20221669 Ver 1_Shoreline Stabilization_20221129

ROY COOPER
Governor
MICHAEL S. REGAN
secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
State of North Carolina
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 09-2020
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
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
NOTE: Before submitting this form, please ensure you have submitted the Pre -Filing Meeting Request
Form as we will not be able to accept your application without this important first step. The Pre -Filing
Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre -filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must include documentation that a pre -filing meeting request was submitted to
the certifying authority at least 30 days prior to submitting the certification request. Click here to read
more information on when this form is needed prior to application submission or here to view the
form.
Attach documentation of Pre -Filing Meeting Request to this application.
Date of Pre -filing Meeting\Reg9Eft: 1. /_/ (required)
DWR ID #
Version (if applicable)
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Janice Escandon
Mailing Address: 625 Wiley Court
Telephone Number:
E-mail Address:
Deparbnem of End.onmeadl WaOry�
Merritt Island, FL 32952
704-425-5826 Fax Number:
RECEIVED
NOV 2 9
DEQ-WATER RESOURCES
401 & BUFFER PERMITTING
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh. North Carolina 27699-1617
919.707.9000

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:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
B. Project Information [15A NCAC 02H .0502(a) & (b)]
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.
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: Rowan Nearest Town: Salisbury
Lake/ river/ ocean adjacent to property: High Rock Lake
Property size (acres): 0.48 acres
Subdivision name or site address (include phase/lot number):
Lots 2 & 3, A Summer Place, 235 Holiday Drive, Salisbury
Directions to site - please include road names and numbers, landmarks, etc.: 1-85 to
Innes St. exit, east on Innes St., L on Stokes Ferry Rd., L on Providence Church Rd.,
R on Bringle Ferry Rd., L on Scout Rd., R on Holiday Dr., parcel on the left.
Latitude (in decimal degrees) 35.37.1563 Longitude (decimal degrees) 80.16.5644
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Developed lots in residential subdivision
FORM: SSGP 09-2020 Page 2 of 6

6. 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 protect it
from further erosion.
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:
110 sq. ft.
Temporary impacts in square feet:
None
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:
310 sq. ft.
Temporary impacts (temporary clearing, construction corridor) in square feet:
275 sq. 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):
No trees will be removed to install the proposed shoreline stabilization.
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• The project proponent hereby requests that the certifying authority review and take action
on this CWA 401 certification request within the applicable reasonable period of time
wner/Agent's Signature* [15A NCAC O2H .O5O2(f)1 Date
"Agent's signature is valid only if an authorization letter from the owner is provided.
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
FORM: SSGP 09-2020
Page 3 of 6

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 Pond/ Normal Water Level)
Full Pond/ Normal Water Level
-- NM MI um
Shoreline
Plan View
ME MAI MIMI EMU 1111127
Full Pond/ Normal Water Level
shoreline ...
2 ft. x 150 ft.
additional clearing
•If necessary
E
Plan View
Lake
(At Full Pond/ Noma) Water Level)
Ri pra p
Existing Dock
30ftx 70
3ftx150ft
Below full pond/ NWL
awlowe
map
ft7150ft
ASove full pond/ NWL
AMPLE
FORM: SSGP 09-2020
Page4of6

La ke
(At Full Pond/ Normal Water Level)
Side View
FORM: SSGP 09-2020 Page 5 of 6

2 ft. additional clearing
3 ft. below full pond water level ` 4 ft. above full pond water level •If necessary
I 1 I I
10 ftbank
height
Side Vi
FORM: SSGP 09-2020 Page 6 of 6

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Janice Escandon
Lots 2 & 3, Summer Place
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 55 LF of proposed shoreline stabilization measures.
Detail 3 indicates a proposed shoreline slope that is graded at 2:1 and reflects the estimated
normal pool level and the estimated height of the subject shoreline above the normal pool
level.
Calculation 1— Impact Area Below Normal Pool Level
(Item 8 on NCDEQ Form SSGP 09-2020)
Area of Impact = Shoreline Length x Depth* x Slope
= (55') x (1') x (2)
= 110 sq. ft.
*For this calculation, an average water depth of 1 ft. has been assumed. This will
produce a conservative overestimate of the stabilization impact area.
Calculation 2 — Impact Area Above the Normal Pool Level
(Item 9 on NCDEQ Form SSGP 09-2020)
Permanent Impact From Shoreline Stabilization Measures
Height of Bank Above Normal Pool Varies Across the Shoreline
Estimate 10 LF of Shoreline = 2 ft. Above Normal Pool
Estimate 45 LF of Shoreline = 3 ft. Above Normal Pool

Area of Impact = Length x Height x Slope
_ (10' x 2' x 2) + (4 5' x 3' x 2)
= 40 + 270
= 310 sq. ft.
Impact From Construction Above Shoreline Stabilization
Assume 5 ft. Wide Zone
Area of Impact = 55' x 5 ft.
= 275 sq. ft.
Total Area of Impact Above Normal Pool Level = 585 sq. ft.

/
Ci 1' \ ,
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f
0 \
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3
Scale 1" = 20'
SITE PLAN - JANICE ESCANDON

/\\ / 1
• j 3
CLASS 2 RIP RAP
VEGETATION AND EROSION
CONTROL FABRIC
1
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
EXISTING GRADE
Varies
2-3 ft.
Assume
1 ft.
//\\\\/ LAKE BOTTOM _
FOR:
LOCATION:
RESERVOIR:
JANICE ESCANDON
LOTS 2 & 3, SUMMER PLACE
HIGH ROCK LAKE
PROJECT:
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE:
MODERATE RIP RAP STABILIZATION
DETAIL
3

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