20240546 Ver 1_Site Plan_20240415

TI-
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
"Inter- Resources 15A NCAC 02H .0500 - Water quality Certification, Shoreline Stabilization
ENVPRONM. ENI AL aunGiry FORM: SSGP 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, l=edFx, 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 [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Lawrence Racieclorn and David
ht r
Mailing Address: _4152 541h Ave NE
HicKgry1NG 28601
Telephone Number: [phone] Fax Number: NIA
E-mail Address: Dgyistwa btP-rt@chartPr nPt
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 farm can be downloaded here:
http:llwww,saw,usace.army.m1l/Portals/59/dots/ ulatory/regdocs/Permits/SAMPLE AGENT AUTHORI2
ATION _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: ofiaceCa?marineconstructionllc.com
B. Project Information [15A NCAC 02H .0502(a) &�h)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, j
4. Location of the property (where work is to be conducted)
county: Q=Wba Nearest Town: Hickory
Lake/ river/ ocean adjacent to property,LaKe_Hickgry
Property size (acres): 9.3 Acres
Subdivision name or site address (include phase/lot number): 4152 54th M
Directions to site - please include road names and numbers, landmarks, etc.:
Included in packet
Latitude (in decimal degrees) 35,80e Longitude (decimal degrees)-g1234
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential velopeCJ
5- Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Wa plan to stabilize 70'aftha shna-ding with dprnp_in pravan#
# rth r erosion,
7. Will work be conducted from land?
From water? x
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:
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= o s 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): �an 0
NM —
A L... r
11. Siignat
wner/Agent's nature` [.-.'. Hate
'Agent's signaturp4s valid only if on ho6zation letterfrom 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 ice
(At Full Pond/ Normal Water Level)
�0Vf A. A76 ft.
Full Pond/ Normal Water Level VondI NWL-
Shoreline
to conslyvc]on Corndor vaj I NW"-
0 4 -Temfocooj 1 MPd( b
Ak Mammal wjii be,
��a�ed i+<1 by
Plan View
Lake
W Full PbW Normal Watt,
L( rp
Extsftng Dock
ao -1 ft
3 R . ISO fC
Below fW1 pandl NWL
Full Pond/ Normal Water Level
" •• �h'ore�ne
...
4 ft .150 n
Riprap
AlbWl wAl NWL
2 ft. s 15o ft.
addiGanal Bearing
• if necessary
E XAMPLE
Plan View
FORM: 55GP 02-2017 Page 3 of 4

,' ,0 6
Pw N�� i
Lake
(At full Pond/ Normal Water Cep
Side View
a
L
0
C-
No Con5oWCAI+M COn*f
N d-rr"pDropl 1 tf q "s
j,Jb -[�5 ,)O\;'C l
Al l rry ay.i rkk W + l 1 be Floa tad t n 6y ",e
3 ft. below full pond water level 4 ft. above full pond water level 2 ft. additional clearing
If necessary
Existing bank
10 ft. bank
height 4�s1
f Qt0
FORM: 55GP 02-2017 Page 4 of 4

CATAWB Rl;i"AWAN BUFFER NOTIFICATION FOR
Project Name/address: iiliachter- � 52 54f,�,w4 County:
Owner: I +r r , i� t
Print nature
Contra ctorjagent: Charlie Washburn -- Marine Cuction
Print Signs ure
The approval is for the purpose and design described in your application. Impacts nox ffldica"Ed i- the
application is a violation of the Buffer Rule. Site specific work should be provided in the applicG Dior:, 15A NCAC
02H .0506 and 1SA 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 02$ .0243(6)]
Benching and grading in the buffer is not allowed. Excessive disturbance of ground cover. [15A NCAC 026 ,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. [75A 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
�: /ori< corridor should be described. The approved access-ro.--k=or shall be restored. Staging, spoil, construction
material must be outside the buffer. [15A NCAC 02H .0502 as-u t5A NCAC 02B .0243 (4), (6), (8)1
5torrrivjater cannot be piped or channeled for direct discharge to the lake. All constructed stormwater
discha ­:_- ;i':ust be at Via natural elevation and discharged prior to entering the buffer directed as diffuse or
� h- ..: "low at non -erosive velocities to the lake. [15A NCAC 02B .0243(5), (5)]
>:nauviedgement of Notification
& David Wachter, hereby state that I have been informed of the Catawba Riparian Suffer RUie_
Any ilwa K conducted in the buffer, not specifically stated in the application and approved by the Division of
�ivG e i'esuu gas (DWR), is a violation and subject to enforcement. Due diligence will be taken such that ii-ie
const-uction mil be built within substantial compliance and intent of the 40:_ `• Vater Quality Certification an.,
Buffer Rules, the approved pian(s) and �pecification(�J, and other support+ _ ; ials.
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Go gle Maps Hickory, North Carolina to 4152 541h Ave NE, Drive 9.5 miles, 22 min
Hickory, NC 28601
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Map data @2024 Google 1 m!
Hickory
North Carolina
Take Springs Rd NE and Sulphur Springs Rd NE to 37th St Dr
NE
17 min (8.4 mi)
1. Head east on 2nd Ave NW toward 3rd St NW
0 Pass by Bank of America (with Drive-thru services)
(on the left in 0.3 mi)
0,7 mi
2. At the traffic circle, take the 2nd exit onto Main Ave
NE
0.3 mi
3. Continue onto 8th St NE
0.2 mi
4- Continue onto Highland Ave NE
0.1 mi
T 5. Continue straight to stay on Highland Ave NE
U mi
6. Turn left onto 16th St NE
0.4 mi

7. Continue onto 12th Ave NE/Springs Rd NE
0 Continue to follow Springs Rd NE
1.3 mi
T 8. Continue straight to stay on Springs Rd NE
0 Pass by Burger King (on the left)
1.9 mi
'h 9. Turn left onto Sulphur Springs Rd NE
Take 54th Ave NE to your destination
3 min (1.0 mi)
10. Turn left onto 37th St Dr NE
111c ;at
t7' 11 _ Slight right onto 54th Ave NE
0.6 mi
r* 12. Turn right
0 Destination will be on the left
01 mi
4152 54th Ave NE
Hickory, NIC 28601

! catawba county Geospatial Real Estate Search
MAKING. LIVING. BETTER. Information services
N
W +E
5
Parcel: 373511763040, 4152 54TH AVE NE HICKORY, 28601
Owners: HAGADORN LAWRENCE E, WACHTER DAVID A JR
Owner Address: 4152 54TH AVE NE
Values - Buiiding(s): $770,000, Land: $182,000, Total: $952,000
1 in=200ft
This map/report product was prepared from the Catawba County, NC Geospatial 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 on 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, loss or liability, whether direct, indirect or consequential which arises or may
arise from this maplreport product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
04/03/2024

Please note that multiple forms may be necessary if there are more than two owners of i:he property.
PROPERTY LEGAL DESCRIPTION:
7REET ADDRESS OF EX?S17NG HOME or LrATTTUDEILONGITUDE OF NEW CONS-FRR`iMON:
4 i 52 54th Ave NE Hickory, NC 28601
35.806/-81,234
Parcel ID: 373511763040 _
Proper�y Owner Naulece) — please print-,
Property Owner: Lawrence €-lagadorn
Property Owner: David Wachter - —
The undersigned, registered property owners of the move noted property, do herebyautharize
Charlie Washburn ' /larine Construction L! C
(Contractor/Agent) (Name of company)
to act on my behalf and tame 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: property address above):
Same as Above
Proper�y Owner(s) Telephone- [phone]
We hereby certify,that the a
F,
gnkurd/ i
nfon-nnation submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date