20231067 Ver 1_Site Plan_20230802

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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
ENVIRONMENT AL 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
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
A. Applicant Information [15A NCAC 02H .0502(a))
1. Owner Information
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Name: James and Kim Yucha
Mailing Address: 1809 Fox Meadow ad.
Telephone Number: [phone] Fax Number: N/A
E-mail Address: Jyucha@Dgmail,corn
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.armv mil/Portals/59/docs/regulatory/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: officePmarineconstructionlic.com
B. Project Information [15A NCAC 02H .0502(a) & (b)1
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.
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: Rhodhiss
Property size (acres): 1.096 Acres
Subdivision name or site address (include phase/lot number):
Lot 234 Waterfront Club Phase 3, 1771 Scenic Ln, Granite Falls, NC 28630
Directions to site - please include road names and numbers, landmarks, etc.:
Included in packet
Latitude (in decimal degrees) 35.779 Longitude (decimal degrees)-81.552
5_ Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential Undeveloped
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
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:
240 sgft
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.) in square feet:
480 sgft
Temporary impacts (temporary clearing, construction corridor) in square feet:
(Construction corridor= 1,200 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 and undeveloped.
13 trees will be removed in the shoreline stabilization process We plan to replant new trees one
for one with trees from NCDWQ recommended tree list,
11. Signature
Owner/Agent's Signature' [1SA 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
(Full Pond/ Normal Water
Shoreline
Plan View
Lake
(At Full Pond/ Normal Water Level)
0 -�� tall 00rA WWI.
loft X Sao Ccmh-U G�m (,OfMor Pry Furl
CorrdOC
Lake
(At Full Pond/ Normal Water
Level)
Existing Dock
30ftx 7It
3ftx150ft
Full pond) Normal Water Level
Belau full pond/NWL
Shoreline ._-�
Riprap
_ 4
ftT150ft
2 ft. x150 ft,
Above full pond/ NWL
additional clearing
` ff necessary
EXAMPLE
Plan View
FORM: SSGP 02-2017 Page 3 of 4

qlF,-Xaa
Lak
(At Full Pond/ Norr
Side View0
W
10 ft. bank
Side Vi
I f - X lay ,a(5W) Um Corrirlo�,
1OR X go,".1�mv W-4-55
conri dor
4�e oo o �0 WMWC tS
kVN�, Wt, w i c c +reel an*
S (3Yv. Fac D(1,Q, L.)hlon w 1
5 r� n 0) i A W,02� ar �v2ak-e�: IM1
w It L 16C avv�a4-C-ty S:�,�ed Oc. Plan koc
s OCC-e} S sQ�t'18Ur'Q' Make rwcn
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