20200312 Ver 1_Shoreline Stabilization_20200226

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500-- Water Quality Certification, Shoreline Stabilization
Division of Water Resourcesp
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(al]
1. Owner Information
Name: Todd Kennedy
Mailing Address: 2506 Riverview Road
Lexington, NC 27292
Telephone Number: 336/608-8142 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:
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)]
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): Riverview Acres
Lot 22, at 2506 Riverview Road, Lexington, NC
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. R on Linwood-Southmont
Road. L on Riverview Rd., property is on the R side of road.
Latitude (in decimaidegrees) 35.40.27 Longitude (dedmaidegrees) 80.18.35
S. 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): 0.20 acres
7. Lake/ river/ ocean adjacent to property: Hiah 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 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:
100 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: 610 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): Two trees
will be removed In order to complete the stabilization proiect.
Owner/Agent's Signature' [15A NCAC 02H .0502(f)1 Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

SEE ATTACHED SITE PLAN AND DETAILS
Please approximately sketch the following information on this plan (provide dimensions far 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.
S. 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

ylEW R �
��i.:f
.INi �rC.T �CGt,ILA�'T101Sl� .
AL iAc Ato %6a;eL►NE PLAT
7. sgo-5. e snApoibmArnom USIrtF4. SIP
DTArI L ,'3 b0'E5 SFI.�,:„ ;QRo(�oTlto2�Ut�tA�'8
Sb Tµ6 "C. ' .i F� Lft.Q�o'Rmk(..
. M5�' � S D 1 N I-1 iGNT Ikfbo.u5 � . 14I L. Poo{. .
'rewn
&M- Ot f MPA-CT = Lfr wGT IA 1ptPTf1 ILAK
_ - 'iE 'FoC�. TfH S CR1.Ct lt, o - MeM 64L oft-F." WATs-fL
T..
MIT Agk6-

In
If_
20 4- l
ISO -F 240.-
ifi
�,o l V- c ./
,}I

3895m
co
F211
N �OL ,r ,
rIAJSr
PEA
�3
(00'-� ho:V
F2
Ir�'Zo�

VEGETATION AND EROSION
CONTROL FABRIC
1�
3
CLASS 2 RIP RAP
EROSION CONTROL, FABRIC
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
NG GRADE
ko
LAKE BOTTOM -
rum TODD KENNEDY
LOCATION: 2506 RIVERVIEW ROAD
HIGH ROCK LAKE
RESERVOIR:
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MODERATE RIP RAP STABILIZATION 3

Pik

a11� Y. ..
Gi

lor
,
-
•
it
... •e _ -
,.3 A
-
_
y� "rye. ,�" Tr. �. 3 � • � �t��� ..A )��
y K
y
� s• ,1gK . ,"4 1 ".
' ..�";, "�;= �,.. ,:, i` -5� �• +fir, � �, j 1:
ilY�" r
?-
'
;ice: ; .,re-'•'�£" '' `'�"` • �
_ �Jlox`
f

a
Sri
�•. •�i.�.i yi„ ems. a .1� '�` �
r
qr-
e».°�su.;•! Ik tro '�..y(ggp,sW,p:. �"�kl!:an� "��:s- _ �..
"`,�,-
• get,"4w,
�5—
a Jm
v..
ice
} i
A�
L:

�40p4 YaaVYaali�+8 away uua +�+x�, ae..pay
}
luawyln o$
Cl peoy Ma��,a„�a eosz •
iozaa� e
U
,d
O
e {i ®"'OilLi9l84'SfPEi2w8ia5L9L550PLOPeW9x0�£ea99PZOP)8f589xOslil�EiS��hi=�epiTpCCC6lf09L708'E9Ei089'SE®R6ZLZ+JN+vo1�1�'t+'pN+�wamy+gpsz/aae�tl/sdewpwsa�6006 s „7 -�
x O , — t x aw aem� od+^awavx sesz �