20231530 Ver 1_Site Plan_20231113

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
ENViRONMFNTAL QVALi7Y FORM: 5SGP 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, Fed Ex, 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 [25A NCAC 02H .0502(a)]
1. Owner Information
Name: James and G-h-e-rie M!a��ser
Mailing Address: 2303 Olde Grove Rd. Hudson NC 28638
Telephone Number: Fax Number: 01A
E-mail Address: a nxj aGK i'P,a1C5 ige6 fna; l • 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-armv.mil/Por-tals/59/docs/­re ulat❑ re does Permits SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: Charlie Washburn
Company Affiliation: Marine Construction EEC
Mailing Address: PO Box 6400
Hickorv. NC 28603
Telephone Number: 828-495-3040 Fax Number: N/A
E-mail Address: office P marineconstructionIlc.com
B_ Project Information ISA NCAC DOH .Q502 a & b j
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: aldw_eil _ Nearest Town: Grande FnIIS
Lake/ river/ ocean adjacent to property: Lake HickQ[V
Property size (acres): _Q Z(11 Acre
Subdivision name or site address (include phase/lot number):
Lot 22. Northlake Ert to es S!aQtic_n 1, 5730 Waterfront Dr.
._
Directions to site - please include road names and numbers, landmarks, etc.:
Included in oacket
Latitude (in decimal degrees)_ 35.775 Longitude (decimal degrees)
-81.356
Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential LJ developed
G. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary);
t bilize the shorelinElwith ripra.p.
7. Will work be conducted from land?
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 wails, etc.) in square feet:
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:
Temporary impacts (temporary clearing, construction corridor) in square feet:
Construction corridor= 1 2 0 s ft
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and So
feet landward to be impacted (number of trees, for instance): VIl Qded Lot.
We plan to remove 3 trees but will replant one for one with Native Hardwoods.
1-1. Signature
la.me.s Qom. rt ssv
Owner/Agent's Signature` [15A NCAC 02H .0502 f
10/31/2023
Date
"Agent's signature is vOlid Only if an aathorizof ion letter from the owner is provided.
FORM: 55GP 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 I PvPI PIPvatinr,
Lake
(At Full Pond/ Normal Water Level)
W
Full Pond/ Normal Water Level
Shoreline
10' x lad' comw\w n co(yi&r
l"40 cke6 inJ jfXge 1JD Gleclr�fiCJl
Tatti►+<nrGkl J
I om f
Plan View
Lake -
(At Fu14 RoW Normal Water
Eerel)
Existing Dock
30St x]ft
3 hx 150 ft
Full Pondl Normal Water LErA
IseowfUspa�dlNwt
i prap
4 tt x 150 f1
2 h.x150 ff.
Above full pond/ NWL
addltionaEpeaNrq�
' IFneceMM
Plan View
aE x 1%0' woo
FORM: SSGP 02-2017 Page 3 of 4

a' x lao' C
Aid W vima l j
�Vv Lake
[At Full Pond/ Norma! Water Level
a' xle D`
N L-
1V
Side View
I0 f[. bank
height
Side Vi
w
L
O
1 ,0 Camwr,,ion Corndlo�� 00 ea { n
play i�mru�. 3 fi e.s. e. (AS►�
rg1Af) " W fit'Q4.5 DNt. �o[ are Wh 00
l►�j�`El bt I-S 11 1 r1
re ommen d e d �AeQ 1,s'r ,seed ad ram} e�1Y
ok"A pian�ed , n o-p, (f or rn(A& seoson 5-D
e,'su", m m. M\w S\3 ( Z.5 .
3 ft. be] owfull Pond water lave! 4 ft. above full Pond water level 2 ft. additional clearing
'it necessary
Existing bank
AMPLE
FORM: SSGP 02-2017 Page 4 of 4

CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: M r- Lot 22 NQrthlake-Es-tates County: _ Caldwell
Owner: James and Cherie Messer 1ct cs Q" �ss�
Print Signature
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 and 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 02B .0243(6)]
Benching and grading in the buffer is not allowed, Excessive disturbance of ground cover. [15A NCAC 02B .0243
(6)J
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. 115A 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 must be outside the buffer. [15A NCAC 02H .0502 and 15A NCAC 02B .0243 (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. [15A NCAC 02B .0243(5), (6)]
Acknowledgement of Notification
1, James and Cherie Messer 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.
ju*tLs L�Lu'.ln, Mxsst
Signature (owner]: _ pate: 10/31/2023

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�� Maps Hickory, North Carolina to 6730 Waterfront Dr, Hickory, NC 28601 Drive 5.3 miles, 1 I min
L 1]19
111�Rhadhiss Mp€ 6730 waterfront Ddva
Merchants Distributors
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aly Park
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9
Map data ©2023 2000 ft

Hickory
North Carolina
Take 3rd Ave NW, US-321 N and Grace Chapel Rd to
Mountainside Dr in Northlakes
8 min (4.6 mi)
1. Head north on 4th St NW toward 3rd Ave NW
440 ft
E1 2. Turn left onto 3rd Ave NW
1.0 mi
3. Continue onto 11th St NW/Old Lenoir Rd NW
0 Continue to follow Old Lenoir Rd NW
T 4. Continue straight onto Clement Blvd NW
r* 5. Turn right onto US-321 N
& 6. Turn right onto Grace Chapel Rd
Take Selkirk Dr to Waterfront ❑r
r3 7. Turn right onto Mountainside Dr
'h 8. Turn left onto Selkirk Dr
r* 9. Turn right onto Waterfront Dr
0 Destination will be on the left
6730 Waterfront Dr
Hickory, NC 28601
0.6 mi
341 ft
1.4 mi
1.5 mi
2 min (0.7 mi)
0.2 mi
0.3 mi
0.2 mi

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This Wrap is NOT of land survey quality and is NOT suitable for such use.
Owner MESSIWR JAMES ALLi=N Deferred Val $ Caldwell County
MESSER CHERIE R Assessed Val $96,100
2303 OLDS GROVE RD
HU©SON, NC 28638 Cale Acreage 0.70188538 1:2,894
❑ 0.0225 0.045 0.09 mi
Acct Number 111857 Land Units 1 {LT}
Parcel ID 08138 1 22 Legal Desc BK 1312 PG 1291 YR 2000 ST 150.00 0 0,0375 0.075 0.15 km
NCPIN 3704151182 Plat Ref 1 October 27, 2023
Property Addr 6730 WATER FRO NT OR

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 CONSTRUC ON:
6730 Waterfront Dr. Hickory NC 28601
35.7751-81.356
Parcel ID: 08138122
Property Owner Names) — please print:
Property Owner: James Messer
Property Owner; Cherie Messer
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):
2303 tilde Grove Rd. Hudson NC 28638
2303 tilde Grove Rd. Hudson NC 28638
Property Owners) Telephone: 43- 415 - bn
We hereby certify that the above information submitted in this application is true and accurate to the
best of our knowledge.
3a*hc s Q" At t ssr-r
Property Owner
0/3 23
Date
Contractor! Agent
L- a- a3
Date