20220634 Ver 1_Shoreline Stabilization_20220505

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
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.
Pre -Filing Meeting Date Request was 5/4/2022
submitted on: *
Owner Information:
Name: * John & Sharon Mabee
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
44 Grandview Place
Address Line 2
City
Hickory
Postal / Zip Code
28601
State / Province / Region
NC
Country
United States
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * Charlie Washburn
Company Affiliation: * Marine Construction LLC
Email: * [e-mail]

Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
PO Box 6400
Address Line 2
City State / Province / Region
Hickory NC
Postal / Zip Code Country
28603 United States
A signed and dated copy of the Agent Authorization letter:*
John & Sharon Mabee - Agent
773.14KB
Authorization.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Mabee - 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: John & Sharon Mabee - Directions and
GIS.pdf
Latitude: *
35.788000
3.51 MB
Longitude: *-81.374000
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*
John & Sharon Mabee - Scope of Work.pdf 2.84MB
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.)
John & Sharon Mabee - Property Picture,
Buffer and Survey.pdf
2.96MB
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: *
Directions to site: *
5747 Lake Pointe Dr, Granite Falls NC 28630 - Waterfront Harbor, Ph 2,
Lot 7
Include phase/lot number
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 .536
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Included above.
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.)
254
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.)
254 (1016 sqft
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)
Included above.
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $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");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name: * Charlie Washburn
Signature:
OhmelelariXereeter
Submittal Date: 5/4/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220634 Version:* 1
Select Reviewer: * Amy Annino:eads\amannino
Select Reviewing Office: Asheville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
C Fee Received
C• Need Fee - send electronic notification
What amount is owed?*
C• $240.00
C $570.00

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO: 7Waterfront Hrbr PLAN NO: PARCEL ID: 08122 2 7
STREET ADDRESS:
5747 Lake Pointe Dr
Granite Fails NC 28630
Please print:
Property Owner: John Mabee
Property Owner: Sharon Mabee
The undersigned, registered property owners of the above noted property, do herebyauthorize
Charlie Washburn , of Marine Construction LLC
(Contractor/Agent) (Name of consulting firm)
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):
(Mailing_) 44Grandview Place
Florida, NY 10921
Telephone: [phone]Q8 _ .__..
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
0
Z-
Client Sign hatures) Charlie Washburn
01/ 0.2D -ao Oft zd 202_2,
Date Date

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�i bing maps
A 1173 Shiloh Church Rd, Hickory, NC 28601 21 min , 10.3 miles
B 5747 Lake Pointe Dr, Northlakes, NC 28630 Light traffic(Leave at 11:05 AM)
Via Hubbard Rd, Grace Chapel Rd
• Local roads
A 1173 Shiloh Church Rd, Hickory, NC 28601
'1° 1 Head southwest on Shiloh Church Rd toward Rosenbalm Ln 377 ft
It 2. Keep right to get onto Hubbard Rd 0.6 mi
17/ 3 Turn right to stay on Hubbard Rd 1.4 mi
4. Road name changes to (card Dam Rd 1.4 mi
<"i 5 Turn left onto Petra Mill Rd 0.9 mi
44,
r* Turn right onto Rocky Mount Rd, then immediately turn left onto ' "'
3.1 mi � , ...
6. Grace Chapel Rd
Turn right toward New Farm Rd 0.7 mi
( 7.
it' 8. Keep straight to get onto New Farm Rd 0.5 mi
•
l> 9. Turn right onto Riverbend Dr 0.6 mi
�` 10. At the roundabout, take the 1st exit 0.2 mi
•
l 11. Turn left onto Gunpowder View Circle 0.1 mi
r> 12. Turn right onto Blackhawk Ridge Way 0.2 mi
13. Turn left onto River Bend Dr 0.2 mi
41 14. Turn left onto Lake Pointe Dr 0.4 mi

Arrive at Lake Pointe Dr
15. The last intersection before your destination is Shoreline Way
B 5747 Lake Pointe Dr, Northlakes, NC 28630

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A 1173 Shiloh Church Rd, Hickory, NC 28601B 5747, Lake Pointe Dr, Northlakes, NC 28630
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These directions are subject to the Microsoft®Service Agreement and are for informational purposes only.No guarantee is made regarding their completeness or accuracy.
Construction projects,traffic,or other events may cause actual conditions tof differ from these results.Map and traffic data©2022 TomTom.

