20230941 Ver 1_Site Plan_20230706

Y
State of North Carolina
Department of Environment and Natural Resources
N
;
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY
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: James and Debra Rasmussen
Mailing Address: 10723 Admirals Lassie Ln
!907847�2-2650
LE811Telephone Number: Fax Number: N/A
E-mail Address: drasmusl @its.en4.com
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/regulatoryZregdocs/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):_ 1 143 Acres
Subdivision name or site address (include phase/lot number):
L at #49 Plantatinn PointinSuhrli +islan 5218 Peninsula fir Granite F l Is NC. 2
Directions to site - please include road names and numbers, landmarks, etc.:
Included in packet
Latitude (in decimal degrees) 35.801 Longitude (decimal degrees)-81.332
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential Undeveloped
veloped
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Wgnlan to stabilize the sLQLQline with rimer two prevent
further erosion.
7. Will work be conducted from land? x
From water?
S. 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:
382 raft
Temporary impacts in square feet:
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:
Temporary impacts (temporary clearing, construction corridor) in square feet:
Construction corridor= i gin 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 has a house under ron�triietion.
ove 17 trepsluf wall replant nQW trees one for on
11. Signature
Owner/ gent's Signature` A NCAC 02H 0502(fil Dat
e
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 anv excavation or firc,Hcrina kol—I ,-k- E7.,If / ., _
(Pull Pond/ Normal Water
Shoreline
Plan View
FORM: SSGP 02-2017
,,ilm/ tvvitlla' VVdLer Level elevation
Lake
(At Full Pond/ Normal Water Level)
10, x 191 ". Corbtno im C&Yi dog'
NO G12At►nod 10�} x4011 Na Cif jnj
raN
Ac, S
Corridor
Lake
(At Full Pond/ Normal Water Lever
Existing Dock
30ftx7ft
3ftx 150 It
Full Pond/ Normal Water Level eelov,fullpond/ NWL
7f oreMne " r
Riprap b 4ft,15aft
2 ftx 15a R. Ab
ove full pond/ NW L
additional clearing
if necessary
Plan View E AMP E
L. . ..... ...
Page 3 of 4

*Vt Ntk
La ke
(At Full Pond/ Normal Water Lei
aIt I Ial I;t, F.
,(taw W1 � Pd'nd J
0
Site View
U-
10 ft. bank
Side Vi
TQ mgovA N(.f s Co�Ao
we elm tD ne mm I-7 tray
bu+ Wiii rtfiarj- )eCJfT 1 6r4 Cyr
0M with hU5 9reaterilun a.5�,
in diamQ,1 ,)5. � refl4nk( M,5 wild
{ 61m NC pWQ QP-Corns led hie
' I i 3� All rW)cl()vj h-Uz w-, j! be
,.lzSPuted ade�,ua�ely ark pja*cd in
h-e Aor airlt season ro emor'e
IY o imUm SUCU55.
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
*if necessary
Existing bank
FORM: SSGP 02-2017
Page 4 of 4