20221045 Ver 1_Shoreline Stabilization_20220803

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 4/26/2022
submitted on: *
Owner Information:
Name: * Stephen Wayne Hatt
Email: * [e-mail]
Phone Number: [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
5813 Powder Loop
Address Line 2
City
Granite Falls
Postal / Zip Code
28630
State / Province / Region
NC
Country
United States
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: * Tommy Fraley
Company Affiliation: * Foothills Dock & Shoreline LLC
Email: * [e-mail]

Phone Number:*
Mailing Address:*
[phone]
(xxx)xxx-xxxx
Street Address
7923 Houston Ave
Address Line 2
City State / Province / Region
Hickory NC
Postal / Zip Code Country
28602 United States
A signed and dated copy of the Agent Authorization letter:*
Scan.pdf 149.82KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Hatt Shoreline
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
Property Address Lookup: *
Latitude:*
35.787640
Street Address
5813 Powder Loop Road
Address Line 2
City State / Province / Region
Granite Falls NC
Postal / Zip Code Country
28630-8399 US
Longitude: *-81.358095
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*
revised proposed work.pdf 2.22MB
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.)
pictures.pdf 12.45MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Granite Falls NC 28630

County: * Caldwell
Lake/ river/ ocean adjacent to Lake Hickory
property:
Subdivisions name or site address: *
5813 Powder Loop
Include phase/lot number
Directions to site: *
From hwy 321 turn onto Grace Chapel rd. cross the lake and Powder Loop
the next street on the right. Turn onto Powder Loop and go to the next to
last house at the end.
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: *
Land currently has a house. Existing retaining wall is falling into the lake.
Residenetial
Residential, undeveloped, etc.
6. Property Size .62
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
re move existing retaining wall that is falling into the lake. Replace with
rip rap
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.)
330
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.)
600
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)
grass
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
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:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
• 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");
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
• I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Tommy Fraley
Signature:
Submittal Date: 8/2/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20221045 Version:* 1
Select Reviewer: * Mitchell Anderson:eads\mlanderson
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: PLAN NO: PARCEL ID:
STREET ADDRESS:
5813 Powder Loop
Granite Falls NC 28630
Please print:
Property Owner: Stephen Hatt
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Tommy Fraley , of Foothills Dock&Shoreline LLC
(Contractor/Agent) (Name of consuking 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):
Telephone:
We hereby certify the above information submitted in this application is true and accurate tothe
best of o owledge.
Authorized Sig ure Authorized Signature
'7
Date Date

Proposed
(Plan View)
Lake
(At Full Pond/ Normal Water Level)
Rip Rap not to extend more then 5'out into the water with an average of 2.
—
Full Pond/ Normal W
Shoreline
P
This is a repair/replace of existing wood retaining
wall above or behinkd the wall is yard. No trees
only grass.
102',two foot above full pond
Rip Rap not to extend more then
5'out into the water with an
average of 2.
4'below full pond
At Full Pond
4'above full pond

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Teh wall is approx.4'tall, Lake Level is 96.8 when these pictures were taken.We will remove the seawall and
replace with rip rap.