20231646 Ver 1_Site Plan_20231206

State of North Carolina
Department of F.mrironment and Natural Resources
Division of Water Resources
i4,ra: r- Resources 15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization
avALr-r r FORM: SSOP OZ 2017
Shoreline Stabilization Application Form
Three copies of the application rinduding attachments] and the application fee should be sent to:
If sending via U5 Postal Service
Para# Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC27699-1617
A. Applicant Information [75A NCAC €32H .0502[a)
1. Owner information
Name:
ff sending via delivery service (UPS, FedEx, etc-)
Paul Wdjoski
DWR— 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
Mailing Address: 866 Farmingtl gn EW
Mock$ville. NC 27028
Telephone Number. [phone] Fax Number. _ WA
E-mail Address: m R► e'Z91 cam
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.s-aw.usace.army.milZPorta[EL59/docs/­
re �slaia re dots Permits SAMPLE AGENT AUTHOR[Z
ATiDN FORM.Ld
Name:
rife Wash
Company Affiliation.- Marine Construction LLC
Mailing Address: PO Box 6400
Hickory. C 28603
Telephone Number: 52& 495-3040 Pax Number. NJA___
E-mail Address: office marineconstructionilc.com
B. Project Information T15A NCAC 02H .050(a) & (b)
1_ Attach a vicinity map (i.e. street map) clearly slowing 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: Burke
Lake/ river/ ocean adjacent to property:
Rhodhi%
Property size (acres): 1 5 A=s T
Subdivision name or site address (include phase/lot number): 1281 Hidden Cove Ln-
_ Paradise Hadw Lot 52 Phase 2
Directions to site - please include road names and numbers, landmarks, etc.:
included in packet
Latitude (in decimal degrees) 35.778 Longitude (decimal degrees) &1.494
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): We plan to stabilize the shoreline with n
:pra2 to prevent
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:
scft
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:
saft
Temporary impacts (temporary clearing, construction corridor) in square feet:
Construction corridor-- s
10. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50
feet landward to he impacted (number of trees, for instance): The lot is wooded and undeveloped.
We plan to remove 6 trees but will replant them one for one with Native Hardwoods.
11. 5ignat
��
Owner/Agent's Signature` 15A NCAC 02-H .0502 i 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
La ke
(At Full Pond/ Normal Water Level)
a
MOW Full WItiwL
Full Pond/ Normal Water Level ddC,
Shoreline •x $� V"'-
a F . 30" COC6W\)�onm CaAoC i� �vl� ► ]
N►NL
Plan View
�Ao G��OI(1 t1
Lake
far fun Pond) Nomwl wader
Level]
Existing Dock
3a ft•flt
3f[x157fl
Below full P.WNWL
Full Ponds Normal Water Level
ar RhUie —
]
4f I; ft
Riprap
j4h, Nia-dl NW-
2 ft- X M ft-
acditlonal ckarins
if ne —TY
EXAMPLE
Plan View
FORM: SSGP 02-2017 Page 3 of 4

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{At Full Pond/ Normal WaterALe
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Side View CL
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3 ft. below full pond water level 4 ft. above full pond water level 2 ft• additional clearing
]f necessary
Existing Bank
10 ft. bank
Side Vi
AMPLE
FORM: 55GP 02-2017 Page 4 of 4

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CATAWBA RIPARIAN BUFFER NOTIFICATION FORM
Project Name/address: Mode - P ra ise Hiaftr Lot 2 County:
Owner. Lisa B._ Motlev ,411, "AA -
Print Signature
Contractor/agent Charlie Washburn -- Marina i-nnrnnertinn
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(B)]
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)]
Beaches, impervious patios, impervious walkways, etc, are not allowed in the buffer uniessspeci€ical(y approved
by the Di►rision. There are limitation: on size for decks. [15A NCAC 02B .0243(4) and (6)7
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. 1I5A 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 028.0243(5), (6)]
Acknowledgement of NoiWcption
11 Lisa. l3_ Mtttle hereby state that I have been informed of the Catawba Riparian Suffer 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 specifics ion(s), and other supporting materials.
5i store ovvr� r � � � e • . Date: NOV 191, ?fly- 3

