20231280 Ver 1_Site Plan_20230918

;_ 15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization
"" U A-;Y FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the ppp lication fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.J
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: Michael Obermayer
Mailing Address: 5840 Kaylee Assn Ear
Telephone Number: [phone] Fax Number: NIA
E-mail Address: Mbobermeyerftmail.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:
htt : /www.saw, s e�,armY.mii}Portals}59/does}re uiatorY/res does/Permits/SAMPLE AGENT AUTHORIZ
ATIONL 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: office@ marineconstructionllc.com
B. Project Information [15A NCAC 02H .0S02(a} & (b1]
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: :;AWWVJL- Nearest Town: GraafteyaItS_
Lake/ river/ ocean adjacent to property, _RbQdW&S___,
Property size (acres) : _1.75 Act
Subdivision name or site address (include phase/lot numbet);
Lot 13, laes Dili Landino aubdlvisirn, llmae 4 lalee Ann Dr, Granite Falls, NG 28630
Directions to site - please include road names and numbers, landmarks, etc.:
Included in packet
Latitude in decimal degrees] ---a5, _789 Longitude (decirnal degree _S)_,a1AW_
5. Describe the existing land use or condition of the site at the time of this application
(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:
tsft
Temporary impacts in square feet:
o sqft
9. Total amount of impacts above the normal pool take 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;
lConstruction corridor= 1 070 saftl
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 5C
feet landward to be impacted (number of trees, for instance) Tllejolha_$��MdedLf 7
r _SSV
existing floating dock (72qft.).
11. Signature
Owner/Agent"s Signatur I NCAC 02H .0502 f Date
Agent's signature is valid only if an authorization letterfrom the owner is provided.
FORM: SSGP 02-2017 Page 2 of 4

15-mr-36
12. Please approximately sketch the following information on this plan and provide dim; nsions 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 nr Hrarlaina halrnni +►,A cull Dn,A/ KI ,r 1 IA/,4--. I ---I
Full
R prap anxlsoh
S-. t Ab��e full pond/NWL
2 ft. x 150 P. L-!.1..a Y X A
ajditm- cteaoro
,r�._es:aN � P
I
an
�`M P
Plan View
FORM: SSGP 02-2017
Page 3 of 4

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Ml ll
IAI
FORM: SSGP 02-2017
Page 4 of 4

Project Name/address: 1 !ildiz! ; it::11''i
51 _Annj)L County. CgIdwell
Owner
Conti
t-I IM z>ignaiure
The approval is for the purpose and design described in your application, impacts not indicated in the
application is a violation of the Buffer Rule, Site specific work should be provided in the application. [15A NCAC
02H .0506 and 15A NCAC 02B.0243(8)]
Trees are not allowed to be removed from Zone I of the Buffer (within 30 ft of the full pond elevation), unless
approved, Exception, those trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 02B.0243(6))
Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover, [15A NCAC 02-13.0243
(6)]
Beaches, impervious Patios, impervious walkways, etc, are not allowed in the buffer Unless specifically approved
by the Division. There are limitation on size for decks, [15A NCAC 02B M43(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 corridor shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H.0502 and 15A NCAC 02B4O243 (4), (6), (8)]
Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discharges must be at the natural elevation and discharged prior to entering the buffer directed as diffuse or
sheet flow at non -erosive velocities to the lake. t15A NCAC 02B.0243(5), (6))
Acknowledgement of Notification
hereby state that I have been informed of the Catawba Riparian Buffer Rule.
Any work conducted in the buffer, not specifically stated in the application and approved by the Division of
Water Resources (DWR), 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) and specification(s), and other supporting materials.
Date: o

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Go g�� 1117 Shiloh Church Rd, Hickory, NC 28601 to Drive 13.0 miles, 25 min
5840 Kaylee Ann Dr, Sawmills, NC 28630
Collettsville Food Lion Ellendale Sipe Lumber
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Abingdon
1tafi� Union Baptist Church 1�2J
Lenoir c"
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Little River
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Gamewell aovrErwi College and „se
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Amherst Sawmills 113.4mfl-
Veterans Par Gran n ails
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Northlakes
Falls ark �Valdese Lakeside. Park 1zJ t402
Fails park Rhodhiss Geiiner park ®publix Super Market at
6s 1536 Lake Hickory Crossings
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Aeadows Park Drexel Walmart�
■, 20 Neighborhood Market
lsas Hicko, Aviation nm - mO"m ar
Morganton iJ lvo< Connelly ry`y 2, GSt Stephens
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Map data ©2023 Google 2 mi ■ ■
1117 Shiloh Church Rd
Hickory, NC 28601
T 1. Head southeast toward Shiloh Church Rd
6 sec (92 ft)
Take Hubbard Rd, Icard Dam Rd and Falls Ave to w Highland
Ave in Granite Falls
17 min (9.6 mi)
0" 2. Turn right onto Shiloh Church Rd
253 ft
T 3. Continue straight onto Hubbard Rd
1.9 mi
4. Continue onto Icard Dam Rd
1.4 mi
5. Turn left onto Petra Mill Rd
0.9 mi
(+ 6. Turn right onto Grace Chapel Rd
1.3 mi

'1 7. Turn left onto Falls Ave
3.6 mi
r'� 8. Turn right onto S Main St
0.4 mi
Follow Sunset St to Dry Ponds Rd
2 min (1.0 mi)
h 9. Turn left onto W Highland Ave
233 ft
& 10. Turn right onto Sunset St
1.0 mi
<-1 11. Turn left onto Dry Ponds Rd
2 min (0.9 mi)
Continue on Moore Acres Dr. Take North Bay Dr to Kaylee
Ann Dr
4 min (1.4 mi)
+1 12. Turn left onto Moore Acres Dr
4 1 13. Turn left onto North Bay Dr
* 1 14. Turn left onto Long Bay Dr
r 3 15. Turn right onto Candlestick Trail
+ 1 16. Turn left onto Marblestone Dr
r* 17. Turn right onto Kaylee Ann Dr
0 Destination will be on the left
5840 Kaylee Ann Dr
Sawmills, NC 28630
0.5 mi
0.3 mi
0.1 mi
413 ft
331 ft
0.4 mi

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AGENT AUTHORIZATION FORM
Please note that multiple forms may be necessary if there are more than two owners of the property.
PROPERTY LEGAL DESCRIPTION:
STREET ADDRESS OF EXISTING HOME or LATITUDE/LONGITUDE OF NEW CONSTRUCTION:
5840 Kavlee Ann Dr. Granite Falls. NC 28630
35.789/-81.458
Parcel ID: 08116D 2 13
Property Owner Names) — please print:
Property owner: Michael Obermever
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
Charlie Washburn
(Contractor/Agent)
,of Marine Construction LLC
(Name of company)
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 Mailing Address (if different than property address above):
Same as Above
Same as Above
Property Owner(s) Telephone: [phone]
We hereby certify that the above information submitted in this application is true and accurate to the
best of our knowledge.
Au iC orized Sig ature Contractorl Agent
%— //-2D23 /N ;?Z.,
Date Date