20231461 Ver 1_Shoreline Stabilization_20231031

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 10/24/2023
submitted on: *
Owner Information:
....... ........ ........ ........ ........ ........ ......... ......... ......... .........
Name: * Orlando Buitrago c/o Okjal Prop LLC
Email: *
Phone Number:
Mailing Address: *
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
522 NE 8th Ave
Address Line 2
City
Hickory
Postal / Zip Code
28603
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
Name: *
Company Affiliation:
Email: *
Phone Number:*
Yvette Huffman
Lake Permit Services, LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
United States

Mailing Address: *
Street Address
PO Box 6369
Address Line 2
City
Hickory
Postal / Zip Code
28603
A signed and dated copy of the Agent Authorization letter:
Buitrago Orlando - Agent Auth.pdf
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: * Buitrago - Granite Falls
State / Province / Region
NC
Country
United States
534.79KB
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: * Street Address
5832 Kaylee Ann Drive
Address Line 2
City State / Province / Region
Granite Falls NC
Postal / Zip Code Country
28630 US
Latitude: * 35.789718 Longitude: *-81.458341

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 *
i
of
Please use the diagram at the link below:
https:Hedocs.deq.nc.gov/WaterResources/o/edoc/616616/Shoreli ne%2OLayout.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.)
Pic
Pic
4. Location of the property (where work is to be conducted)
Nearest Town: * Granite Falls
County: * Caldwell
Lake/ river/ ocean adjacent to Rhodhiss
property:

Subdivisions name or site address: * Hayes Mill Landing, Lot 15
Include phase/lot number
Directions to site: *
From Hickory. US 321 N. Left onto Pinewood Rd. Left onto Main St. Right onto Dry Ponds Rd. Left onto Moore Acres Dr. Left
onto North Bay Dr. Left onto Long Bay Dr. Right onto Candlestick Trail. Left onto Marblestone Dr. Right onto Kaylee Ann Dr.
Destination on left (labeled LOT 15).
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:
Residential, undeveloped.
Residential, undeveloped, etc.
6. Property Size .827
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Property owner requests riprap placement to avoid further shoreline erosion.
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.)
644
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.)
644 with 500 temp corridor
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)
Included above.
Sketch: Buitrago Orlando - 1 Buffer.pdf 773.74KB
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):
0 $323.00 for impacts to lake (below normal water level) of less than 1 acre
0 $767.00 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
o 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.
o 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');
0 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.

Full Name:* Yvette Huffman
Signature:
qf* - �?/,nom
Submittal Date: 10/24/2023

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20231461 Version: *
Select Reviewer: *
Select Reviewing Office
Has payment been received?*
What amount is owed?*
Tyler Hickman:Tyer.Hickman
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00 $570.00
$323.00
$767.00