20191610 Ver 1_Shoreline Stabilization_20191121

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State of North Carolina
DWDepartment of Environment and Natural Resources
R 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 enlo
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
R€CEiVEWDENROWR
NOV 21 2019
Name: Christopher Heivly Water Rssaurw,
Mailing Address: 312 Blackwell Street #207 ftrmitting 5eeticn
Durham, NC 27701
Telephone Number: 919-260-9438 Fax Number:
E-mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
htti)://www.saw.usace.armv.mil/Portals/59/dots/repuIatorv/readocs/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:
E-mail Address:
Person to receive the Certification Approval:
Fax Number:
II. 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, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10-2013 Page 1 of 4

etc.), rip rap, excavation or dredging below Full Pond/ Norm aI Water Level elevations,
and construction access corridors. you may use the diagram provided at the end of this
application form.
3. Attach a.p�hotograph of the shoreline/ buffer proposed to be stabilized. (Include a scaler
of some sort- a yard stit.k, shovel handle, etc. I
4. Location of the property (where work is to be conducted)
County: Montgomery Nearest Town: New LonOonn
Subdivision name or site address (include phase/tot number): I7iacie Shores
Lot 144 602 Shoreline Road New London NC _
Directions to site - please include road names and numbers, landmarks, etc.:
NC Hwy 49 to kadin Lake Read [SR 1162). lgft on Blaine Road right can Charlotte t]rive
[eft on Skyline Drive, left on Shoreline Road lot �s on the right
Latitude -28 37 _ Longitude 80.04.36
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc_): undevelooed )cat in existing subdivision
6. Property size {acres): 0 ales
7. Lake/ river/ ocean adjacent to property; Badin Lake
S. Describe proposed wwark (include discussion as to how hardening of shoreline has been
avoided, or why It is necessary): 't2 stabilize and eroding shoreline and protect it tram
further eros►on_
9. Will work be conducted from land? ® From water?
10, Total amount of disturbance (i:ncludirig, all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool Wke level/ Normal Water Level in square feet or acres:
bd 5a. Ft.
1.1, 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: �._ �L}2 SQ. Ft.
12, Please describe the vegetation above the normal pool lake level/ Normal Water Level and
50 feet landward to be mpacted (number of trees, for instance), 6 to g trm of varied
size and condition will be im a d in order to comglete the stabilizatF n
project-
Owner/Agent's Slgriature" pate
Ag errt's 5igmture is voalrcl only if an authorizatjor► later from the owner is pmj4de i'.
FORM: 5SGP 10.2013 page 2 of 3

Lake
(At Full Pond/NormalWater Level)
Full Pond/
Normal Water Level
0
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: SSGP 10-2013 Page 3 of 3

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CLASS 2 RIP RAP
VEGETATION AND EROSION
CONTROL FABRIC
11 N
2
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
36" TO 72" ERODED CUT
• WAVE EXPOSURE
I
1
I
I
EXISTING GRADE
065UYnti
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LAKE @pnOM
FOR: CHRISTOPHER & PATRICIA HEIVLY
LOCATION: LOT 144, DIXIE SHORES
RESERVOIR: BADIN LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. — BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MODERATE RIP RAP STABILIZATION 3

State 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: Christopher Heivly
Mailing Address: 312 Blackwell Street #207
Durham, NC 27701
Telephone Number: 919-260-9438 Fax Number:
E-mail Address: PlheivlvPamail.com
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http:/Iwww.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:
E-mail Address:
Person to receive the Certification Approval:
Fax Number:
II. 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, 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: Montgomery Nearest Town:
New London
Subdivision name or site address (include phase/lot number): Dixie Shores
Lot 144, 602 Shoreline Road, New London, NC
Directions to site - please include road names and numbers, landmarks, etc.:
NC Hwy 49 to Badin Lake Road (SR 1162), left on Blaine Road, right on Charlotte Drive,
left on Skyline Drive, left on Shoreline Road, lot is on the right.
Latitude (in decimal degrees) 35.28.37 Longitude (decimal degrees) 80.04.38
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): undeveloped lot in existing subdivision
6. Property size (acres): 0.20 acres
7. Lake/ river/ ocean adjacent to property: Badin Lake
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): To stabilize and eroding shoreline and protect 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:
164 So. 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 SO feet land -ward in
square feet or acres: 902 Sq. Ft.
12. 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)
6 to 8 trees of varied
size, species and condition will be impacted in order to complete the stabilization
oroiect.
Owner/Agent's Signature* [15A NCAC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Lake
W Full Pond/ Normal Water Level)
Full Pond/
Normal Water Level
SI
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: SSGP 10-2013 Page 3 of 3

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VEGETATION AND EROSION
CONTROL FABRIC
EXISTING GRADE
CLASS 2 RIP RAP
EROSION CONTROL FABRIC
LAKE BpnOM
TYPICAL CONDITIONS
36" TO 72" ERODED CUT
WAVE EXPOSURE
FOR: CHRISTOPHER & PATRICIA HEIVLY
LOCATION: LOT 144, DIXIE SHORES
RESERVOIR: BADIN LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MODERATE RIP RAP STABILIZATION 1 3

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