20230660 Ver 1_Site Plan_20230508

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
ENVIRONMENI AL OUAU i Y 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 if sending via delivery service(UPS, FedEx,etc.)
Paul Wojoski Paul Wojoski
DWR—401&Buffer Permitting Branch DWR—401&Buffer Permitting Branch
1617 Mail Service Center 512 N.Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: John and Sharon Hines
Mailing Address: 8870 Route 28 Brockway PA 15824
Telephone Number: [phone] Fax Number: N/A
E-mail Address: [e-mail]
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/regulatorV/regdocs/Permits/SAMPLE AGENT AUTHORIZ_
ATION FORM.pdf)
Name: Charlie Washburn
Company Affiliation: Marine Construction LLC
Mailing Address: PO Box 6400
Hickory, NC 28603
Telephone Number: 828-495-3040 Fax Number: N/A
E-mail Address: [e-mail]
B. Project Information [15A NCAC 02H .0502(a)&(b)]
1. 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.
2. 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

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: Caldwell Nearest Town: Granite Falls
Lake/river/ocean adjacent to property: Lake Hickory
Property size(acres):0.511
Subdivision name or site address(include phase/lot number):
Lot 10 Phase 2 Waterfront Harbor Subdivision
Directions to site-please include road names and numbers, landmarks,etc.:
Included in packet
Latitude(in decimal degrees) 35.789 Longitude(decimal degrees) -81.373
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped,etc.): Residential, lndev _loved
6. Describe proposed work(include discussion as to how hardening of shoreline has been
avoided,or why it is necessary):
We plan to stabilize the shoreline with riprap to prevent further erosion and construct a
stationary dock.
7. Will work be conducted from land? x From water?
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:
432 sgft
Temporary impacts in square feet:
0 sgft
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:
432 sgft
Temporary impacts(temporary clearing,construction corridor)in square feet:
(Construction corridor= 2,160 sgft)
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):
The lot is wooded. We plan to remove 14 trees but will replant 1 for 1 with native hardwood
trees.
re
caner/Agent's Signature*[15A NCAC 02H .0502(f)] Date
*Agent's signature is valid only if 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:
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
La ke
(At Full Pond/Normal Water Level)
a'x pa1 ,Below
Full Pond/ Normal Water Level 01lPonalNKtL-
. i iiim alaan aIM1111
Shoreline ,.
W X 2�I ' Cons'r�vck,o� Cocn�,oc a' x a►1, Abae
��ll POnd] Nw�
No G tdv\off No Clan n
Plan View
Lake
{At Full Pond/Normal Water Levell
Existing Dock
3 hv150k I
Full Pond/Normal Water Lev*"10
Below full pond/NW
e nhore7ine—w �lkx150h
y kJiPond/NWL
2ft..150h.add.onal clearing
'if necessary
1
1E , AMPLE
Plan View
FORM:SSGP 02-2017 Page 3 of 4

`Xal ' Rio _t�10 Ueann .
We Ulan YD c MOW, M U5 bo+
a` X 2,1t, VM +r JaM-j �n( �.. Al M5
FM Pond [ N)NL r�Ptan 14M be a•5 , diam '
oc grea,�i^. �tti �s w�►► ►� c�ror�
Lake N6DVJo. MCOM npi W �lisf Ail
(At Full Pond/Normal Water Vte $ W``t b� *CXd 60�14R-1� Gnd
.� Platted►n � dormunk mason �o
emsVc�e r�laximVrn Success.
V)
C-
Side View
U-
3 ft.below full pond water level 4 ft.above full pond water level Z ft.additional clearing
If necessary
Existing bank
10 ft.bank
height yea
QO
qko
( Side Vi L F
FORM:SSGP 02-2017 Page 4 of 4