20011645 Ver 2_Shoreline Stabilization_20200616

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 [1SA NCAC 02H .0502(a
1. Owner Information
Name: Donnie Thompson
Mailing Address: 3845 Crescent Avenue
Trinity, NC 27370
Telephone Number: 336/259-4690 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/dots/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: Davidson Nearest Town: Lexington
Subdivision name or site address (include phase/lot number):
Lot 38, Riverview Acres, 392 River Pointe
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 Rd., L on
Riverhouse Rd., L on Riverview Road Ext., R on River Pointe, property is at end of road.
Latitude (in decimal degrees) 35.39.20 Longitude (decimal degrees) 80.17.54
5. 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): 0.25 acres
7. Lake/ river/ ocean adjacent to property: High 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:
314 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: 1413 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): there will be no trees
removed to complete the stabilization proiect.
Owner/Agent's Signature* [15A 11115AC 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

La ke
(At 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

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Donnie Thompson
Lot 38, Riverview Acres
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 157 LF of proposed shoreline stabilization measures.
Detail X 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 10 on NCDEQ Form)
Area of Impact = Shoreline Length x Depth* x Slope
_ (157 ft) x (1 ft) x (2)
= 314 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 11 on NCDEQ Form)
Height of Bank Above Normal Pool Varies Across the Shoreline
Estimate 157 LF of Shoreline = 2 ft. Above Normal Pool
Area of Impact = Length x Height x Slope
= ( 157 ft x 2 ft x 2)
= 628 sq. ft.

Impact From Construction Above Shoreline Stabilization - Assume 5 ft. wide work zone
Area of Impact = 157 LF x 5 ft.
= 785 sq. ft.
Total Area of Impact Above Normal Pool Level = 1413 sq. ft.

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TYPICAL CONDITIONS
12" TO 36" ERODED CUT
WAVE EXPOSURE
FOR: DONNIE THOMPSON
LOCATION: LOT 38, RIVERVIEW ACRES
RESERVOIR: HIGH ROCK LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MINOR RIP RAP STABILIZATION 1 2

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