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Home My WebLink About20231659 Ver 1_Site Plan_20231207ND State of North Carolina Department of Environment and Natural Resources Division of Water Resources 14'ater Resources 15A NCAC 0211.0500 — Water Quality Certification, Shoreline Stabilization ENVIRONY C141 AL QUALi i'r FORM: SSGP 02-2017 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the ;w RPI!icatlon fqf, should be sent to: If sending via US Postal Service Paul Wojoski DWR --- 401 & Buffer Permitting Branch 1617 Mail Service Center Raleigh, NC 27699-1617 A. Applicant Information [15A NCAC 02H .0502(8)] 1. Owner Information !f sending via delivery service (UPS, FedEx, etc.) Paul Wojoski DWR --401 & Buffer Permitting Branch 512 N. Salisbury Street Raleigh, NC 27604 Name: Michael and Kristin Barnes Mailing Address: 830 Otwa Rd. Apt ID Marysville ❑H 43n40 Telephone Number: 93 594-1142 Fax Number: ._._ E-mail Address: mbarnQLRL s ch.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: i?"�C ?: wW'J1+.S�LV.L[SdC 2.c�1"iYt .17?i1 3�Oi"ic.is �9 dots re ulasar re -dots Permits 5AiV7Pt E AGENT ALITNpR(Z AT12# FORM, Cif} Name: Charlie Washburn Company Affiliation: Marine Construction i i r Mailing Address: P❑ Box 6400 Hickory,NC 28603 Telephone Number: 828-495-3044 Fax Number: N A E-mail Address: office marineconstructionlic.corn B. Project Information (SSA NCAC,02l-1 .O5o2L.19, }i 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, imperviau5 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 Z 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 _ Nearest Town: Connelly Springs Lake/ river/ ocean adjacent to property: ho hi Property size (acres): 1.23 Acres Subdivision name or site address (include phase/lot number): 237o Windorn Peak Srnt. Lot 195 Lakeside Reserve Subdivision Phase 1 Directions to site - please include road names and numbers, landmarks, etc.: Included in 9acket Latitude (in decimal degrees)Longitude fdecmmal degrees} &I-464 S. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Residential House under construction 6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): We nlan t stahilize the shoreline with ri ma to revent future erosi n. 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, hack€ill, rip rap, retaining walls, etc.) in square feet: s ft 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= L7V5 ft 10. 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): The lot has a house under construction. We plan to rernove 23 trees but will replant one for one with Native Hardwoods. 11. Signature 1 i/27/2023 Owner/Agent's Signature' j15A N(AC 172H �f Date -Agent's signature is valid only if air alithorizdtion fetter from the owner is provided FORM: SSGP 42-2017 Page 2 of 4 12. Please approximately sketch the following information on this plan and provide dimensions far each item. a. All proposed vegetation clearing b. location of rip rap or fill to be placed above the Full Pond/ formal 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 dredi2ina below the Full Pond/ Nnrmpl WAtor ; cmjr [ Full Pond/ Normal Water Level Shoreline La ke (At Full Pond/ Normal Water Level) W'* � 3So FV' C0(6r im cffy;Ao(- 1n jb ' x �o Q6 Char ini N o c ve�11\1 ps-�c.�ss Plan View c° Full Portd/ Normal Water level k r• I grene " m additional clearing �y • �F ne[e.sary L E Plan View Lake lAt FuN 7rndl Names LU. ker Lrrc' Exssting Dock /JQh-7Fr 3 h x 1541t e'.1—fWi Wn vHwi ercxisnh Mow U P-61 PEW ., afk,x S3 Vt. MIS� a� x 3 3a. ww' Ful l NWI- FORM! SSGP 02-2017 Page 3 of 4 W; doh x Win JL �l w Lake (At Full Pond/ Normal Water Lev x V606\1 NWL d �� V Side View 10 rl. bank lt,,+FaY 'Side View )w C 3 ftbelow full pond Water level Existing bank con o AOC �a chat"n RcceS5 nIm,4a� We pin 'm tmo�e 3 ems. w e w t i 0,00n� Na S if in Or c3reoct� �1� �ta� �-ed �-r•�e.s wt 1 t �e Corr, �GDl�4 lrn.co mw-,nd.e-A o5 an A sw-C e- i pe,&5 Witt b-p- Q lart-r-d In AaYYwtarli SRa50n A-0 PgSLN�e fiY10.