20240427 Ver 1_Site Plan_20240318

A
State of North Carolina
Department of Environment and Natural Resources
Division of water Resources &_
15A NCAC 02H .05W-- Water Quality Certification, Shoreline Stabilization
,•a: r; FORM: SSGP02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the appAcation fee should be sent to:
If sending via US Postal Service If sending vio delivery service (UPS, FedEx, etc.)
Paul Wojoski Paul Wojoski
DWR — 401 & Buffer Permitting Branch DW R — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant information 115A NCAC 02H .0502 a
1. Owner Information
Name: Federico and Susanne Rivero
Mailing Address: 109 Beacon Ridge Dr.
Connelly Springs, NC 28612
Telephone Number: [828j 493-17665 Fax Number: NIA
E-mail Address: riverofamQar .net
2. Agent/ Contact Person information
A signed and dated copy of the Agent Authorization letter mast be attached if the Agent has
signed this application form. (A form can be downloaded here:
I� L :` sevv.usace.ari3iv.rnii f ortais 59'docv cez atorvlre.-doc5 Permt5 SAMPLE AGENT AUTHORIZ
ATIO d FORM.Pdf)
Name: Charlie Washburn
Company Affiliation: Marine Construction LLC
Mailing Address: PO Box 6400
Hickory, NC 28603
Telephone Number: 828-495-3040 Fax Number: N/A
E-mail Address: office@_marineconstructionlIc.com
B. Project Information [15A NCAC_02H.0502() & ll,l]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the property with
respect to focal 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 2 of 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: r NearestTown* _C�znr>ty Sln�s__
Lake/ river/ ocean adjacent to property: _lake RhQCl piss T�._,.,.._..,....
Property size (acres): _t_!% Acreg
Subdivision name or site address (include phase/lot number):.-__ 1Q9 Bea _ I3idoe Dr.�_
Directions to site - please include road names and numbers, landmarks, etc.. -
Included in packet
Latitude (in decimal degrees)__KfT Longitude (decimal degrees) -
Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.)Residential. Develaped�
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): We plan tostaI;lize fle;:Izar�iir�3 uiln ri�i�topt�Y�ntfurtlher. 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, backfill, rip rap, retaining walls, etc.) in square feet:
476 saft
Temporary impacts in square feet:
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:
sft
Temporary impacts (temporary clearing, construction corridor) in square feet:
Construction corridor= 0 saftl
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): Tere is a exi tiny, stationary ock
UG4K aru. vve !an €o remove f3 trees, that are undermined } LJ01
replan* � drv- with+Jall'vv' "CMWd lames.
11. signature
Owner �MEVsignatures [_"_v ',, t%iC /�Date
Agent's signature is valid Only if an authorization letter from the owner is provided.
FORM- 5SGP 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
Full pond/ Normal Water Leven
Shoreline
Plan View
Lake
(At Full Pond/ Normal Water Level)
No Cons) Gti0+n WnJoc
No - e"Oraf j 1 mp &S
R11 maul Lj'M bf,
Fl oayed n by bares
Lake
(at run �dl taarmef water Lea)
Existing Dock
3C ft x I ft
3 Rx 15ufr
Below fuR wrdf fi1NL
Full Pond/ Normal Water Level
^'�harei�ne � 4R:tsaR
Ripra p at m run Pw* fm
2 R.x7S0 R.
ad�ttonal ckadr�g
• ff neoecrary
E XAMPLE
Plan View
FORM: SSGP 02-2017 Page 3 of 4

�Iv6v� rrV11 �0�
NWL
La ke
(At Full Pond/ Normal Water
5,�. � a f�.
6ADW f-Njt\
Side View
ILL-
10 ft, bank
Side Vi
NIO Goo5W6ihon Corti 6DC
D �e mpofaN tirnpaCA-6
A'l1 rnal," Yr ay Wing .
�Km do plarA �0 m ma.pf, '6 ' W5 phai- are,
k3(Nje,IrM j nl\ . Wt, W i k r WIOLM 101AA trU 5
,5M gyp( 0a W1'i)GY1 Wa4 be 'a.5it 1r1 Aiaw*x
i GaW Q mcocnNwyLa jam, tis1: ft r yomcd
yt,t (0(mm
3 ft. below full and water level 4 ft. above full 2 ft. additional clearing
p pond water level
Y necessary
Existing bank
FORM: SSGP 02-2017 Page 4 of 4

CATAWBA RIPARIAN BUFFER NOF1CATION FORM
Project Name address: Rivero- Harjjor Ri J e,. Laf 9 County: Burke
Owner:— Fedefto and Susanne Rivero
Print �rgnature
Contractor/agent: hin
Charlie Wasurn -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 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, these Trees that are severely undermined along the immediate shoreline can be removed.
Minimal shaping and sloping along the immediate shoreline is allowed. [15A NCAC 028 .0243(6)]
Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 028 .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 028 .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 he 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)]
5tormwater cannot be piped or channeled for direct discharge to the fake. 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 libtificotion
I, Federico and Susanne 9iyero 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 (bWR), 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):pate:-

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Maps Hickory, North Carolina to 109 Beacon Ridge Dr, Drive 17.4 miles, 24 miry
Connelly Springs, NC 28612
1• W�� "Y' V��CA 1 Iill uus, L-anosai / Uoperrncus, Maxar Technologies, arhis Inc, U,& T mi
Geological Survey, USDA/FPAQGEO, PNap data ©2024
Hickory
North Carolina
Take 1 st Ave SW to US-321 S
5 min (1.5 mi)
1. Head south on 4th St NW toward 1 st Ave NW
0.3 mi
(4 2. Turn right onto 1 st Ave SW
W ■ is
E-i 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
103iiT
Take 1-40 to Malcolm Blvd in Rutherford College. Take exit
113 from 1-40
10 min (11 A mi)
�`l 5. Use the middle lane to stay on US-321 S
0.7 mi

t')' 6. Take exit 43 toward 1-40
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
r�' 8. Take exit 113 toward Connelly Springs
10.3 mi
0.2 mi
Continue on Malcolm Blvd. Drive to Beacon Ridge Dr
9 min (4.3 mi)
A 9. Merge onto Malcolm Blvd
r4 10. Turn right onto Harbor Ridge Dr
r-� 11. Turn right onto Rivercliff Dr E
'h 12. Turn left onto River Walk Dr/Twin Cove Dr
'h 13. Turn left onto River Walk Dr
(4 14. Turn right onto Beacon Ridge Dr
109 Beacon Ridge Dr
Connelly Springs, NC 28612
3.0 mi
0.4 mi
0.4 mi
499 ft
0.3 mi
469 ft

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Please note that multipfe forms may be necessary if there are more than two owners of the property.
PROPERTY LEGAL DESCRIPTION:
STREET ADDRESS OF EXISTING HOME or IATiTidDE/LONGITUDE OF NEW GONIS RUCTION:
109 Beacon Ridge Dr. Connelly Springs NC 28512
35.779l--81.510
Parcel ID: 2754573779
Property Owner Name(s) — please print:
Property Owner: Federico Rlvero
Property Owner: Susanne Rivera
The undersigned, registered property owners of the above noted property, do herebyauthorire
Charlie Washburn
(Contractor/Agent)
of Marine Construction L LC
(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):
Same as Above
Property Owner(s) Telephone: (9a B)_ t I3 - I I � 5
We hereby Certify that the above information submitted in this application is true and accurate to the
best of our knowledge.
Signature
Authorized Signature
Auth ized Si
Date Date