20240247 Ver 1_Site Plan_20240212

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Three copies of the application (including attachments) and the ypp_11cation fee should be sent to:
if sending via US Postal Service If sending via delivery service (UPS, FedEx. etc.)
Paul WoJoski Paul Wojoskl
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 [W__N_C_A_C_0_2R1_-0_5_Q_2_-_ (a)
1. Owner Information
Namie., Elit 10clijallow . - -_
Mailing Address- I J 2 W_hUfina1onJKd90X!L-
11 U:
Telephone Number- (g2Ai), s2n.71;50 Fax Number.
E-mail Addresso Sh@�.s ifetloW0 ggE#WQ1lng,n@1_
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:
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Name., Charlie Washburn -
Company Affiliation: Marine _Qnstryction LLC__�
Mailing Address* PO Box 6400
Hickory. NC Rg1610g_
Telephone Number. §28-49a !Q. Fax Number: /A
E-mail Address- L)ffl�e@maringgo-nstrggtlgnllccorn
D. Project Information 115ANCAC921-1. Q2LaJ& 1)
1. Attach a vicinity map (Le. 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
Ing 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: Catawba Nearest Town: Hickory
Lake/ river/ ocean adjacent to property:
Property size (acres):
Subdivision name or site address (include phase/lot number);
Directions to site - please include road names and numbers, landmarks, etc.;
included in packet
Latitude (in decimal dergrreesL. Longitude (decimal degrees)_ ._.
S. Describe the existing land use or condition of the site at the time of this application.
(residential, undeveloped, etc,.), Resiclentiall
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary). ILI 1 i
7will work be conducted from land? , From water?
& 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:
soft
Temporary impacts in square feet:
f
q. "fatal amount of impacts above the normal pool lake level / NormalWater Level and So feet
land' -ward
Permanent Impacts (including batik fill, excavation, rip rap, retaining walls, etc.) in square feet:
508 s
Temporary impacts (temporary clearing, construction corridor) in square feet:
C 01 r e i n corridor, s ft
feet landward to be impacted (number of trees, for Instance): be Igt Is wgWiad. We plan
.JeMo.-yg Rftges bVJ we mflil replanti1 M == Jgt •r= With NatlyA uw,,Yswr
11. Sign Ue
.� ,'
Owner,/Agent's Signatu _NCAC Oi2WC 502(f.)J Date
#Agent's signature is valid only if an authorisation letter from the owner is provided
rORM: SSGP 02-2017 Page 2 of

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
Lake
(At Full Po,ind/ Normal Water Level)
Shoreline
No Cohn Illb, � �0' � P40 (,leak i fj
corm%(
Plan View
. .. . ..... ------- — - ... . .... ..... ...
Lake
JAT 5 tal POndl I Wa^er LeVPQ Existmg Dock
iO
ZDIX
411-1 A
Wow UR Wnd/ NWL
Full P nd/ Normal Water
ra CW Ahc , NO ponI NM
2 ft, . 150 ft
E E
yr,"A 11"A P
L
Plan View
FORM: SSGP 02-2017 Page 3 of 4

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FORM: SSGP 02-2012 Rage 4 of 4

Project Name/address. County.
Owner! Shad & Ej
SlBrmature.
Print
Contractor/age n#° h rife Vmra Imburn — ari o nt uct'on
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.. 115A NCAC
02H .0546 and 15A NCAC 028.0243(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 t" 2B .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 must be outside the buffer. (15A NCAC 02H .0502 and 15A NCAC 02B .0243 (4), (6), (8)j
Stormwater cannot be piped or channeled for direct discharge to the lake, All constructed stormrmwater
discharges must be at the natural elevation and discharged prier to entering the buffer directedas diffuse or
sheet flow at non -erosive velocities to the lake. (15A NCAC 02B .t1243(5), (5((
Acknowledgement of N'otij cotlon
1, hereby state that l 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 specificatlon(s), and other supporting materials.
Si naaurte (owner). J&I Date*

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Go le Maps Hickory, North Carolina to 4637 16th St P1 NE, Drive 6.1 miles, 14 min
end
Hickory, NC 28601
Imagery 02024 Alexander County, Burke County, CNES / Airbus, Landsat / Copernicus, Maxar Technologtes, UrNs Inc, Lj.a. I U11
Geological Survey, USDA/FPAC/GEO, Map data 02024

Take 8th St Dr NE to 16th St PI NE in Saint Stephens
12 min (5.5 mi)
T 1. Head east on 2nd Ave NW toward 3rd St NW
4), ass by and of America (,Mth Drive-thru services)
(on the left in 0,3 mi)
0.7 mi
iyt 2. At the traffic circle, take the 2nd exit onto Main Ave
NE
0.3 mi
t 3. Continue onto 8thi St No
[elm
0.1 mi
rN 5, Use the 2nd from the left lane to turn slightly left
onto 9th St NE
0.6 mi
111&1 "0011%
' 7, Continue onto 16th St NE
1.1 mi
MAIM
Continue on 16th St PI NE. Drive to 46thi Ave NE
2 min 1(0.6 mi)
RIM
+*1 9. Turn left onto 46th Ave NE
0, Destination wil be on the iright
4637 16th St PI NG
Hickory, NC 28601

catawba countNjr Geospatial es Real Estate Search
MAKIRG LIM10- OE71ER Information Servic
N 1 in=300ft
W+C'
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Parcel. 371516826616, 4637 16TH ST PL NE HICKORY, 286,01
Owners. STRINGFELLOW SHAD E, STRINGFELLOW SHELLEY L
Owner Address: 112 WHITTINGTON RIDGE DR
Values - Building(s)- $1,000, Land. $258,000, Total: $259,00O
This maplreport product was prepared from the Catawba County, NC Geospabal, Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report, Catawba County promotes and recommends
the independent verification of any data contained an this map/report product by the user. The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, Joss or liability, whether direct, indirect or consequential which arises or may
arise from this maptreport product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC 01/29/2024

TAT FORM
Please note that multiple forms may be necessary if there are more than two owners of the property,
PROPERTY LEGAL DESCRIP71ON.
STREET ADDRESS OF EXISTING HOME or LA-n-TuDE/LONGMDE OF NEW CONSTRUMON:
4637 16th St F1 NE Hickory, NC 28601
35397/-81.298
Parcel ID. 371516826616
Property Owner Narne(s) — please print:
Property Owner. Shad Stringfellow
Property Owner: Shelley, Stringfellow
The undersigned, registered Property Owners of the above noted property, do hereby authorize
Charlie Washburn Of Marine Construction ILLC
(CoMaCWrjAgertt) (Name of comparw)
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 Owner(s) Telephone, [phone]
We hereby certify that the above Information submitted In this application Is true and accurate to the
best of our knowledge.
--
Ah o-rizefisli- ture
mate T
Authorized Signature
2q
Date