� i Cv1U1Yl SU GG� S 5 . 4 ft. abwe hi pond water leVei 2 ft• additional clearing *ifnecessary AMPLE FORM. SSG€' 02"-2017 Page 4 of 4 CATA1 B RIPARIRN BVI=1rI R 10TIFICATIQN FORM Project Name/address:- Barnes- lot 195 Lakeside Reserve County: Burke Owner: Michael and Kristin Barnes �— 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(B)j 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)j Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. 115A 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. [15A NCAC 02B .0243(4) and (6)] Work to be conducted from land roust 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), (g)] Stormwater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater discharges must beat 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)) Acknowiedgement of Notification I, Michael and Kristin Barges 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. Signature (owner): 9-aJ2A?1_ Date: 11/27/2023 9 g n s��`�3p�3�� ✓ x Fki �$ W,� vrvrviM pa n Ali MO ml fill Ile a pR eyy sky fir. �L- in 8 R p/ W I ArtyI ?, p 1 }+ 5a� ^� M0.Tp-I LINE SHEET 6 n7ATCH LINE SHEET 4 �z g'z� iR 8� bJ g s ❑. �'E i �ry ' HIM MT if Hit Go gle Maps Hickory, North Carolina to Lakeside Reserve, Drive 9.1 miles, 17 min QGFM+QV, Connelly Springs, NC 28612 Granite Fans c Lakewde Park v L=J F4VERBENe TC...'.S:I^ f'3'C 'S 'S 41 ,are n p p Shoe SenSBFIOn 3], Hlckwy Uristian Academy iT1 (aldese Lakeside Park Lakeside Reserve Rhodhiss `,-iWaIg alliard , Park — � ake Hickory Haunts � � GelFner Park m 0 m6 3Y1 CpwcleQY AE � Emil FRO Rutherford The Sarn at Oak Ridgep } z L Frans Stadlum Ell College . tq,n Ave NW � z Hickory wanon = Connelly rP i {+ useum C� milt YlESYMONT 'a3 Valdese `�LTO� `'-'s.-= 'Fio1 Springs ,s ',ate �dax�" � n.F m7 I T8 min d Cataw Science Center 4 mVee �Hick�ry J, rd MC Granite Countertops Hickory =. L•l. loaring Hlldeliran �rett Colll s, 43 Henry Fork River Park -91e Srooklnrd Henry River M€EI Village Map data 02023 1 mi L.. ... ' Hickory North Carolina Take 1 st Ave SW and Cape Hickory Rd to Decker Rd in Burke County 15 min (8.0 mi) fi 1. Head south on 4th St NW toward 1 st Ave NW ri 2. Turn right onto 1 st Ave SW its 3. Turn right onto 39th St NW T 4. Continue onto Cape Hickory Rd Ih 5. Turn left onto Burke St/Rhodhiss Rd 0 Continue to follow Rhodhiss Rd Continue on Decker Rd to your destination & 6. Turn right onto Decker Rd & 7. Turn right 7 8. Slight right 0.3 mi 3.1 mi 0.3 mi 3.4 mi 1.0 mi 3 min (1.1 mi) 0.6 mi 0.4 mi 292 €t Lakeside Reserve QGFM+QV, Connelly Springs, NC 28612 on Jumping Run M;le s V-Cau .50W 0.37 m�\-P' s f� �1� l�lE]AV1f1H � 7i 008- 73dS3Wd r 4� 1 C q C e � m E� Tj m 4 • ! A I m 91 V • �iy �g/I � ~ N � G oz�m wgg c ro LK a �m m m ll� IC LL to, a q c m $ m L a v 0 Im v v a °' o o C4 L7 6q7� �CCyyO N pNo in 7E U Npr�f}�� Z ai�e dS ZL-z�7 maw xEL-Q m�+ o a ❑ o a.. U (7 Z L U] m Y rn LLJ z Q fSl m (o a CO a Q (n LU <a T- �?� M Q p w 0 LIJ LLf N z �' Z fi azo N Q] co co if Cf CL S] CI N 0 a p 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 BaSnNG HOME or LATITUDE/LONGITUDE OF NEW CONSTRUCTION: —2370 Windom Peak Snot f:nnnPlly �nrinncz Nr' Parcel ID: Property Owner Name(s) — please print: Property Owner: Property Owner: The undersigned, registered property owners of the above noted property, do herebyauthorixe of Marine rnnstri-wAinn (contractor/Agent) (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): Property Owner(s) Telephone: We hereby certify that the above information submitted in this application is true and accurate to the Property Owner 12023 Date m hest of our knowledge. Contractor/Agent Date