20231475 Ver 1_Site Plan_20231031

"y State of North caroling
DS"rtment of Environment and Natural Resources
Division of dater Resources
14'ater- Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ray 1'1R0NM0q_fA?_ QUALITY
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the L.� should be sent to:
If sending vita US Postal Service
Paul Wojoski
DWR —401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699--1617
A. Applicant Information
1. Owner Information
Name:
If sending via delivery service (UPS, FedEX ,,etc.)
Paul Wojoski
DWR-401 & Buffer Perritting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Mailing Address: t i hr M S
New Alban OH 43€l54
"telephone Number: 614 563-1905 Fax Number, NIA _
E-mail Address: Pete.tarna ll@ mail.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 farm. [A form can be downloaded here:
htt �v�t tns,sava.€�sace.arn� .roil Ps rlalsiS9 decsfrea�la_�1 lre u€�cslPerr,,iis SRiVIPL AGEiVT AUTHDRI7
f:�'lC3iV FflRi'�l,��ff)
Name: Charlie Washburn
Company Affiliation: Marine Construction LLC
Mailing Address: PO Box 6400
Hickory, NC 28603
Telephone Number: g28-435-3040 Fax dumber: NIA
E-mail Address: officelEmarineconstructionlic.com
B. Project Information f15A NCAC 02H .45t] a] & ;h)
1. Attach a vicinity reap (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 wails, 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
same sort- a yard stick, shovel handle, etc.)
4. location of the property (where work is to be conducted)
County: _ . Caldwell.--- Nearest Town.
{�ranif� 1='alJc
Lake/ river/ ocean adjacent to property: Lake Phorlhiss
Property size (acres):
Subdivision name or site address (include phase/lot number): Lot 231 ier#rnP,..hhase 2
1774 Scenic sane. Granite Falls NC 28643
Directions to site - please include road names and numbers, landmarks, etc.:
-Included in oacket
Latitude (in decimal degrees) 3 r_778 Longitude (decimal degrees)&1.5,94
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc., Residential Land with house under Construawn
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessarr):
furrhar a osion.
7. Will work be conducted from land? x
From water?
8. Total amount of impacts be€crud the normal pool fake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap; retaining wails, etc.) in square feet:
s ft
Temporary impacts in square feet:
sft
9. Total amount of impacts above the normal pool lake level /!Normal Water level and 50 feet
land -ward
Permanent impacts (including hack fill, excavation, rip rap, retaining walls, etc.) in square feet:
200 s ft
Temporary impacts (temporary clearing, construction corridor) in square feet:
Construction corridor= 11000 s ft
10. Please describe the vegetation above the normal pool fake level/ Normal Water level and So
feet landward to be impacted (number of trees, for instance): _ A residential home udder
construction. We plan to removed 11 trees but will replant one for one with Native Hardwoods.
13..5ignat re
o �--.
aver/Agent's 5ignat ire'tSA NCAC OZ1-[752)3 mate
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM. SSGP 02-2017 Page 2 of 4

12. Tease 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 dilater Level elevation
C. Location of rip rap or fill to be placed below the Full Pond/ formal 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/ {formal Water Level elevation
Lake
(At Full Fond/ Normal Water Level)
I Pond/ Normal Water Level � f�1oWCvtN'WL
Q.rrs �f .■r .� are tis�s. �
Shoreline .1!1
��n5 �rv��lon � orn�ac
AWL
N d c 1ta6 nc� i6 X `�� P} o c vea�n9
Plan Vie
Lam
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/*0 71P
- erkK r v r.�wrevx.
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FXAMPLE
Plan View
- ---.- I
CORM! SSGP 02-2017 Page 3 of 4

e, x
NINLake
(At Fui! Pond/ Normal Wa1ax
A-
f �OOfrJ
� t
Side View
0
�}4 �o UnDr1 arndo� D ct�ar�n
wt
����� per.. %� 0�. �� � • 5 fj �ti n �iG��+zl-�[
bf
re �mY�n�n rk.e.�. - �•t s�- v.nd 5��c�,d �dQ�,�� .
�GLS�fI �-b ex�S�• T�'1ax`rn`?�'
3 f. below Full pond water level 4 ft. above € ill pond Water level Z ft. additional [fearing
�f necesssr�
i
� U �
Existing bank
FORM: SSGP 42-2017 rage 4 of 4

