20200335 Ver 1_Shoreline Stabilization_20200303

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: Justin Storer & Jennifer Spinosi
Mailing Address: 13S Winwood Circle
Granite Falls, NC 28601
Telephone Number: 563-770-6462 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:
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,
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.
FORM: SSGP 10-2013 Page 1 of 3

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: Caldwell Nearest Town: Granite Falls
Subdivision name or site address (include phase/lot number): RiverBend
Directions to site - please include road names and numbers, landmarks, etc.: Approach
from Hwy 321, turn east on New Farm Rd. Turn left (north) onto
River Bend Drive. Take second exit from roundabout (west) onto
Winwood Circle. Follow Winwood Circle to small cut -de -sac on
left. House is down hill at end of cut -de -sac.
Latitude (in decimal degrees) 35.799829 Longitude (decimal degrees)-81.388793
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential
6. Property size (acres): 0.479 Acres
7. Lake/ river/ ocean adjacent to property: _Lake Hickory
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Shoreline has extensive erosion with a
large undercut resulting in multiple trees falling into takze,
stabilization will include removal of damaged/fallen trees, grading
of shoreline, and application of rip -rap to prevent future 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:
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: 120ft long with width of 10ft of shoreline work
and 30ft for equipment access for a total impact area of 4,800sgft
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): approximately 12-
15 trees will be removed, approximately 50 trees will remain
:;L - 1- V - ;2-- 2-
Ow0k gent'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
(At Full Pond/Normal Water Level)
Full Pond/
Normal Water Level
Shoreline
1, d
`` I1
y'
30
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
dos`
FORM: SSGP 10-2013 _ _ _ �� Page 3 of 3

Storer Shoreline
:affey Furniture � Dragons Den Den Tattoo
9
v
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a
Blue Ridge Riders
Motorcars & More, Inc
Lake Hickory
Veterinary Hospital
s
Koin Cafe
Walmart Supercenter T
Club Canine �%
GameStop 9
32i Vow rBfind
Wendy's
46
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It 138 Winwood Circle
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R I V E R B E N D
River 8*q.,
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Merchants Distributors
Bernhardt 8, 19
Furniture Outlet 7
Goc)ale
1 Riverbend Pro[
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Storer Shoreline
Areal View
Slope will be graded back approximately 10' from the
water and rip -rap will be applied
W

Storer Shoreline
Photo taken with pool at 96.75 feet
Shoreline undercut with erosion needs graded to slope and
stabilized with rip -rap

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Storer Shoreline
Photo taken with pool at 96.75 feet
Leaning `at risk'
trees need removed
Unhealthy trees
need removed

Storer Shoreline
Photo taken with pool at 98.1 feet
Undercut shoreline more than 3
feet deep (yardstick could not
reach back wall)

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Storer
Official Survev
Shoreline
dWS
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SURVEYING & MAPPING
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VICINITY MAP