3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include a scale of
some sort- a yard stick, shovel handle, obc.)
4, Location of the property (where work istobeconducted)
County: _ Caldwell_ Nearest Town: Granite Falls
Lake/ river/ocean adjacent toproperty: Lk Hickory
Property size (acres): _ _ �536 acres—
Subdivision nanoeu,siteaddress (indudephase/|otnurnber):
5747 Lake Pointe Dr, Granite Falls NC28b3D—Waterfront Harbor, Ph2, Lot 7
Directions to site - please include road names and numbers, landmarks, etc.-.
Included 'in_packet
Latitude (in decimal degrees) .788 Longitude (decimal degrees) '81.374
5. Describe the existing land use or condition of the site at the time ufthis application
(residential, undeveloped, etc.): Residential/Undeveloped
G. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): We plan to p|ace.rip(ap stone along the shoreline to
prevent further erosion.
7. Will work be conducted from land? XX From water?
8 Total arnount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfi||, rip rap, retaining walls, etc.) in square feet:
I54scift
Temporary impacts in square feet:
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.) \n square feel:
254sqft
Temporary impacts (temporary clearing, construction corridor) in square feet:
__ 1O16 (construction corrido
10. P|easedescri6ethevegetationabovethenorrna\ poo/ |aka !eve|/ Norrna|VVate/ Leve| and50
feet landward tobe impacted (number o!trae,;, for instance\:
Wooded lotvviLh brush, trees and vines.
11.
0 '
*
�,vvner/AQ:t's Signature` [15A NCACO2H .0802(f)l Date
~Agent's signature is valid only//onouUhorizotion /ctterfrom/ the owner is provided.
FORK 5SGP0Z-2O17 Page Zot4

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 (At Full Pond/No;mat Water Level)
a 5. 1061. l'viI P hjia
4)fJI—
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z�
Full Pond/ NormalWater Leve . /,"' + .' s **" a'a7,k:-- ::a ,
Shoreline
4
4(. c.
i, ,4
Plan View NCB '-)(c,rsi`v.e c_lea,f;v
3 k-(-GS doh - -0 I`,l
�..
r take
inttOdPcndjNScma6 Wolof tevett E,istioj Dock
1ofc.x7st
i
r;' X._. , S r:. tint po[xt�NWL
Full Rend/Nortktal Water�tawei- ,,,,, ,,.:
9 1i1" MtlW f11M 4 ft x 150 fthore�"`ne
Riprap ,:�I ; Above full pond/NM.
2 ft x 150 ft nTJ I-. X-XJ.-1.1-.-2 '-'
additional cleat P�j_ j 1
'rfnecessary l'.!:
t 1
"- stifi '4.-ei
v ti,
Plan View
FORM:SSGP 02-2017 Page 3 of 4

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3 ft.below full pond water level 4 ft.above full pond water level 2 ft.additional cleating
*if necessary
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FORM:SSGP 02-2017 Page 4 of 4

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Granite Falls _� County:
Idwell
Owner: ]ohn /� Sha/ook4 / /�' ^��� ^`
Print / ' signature
Comtrwctor/agen0: Charlie Washburn Marine Construction LLC '
Print Signature
The approval is for the purpose and design described in your application, }rnpacts not indicated in the
application is a violation of the Buffer Rule.Site specific work should be provided in the application. t15A NCAC
02H .0506 and 15A N[A[U2 B .0243(8)|
Trees are riot 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 irrimediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCACO38 .0243(6)]
Benching and grading in the buffer is not allowed, Excessive disturbance of ground cover. [15A NCAC 02B 0243
(6)]
0eache4irnperviouspados,inopen/iouswa|kways,etc.arenutaUuvvedinLhobufferun|essspedMcaUyapproveU
6y the Division. There are limitation on size for decks. [15ANLA[O28 .O243(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 corriclor shall be restored. Staging, spoil, construction
material noustbe outside the buffer. [1S4N[ACD2H .OSU2 and 15ANCACO28 .O243 (4), (6), (8)]
Stornovvater cannot be piped or channeled for direct discharge to the lake. All constructed stornowater
discharges must be at the natural elevation and discharged prior to cnze,ingthe buffer directed as diffuse or
sheet flow mt non-erosive velocities Lothe lake. [15A N[ACO28 .0243(5), (6)l
Acknowledgement of Notification
|' John /� Sharon k�abee _ ' hereby state that | have been informed ofthe
Ca- /wb- Rule.Buffer Any work conducted in the buffer, not specifically stated inthe app||cat\on and
approved by the Division of Water Resources (DVR), 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) -wd specificaiion(s), and other supporting material,,.
� x1 ^) �
Signature (ovvner)v�
`�^�v -- Date: ��//
_ �/~7^u�L/