CATe WBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address, arna lf- Lot 231 Waterfront Club County: _ Caldwell
Owner: Kimber[v M.
Print 5ignatu4e
Contractor/agent: Charlie Washburn -- Marine Construction
Print Signature
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 ant# 15A NCAC 02B .0243(8)]
Trees are not allowed to be removed from Zone 1 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 02a .0243(6)]
Benching and grading in the buffer is not allowed, Excessive disturbance of ground cover.115A NCAC 02B .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 .0243(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 roust be outside the Huffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), ($)]
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. [15A NCAC 02B .0243[5), (6)]
Acknowledgement of Notification
i, JQMJ:lBr 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 (01111R), 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.
Signature (owner): gate:

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o gle Maps Hickory, North Carolina to 1774 Scenic Ln,
Drive 22.3 miles, 31 min
Sawmills, NC 28630
iT2 LI11111 f1ul any
Gamewell College and
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state Forest Moumain
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Veterans Park
Granite Falls
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Park Drexel
Morganton Q fsQ Unnell
Hickory Awation
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Settlemyre Nursery 01.
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Map data
@2023 Google 2 mi l
Hickory
North Carolina
Take 1st Ave SW to US-321 S
5 min (1.6 mi)
T 1. Head south on 4th St NW toward 1 st Ave NW
0.3 mi
r+ 2. Turn right onto 1 st Ave SW
0 Pass by Dairy queen (Treat) (on the right in 0.7 mi)
0.9 mi
�-1 3. Turn left onto 13th St SW
0.1 mi
�—1 4. Use the 2nd from the left lane to turn left onto US-
321 S
0.3 mi
Take 1-40 W to Malcolm Blvd in Rutherford College. Take exit
113 from 1-40 W
10 min (11.4 mi)

4"1 5. Use the middle lane to stay on US-321 S
0.7 mi
e 6. Take exit 43 toward 1-40 W
0.2 mi
7. Keep right at the fork to continue on Exit 43B,
follow signs for 1-40 W/Asheville and merge onto I-
40 W
�* 8. Take exit 113 toward Connelly Springs
10.3 mi
0.2 mi
Continue on Malcolm Blvd. Take Connelly Springs Rd and
Baton School Rd to Scenic Ln in Caldwell County
16 min (9.2 mi)
9. Merge onto Malcolm Blvd
T 10. Continue onto Connelly Springs Rd
4"1 11. Turn left onto Baton School Rd
#'1 12. Turn left onto Goat Farm Rd
ti 13. Turn right onto Westward Dr
& 14. Turn right onto Scenic Ln
1774 Scenic Ln
Sawmills, NC 28630
3.3 mi
2.2 mi
2.3 mi
0.$ mi
0.2 mi
0.5 mi

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AGOUENT AUTHORIZATION FORM
Please note that multiple fbrms may be necessary if there are more than two owners of the property.
PROPERTY LEGAL DESCRIPTXON
STREET` ADDRESS OF BUSTING HOME or LAT TUDE/LONGi UDE OF NEW CONSTRUC RON:
1774 Scenic Lane, Granite Falls, NC 28603
35.77/ 31.554 _
Parcel ID: 11 55A 1231
PrOPWtV Dwner Nanne(s) -- pleases print:
Property Owner: Kimberlv M . Ta rn a 0l l
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
Charlie Washburn , of Marine Construction LLC
(r artzdoriwgent) (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 conci lops attached.
Property Owners Mailing Address (if different than property address atwve):
1 Richmond SQs Neer Alban , OH 43054
- Richmond SCE, Neva Albany,.OH 43054
Property Owner(s) Telephone:
We hereby certify that the above information submitted in this application is true and accurate to the
4A,utharized
best of our knowledge.
Signature Carrtraetorl Agent -
Iv-Z _ - ao3
Date Date