20200228 Ver 1_Shoreline Stabilization_20200211

State of North Carolina
Department of Environment and Natural Resources
_r Division of Water Resources
K_ I I a
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
!a
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting ch
1617 Mail Service Center 512 N. Salisbury Street a--Q
Raleigh, NC 27699-1617 Raleigh, NC 27604 IP4r4P/7 j�
A. Applicant Information [15A NCAC 02H .0502(a)] 1 12020
1. Owner Information
Name: Robert Mark Morgan F
Mailing Address: 7579 Bluff Point Ln. Denver, NC 28037
Telephone Number: 704-582-3818 Fax Number: 1-866-999-692
E-mail Address: mark@ rmorganhomes.com
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: ( / SG Me_ 4as
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.
FORM: SSGP 02-2017 Page 1 of 11

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:
Lincoln Nearest Town: Denver,
Lake/ river/ ocean adjacent to property: Lake Norman
Property size (acres): 1.13
Subdivision name or site address (include phase/lot number): Harbor Oaks Lot 12 (6911
Kinefisher Ct. Denver, NC 28037
Directions to site - please include road names and numbers, landmarks, etc.: Business
hwy 16 north R on Campground Rd R on Pine Ridge Dr L into Harbor Oaks, Second (left) on
round about on Palm Dr R on Kingfisher Ct, Lot on left in culdesac
Latitude (in decimal degrees) 35.539413 Longitude (decimal degrees)-81.001204
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): undeveloped (wooded lot w/ existing pier and partial
existing shoreline stabilization)
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): complete shoreline stabilization using fabric and rip -rap
on remaining 20% that wasn't previously stabilized to prevent 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:
Fix erosion ruts and add fabric and rip rap for stabilization area of approx. 30' x 5'=150sgft
Temporary impacts in square feet:
Osqft
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:
Fix erosion ruts and add fabric and rip rap for stabilization area of approx. 30' x 5'=150sgft
Temporary impacts (temporary clearing, construction corridor) in square feet:
Access already clear, lust walk machine in&out through area approx. 40' x 15' = 600sgft
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): While lot is wooded the 50' lake
buffer is totally clear, dock existing and approx 70' of shoreline already stabilizaed w/ riprap
but it stops approx 30' short of property corner and neighbors rain water it washing ruts
through shoreline. Rest of buffer area is grass and weeds.
11. Signa>`f,�
o Z S Z �Zv
Owner/Agent's Signature` [15 CAC 02H .0502(f)] Date
'Agent's signature is valid only if an authorization letter from 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
llm low
Full Pond/ Normal Water Level o
Shoreline
46. - r- -'�l l �
Plan View
Lake
(At Full Pond/ Normal Water Level)
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r;� rhP �.I,rC-Y
here- &It r , �,�ss
Lake
(At Full Pond/ Normal Water L-11
Existing Dock
30fta7ft
3 ftx 150ft
Bek- full pond/ NM
Full Pond/ Normal Water Level
]r10reTn-__
aftx 150ft
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Riprap
Ahove roll pond/ NWL
2 ft.x 150 ft,
additional clearing
' If necessary
EJ'KAMPLE
Plan View
FORM: SSGP 02-2017 Page 3 of 4

ex ve y close
G ` i
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101\ f-04S
La ke a�
(At Full Pond/ Normal Water Level)
C
Side View
U-
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
Side Vi
AMPLE
FORM: SSGP 02-2017 Page 4 of 4

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