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Home My WebLink About20200334 Ver 1_Shoreline Stabilization_20200303State of North Carolina Department of Environment and Natural Resources DWR Division of Water Resources Division of Water Resources 15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization FORM: SSGP 10-2013 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 I. Applicant Information [15A NCAC 02H .0502(a}] 1. Owner Information Name: Chad & Stacey Hill _ Mailing Address: 484 Arthur Miller Road Clemmons, NC 27012 Telephone Number: 336/399-2879 Fax Number: E-mail Address: shd1214@email.com 2. Agent/ Contact Person Information A signed and dated copy of the Agent Authorization letter (a form can be downloaded here: http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH ORIZATION FORM.pdf) must be attached if the Agent has signed this application form. Name: N/A Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Person to receive the Certification Approval: II. Project Information [15A NCAC 02H .0502(a) & (b)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, structures (buildings, retaining walls, docks, impervious surfaces, FORM: SSGP 10-2013 Page 1 of 4 etc.), 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. 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: Davidson Nearest Town: Lexington Subdivision name or site address (include phase/lot number): Lot 23, Hidden Hills Directions to site - please include road names and numbers, landmarks, etc.: 1-85 to Lexington exit for NC Hwy 8, go south on NC Hwy 8, L on Holloway, Church Road L on Hidden Hills, property is on the L side of road. Latitude (in decimal degrees) 35.41.12 Longitude (decimaidegrees)80.14.35 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Single-family residential community. 6. Property size (acres): 0.78 acres 7. Lake/ river/ ocean adjacent to property: High Rock Lake 8. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or why it is necessary): To stabilize an eroding shoreline and prgtect it from further erosion. 9. Will work be conducted from land? ® From water? ❑ 10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level/ Normal Water Level in square feet or acres: 294 Sa. Ft. 11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in square feet or acres: 1711 Sq. Ft. 12. Please describe the vegetation above the normal pool lake level/ Normal Water Level and 50 fe% land>At�rd to be impacted (number of trees, for instance): Numerous trees Signature' f 15A NCAC 02H .0502(f)l Date "Agent's signature is valid only if an authorization letter from the owner is provided. FORM: 55GP 10-2013 Page 2 of 3 Lake .(At Full Pond/Normal Watertevel) Full Pond/ Normal Water Level S SEE ATTACHED SITE PLAN AND DETAILS Please approximately sketch the following information on this plan (provide dimensions for each item, such as 10 ft x 100 ft)*: 1. All proposed vegetation clearing 2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation 3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation 4. Location of any proposed structures such as buildings, retaining walls, docks, etc. 5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation 6. Location of construction access corridors FORM: 55GP 10-2013 Page 3 of 3 � ______......... ___ ��=^� � w^s KIEE --------------- - - - %&�u�A . ......... ..... __..... ..... _-'___- ---' '- DO mL ` �. .,5a LF ter fzell� j Cl-spAg4,,---L> M&tLT-Tgmr- VEGETATION AND EROSION CONTROL FABRIC EXISTING GRADE CLASS 2 RIP RAP EROSION CONTROL FABRIC LAKE BOTTOM - TYPIC�j , ,QNDI TIONS 36" TO 72" ERODED CUT • WAVE EXPOSURE FOR: CHAD & STACY HILL LOCATION: LOT 23, HIDDEN HILLS RESERVOIR: HIGH ROCK LAKE PROJECT: SHORELINE STABILIZATION PROGRAM PHASE I SITE EVALUATION YADKIN, INC. - BADIN, NORTH CAROLINA DRAWING TITLE: DETAIL MODERATE RIP RAP STABILIZATION 3 r � � _. � _ � 4 ��., ,Y. a_�:_. �. ,_ _ , ,. � , A � r __ _ ,..� �,� ,. ., .� ...: .._ ..- - _ ,. , ,. '. _ _ r y.', . ' � - L C] X i'. Y gGogietAmhiv„ sin!I+xusr•C7wut1+RG.•NctihrC:u�tinA;2710.fLii5611'SC2.PA.itii'ri.1S'.1�fAata�Nmi'7mi!1s4:�98i3R5209A�d5..ib.Cm1sn317f5�6S6t7arlR.r,. �;.d3Rt95631i, � {r e SINer HIII ' Iw7 yi G S +F ti Fedzn. 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