale of
some sort- ayard stick, shovel handle, ehc.)
4. Location ofthe property (where work istmbeconducted)
County: Ca|dvvcU Nearest Town: Granite Falls
Lake/ river/ ocean adjacent toproperty: Hickory
Property size (acres): 1.29 acres
Subdivision name orsite address (include phase/lot nunmbeh:
6196 Plantation Pointe Dr — Granite Falls NC 28630 (Lot 53 Plantation Pointe)
Directions tosite ' please include road names and numbers, landmarks, etc.:
|ndudediO,packet
Latitude (in decimal degrees) 35.802 Longitude -81.337
6. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Reside ntia I1U ndeve I oped
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, orwhy itisnecessary): VV*plan toplace r|prapalong the shoreline toprevent
further erosion.
7. Will work be conducted from land? XX From water?
#. 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:
47Osqit
Temporary impacts in square feet:
9. Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc)insquare feet:
47Osq1t
Temporary impacts (temporary clearing, construction corridor) in square feet:
1880oqft (constructinn,cnrridor)
10.Please describe the vegetation above the normal pool lake level/ Normal Water Level and SU
feet landward tobeimpacted (number oftrees, for instance):
Wooded lot, Multiple trees and bushes.
11. Signature
01-12-2021
Oxvne//4gpnt'sSignature' [15AN[4[02H.US02(fl Date
'Agent's signature is valid only if an authorization letterfrom the owner is provided.
FORM: 5SGP02'3Vl7
Page Zof4

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
horeTine
2 ft.x 150 ft.
additional Bearing
if necessary
Plan View
Lake
(At Fuil Pond/ Norma
\J
i'
6G1�1�1C�� t`tt�
take
A Rvtdl Nwnui Vi{afer tell
Riprap
ter Level)
�Gff toil
Existing Dock
30ftx7ft
ftx 150ft
4ftx sore
Above full pond/ NWL
FORM: SSGP 02-2017
Page 3 of 4

Lake
Normal Wat
3 ft. below full pond water level
4 ft. above full pond water level
2 ft. addltional clearing
1 necessary
FORM: SSGP 02-2017
Page 4 of 4

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Hall -Granite Falls
Owner: Matthew Hall / '6-
Phnt Signature
--.----,-~_- Charlie _
Print Signature
County: Caldwell
�
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
U1H.06U6and 25ANC4C828.D243(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
Beaches, impervious patios, impervious walkways, etc. are not allowed in the buffer unless specifically approved
bythe Division. There are limitation onsize for decks. [l5AN[A[828.O343(4)and (6)]
Work to be conducted from land must indicate an access and indicate any trees that are to be memnxed. The
work corridor should be described. The approved access corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. (15A N[A1U2H .0602 and 15A N[ACUJB .0243 (4)' (6), (8)]
Stonnwater cannot be piped or channeled for direct discharge to the lake. All constructed s*o/mwate/
discharges must be at the natural elevation and discharged prior to entering the buffer directed asdiffuse ur
sheet flow at non -erosive velocities to the lake. [15A NCAC 02B 0243(5), (6)]
Acknowledgement of Notification
i Matthew Hall , hereby state that | 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 ofthe 4Ol Water Quality
Certification and Buffer Rules, the approved plan(s) and specification(s), and other supporting materials.
-�/// LI,/_[l�
Signature (owner): Date: (]1-12-2021

1/6/2022
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_$246.36
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21120381261846
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1/6/2022 marineconstructionllc.com Mail - Fwd: Payment Confirmation
MARINE
Fwd: Payment Confirmation
1 message
Charlie Washburn <[e-mail]>
Matt Hall <[e-mail]>
To: Charlie Washburn <[e-mail]>
Sent from my iPhone
Begin forwarded message:
From: [e-mail]
Date: December 3, 2021 at 11:01:53 AM EST
To: [e-mail]
Subject: Payment Confirmation
Thank you for your recent payment to NC DEQ Wetlands ePayment.
Payment Application: NC DEQ Wetlands ePayment
Payment Status: Payment completed successfully.
Confirmation Number: 21120381261846
Payment Date: 12/03/2021
Billing Address: Matthew W. Hall
630 Thomas Loop Rd
Sevierville, TN 37876
8593960297
Card Type: VISA
Card Number: x2582
Payment Amount: 240.00 USD
Convenience Fee: 6.36 USD
Total Amount: 246.36 USD
Fri, Dec 31, 2021 at 5:15 PM
Reference Information: 20211714,1,Non-DOT,Lake Hickory Plantation Point Lot 53 Hall,Matt
Hal1,2021 WT001493
DO NOT REPLY DIRECTLY TO THIS EMAIL.
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