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"' . i� � y�r >. may, � � /• � _ �, - ' \ 1 \

Go gle Maps Hickory, North Carolina to 1281 Hidden Cove Ln, Drive 12.7 miles, 23 min
Connelly springs, NC 28612
Slate Forest Mountain
19 93
Joara- Fort San Juan © lite Skating Rink 0 rns Hideaway Kennels
Piempra� —1—d Foat Rport-KMIR nos
Airport-xMRN Bethlehem
„2; nsT Sawmills °TM Gram Chapel.
g ,rn
,91] Q W1 n/4 CID
1u]
,]X1 Baton ME
Amherst Sawmills
Veterans Park Granite Falls
t! C
311 Northlakes
.115 INurd 1281 Hidden Cove Lane ' 1°�
F
j Falls Perk Rhodhi8s Geilner Park
p 4
Catawba END
Meadows Park IM Drexel ® 23min
` I
Morganton ® j
Connally . 1_J—`"��;1 St Stephen
Valdese D Springs 23 min
cuvw �o +rxa m i 12.7 muu `_._ Hickory
® v
Comfort Inn & Suites ICard --
l1�I
LL Flooring
,a,a
¢� 23 min
6 2 mass 1W
, 19,E 1d
Salem
Sunnysfde
Mountain ax,
View
© C
7 1s -Enola lase country Club 12�t
Go pgleQ
i96] i9,a 11n i1aY
1%5�'
Jth .f•�'
Map data 02023 Googte 2 mi

Hickory This route has restricted usage or private roads.
'forth
Carolina
Follow 1 st Ave SW, Cape Hickory Rd and Rhodhiss Rd to
Oak Ridge Church Rd in Burke County
17 min (9.3 mi)
1. Head south on 4th St NW toward 1st Ave NW
0.3 mi
r* 2. Turn right onto 1st Ave SW
r* 3. Turn right onto 39th St NW
1' 4. Continue onto Cape Hickory Rd
'(-1 5. Turn left onto Burke St/Rhodhiss Rd
0 Continue to follow Rhodhiss Rd
3.1 mi
0.3 mi
3.4 mi
2.3 mi
Follow Oak Ridge Church Rd, Tomlinson Loop and W
Paradise Harbor Dr to Hidden Cove Ln in Connelly Springs
7 min (3.4 mi)
r� 6. Turn right onto Oak Ridge Church Rd
1.3 mi
r4 7. Turn right onto Tomlinson Loop
W,
8. Turn right onto W Paradise Harbor Dr
Restricted usage road
148 ft
'1 9. Turn left to stay on W Paradise Harbor Dr
Restricted usage road
0.9 rni
Ei 10. Turn left onto Hidden Cave Ln
. Restricted usage road
0.3 mi
1281 Hidden Cove Ln
Connelly Springs, NC 28612

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AGENT ► UTHORIZATION FORM
Please rrote that MuMple farms may be necessary ifi there are more than two owners of the property.
PROPERTY LEGAL DESCRIPTION:
STREET ADDRESS OF E)QSTYNG HOME or LATTruDEXONGnWE OF NEW CON5TRUCnON:
1281 Hidden Cove Ln Connelly Springs, NC 28612
35.7781-81.494
Parcel ID: 2764-07-6312
PnnmwtT Owner Name(s) — please prirda
Property Owner: Lisa B. Mot
Property Owner:
The undersigned, registered property owners of the above noted property, do herebyauthorize
Charlie Washburn
(C r/Ag")
,of Marine Construction LLC
(Name of cornpaW)
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 attadzed.
Property Owners blaiGng Address (if diftrent than property adds+ s above).
Property Owner(s) Telephone:3
We hereby certify that the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature ContractorlAgerrt
,vo,� ar a�aa-3
Gate