20210062 Ver 1_Shoreline Stabilization_20210210

Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
DWR Pre -Filing Meeting Request Form.pdf 51.24KB
Pre -fling Meeting or Request Date 1/9/2021
ID# 20210062 Version
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email * [e-mail]
Rease provide an email address for payrrent and requests for pure information here.
Owner Information:
Name:* Meredith Clark
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
4108 Stillbrook Lane
Address Line 2
City
State / Frovince / Region
ITigh Point
NC
Fbstal / Zip Code
Country
27265
United States

Is there an agent working on the f Yes
project?* r No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* shoreline stabilization
If your project has a formal name please use this. If your project does not hake a formal name, please identify your project by
the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that have been used to identify the project in the past.
1. Provide 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.
r Upload File
r Lookup address
Property Address Lookup:*
Latitude:* 35.642309
Street Address
1025 Marvin Hedrick Rd
Address Line 2
City
Lexington
Fbstal / Zip Code
27292
State / Province / Fbgion
NC
Country
United States
Longitude:*-80.283244
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 under section 12.normal pool lake level/normal water level*
lot and shorehne.pdf 57.59KB
shoreline.pdf 1.27MB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%2OLayout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a
yard stick, shovel handle, etc.)*
lot and shorehne.pdf 57.59KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Lexington
County: * Davidson
Lake/ river/ ocean adjacent to High Rock Lake
property:
Subdivisions name or site address:* 1025 Marvin Hedrick Lexington NC
Include phase/lot number
Directions to site:*
Hwy I-85 South, take exit 91onto NC-8, right onto Wildlife Recreation
Area, right on Marvin Hedrick Road, destination the left in 1.2 miles
Pease include road narres and nunbers, landnaft etc.

5. Describe the existing land use or condition of the site at the time of this application:*
building new home at this time, cleared lot
Fbsidential, undeveloped, etc.
6. Property Size 1.84
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
shoreline stabilization
8. How will the work be done?* PF From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
456
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward:*
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
912
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunber of trees, for instance)
rock, clay, few trees
Sketch: pictures shoreline.pdf 1.14MB
Application Fee:
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act');
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
0 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* Meredith Clark
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20210062
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Sue Homewood:eads\slhomewood
Winston-Salem Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

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FOR:
LOCATION:
RESERVOIR:
PROJECT:
DRAWING TITLE:
VEGETATION AND EROSION
CONTROL FABRIC
EXISTING GRADE
3 -�
I
1 3' MAX
I
CLASS 2 RIP RAP
1
I
2 ! HIGH WATER ELEV.
EROSION CONTROL FABRIC
SAKE BOTTOM
TYPICAL CONDITIONS
36" TO 72" ERODED CUT
WAVE EXPOSURE
MEREDITH CLARK
1025 MARVIN HEDRICK RD.
HIGH ROCK LAKE
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DETAIL
MODERATE RIP RAP STABILIZATION 1 3

14
rCUBE HYDRO
7, CAROLINAS
Re: Shoreline Stabilization
Dear Applicant:
Cube Hydro Carollfnas LLC
Highway 740
PO Box 575
Badin, NC 28009-0575
Please find enclosed Stewart Engineering's - Phase One Shoreline Evaluation and Plan
for Stabilization. As you will note from the enclosed report, Stewart has recommended
installation of shoreline erosion control measures for the shoreline adjacent to your
property. Installation of such stabilization measures is optional. You should use the
enclosed report to obtain estimates from qualified contractors for installing the
recommended shoreline protection measures. Please note that estimates should be
made based on the installation plan prepared by Stewart, as Cube will not permit the
installation of alternative erosion control measures. After you have received the
estimates, you can then decide whether you want to proceed to Phase Two of the
permitting process.
Phase Two of the permitting process involves obtaining the necessary permits from the
U.S. Army Corps of Engineers (USACE) and the North Carolina Department of Water
Quality (NCDWQ). Should you elect to continue, please forward the Phase Two fee of
$1,075.001 to Cube Hydro Carolinas. Cube uses this fee to prepare applications and
secure the required USACE and NCDWQ permits. In addition, The North Carolina
Division of Water Quality charges a permit application fee of $240.00 for their
certification. Please include a separate check for $240.001 payable to NC Department of
Environment and Natural Resources. Yadkin will initiate the permitting process after it
has received both of these payments.
After Cube has received the required permits from the USACE and NCDWQ, Cube will
issue you. an activity permit authorizing installation of the erosion control plan
recommended by Stewart Engineering. Please keep in mind that installation of the
shoreline erosion control measures may not begin until you have an activity permit from
Cube.
If you have questions about the report please feel free to contact me at [phone].
Karen C. Baldwin
Property Compliance Supervisor

"I
'A
STEWARTAugust 12, 2020
REPORT — PHASE 1 SHORELINE EVALUATION
Applicant — Meredith Clark
4108 St:librook Lane
High Point, NC 27265
Location - 1025 Marvin Hedrick Road
Reservoir — High Rack Lake
Shoreline Evaluation
A shoreline evaluation of the subject property was completed on
7/23/20. A copy of the field notes and shoreline map are attached to
this report. A set of photographs of the shoreline taken during the site
visit have been sent to Eagle Creek Renewable Energy (ECRE) for the
permit file.
The height of the eroded shoreline was observed to be approximately
6 feet in height with up to 24 inches of undercut. There was an
existing wood pier located near the western property corner. Rip rap
stabilization is already in place on the adjacent shoreline and under
the existing pier.
There were no lap trees observed during the site visit, but there was a
significant amount of floating debris and tree branches. The shoreline
has a significant exposure to open water.
Recommendations for Stabilization
Based on the site evaluation of the property, we recommend that
stabilization be completed as follows:
1. The subject shoreline was observed to have several areas of
significant erosion and undercut.
2. The contractor shall carefully grade and prepare the shoreline to
receive the non -woven fabric and rip rap. The fabric should be
buried into the lakebed and into the grade above the rip rap.
Install stabilization as ind-cated on the enclosed site map, :n
accordance with Detail 3, Moderate Rip Rap Stabilization, (copy
attached).
101 NORTH TRYON ST. CHARLOTTE, Nv T 704.334.7925
SUTTE 1400 28202 F 704.334,7926

STEWART
3, The existing rip rap under the pier must be partially removed so that
the applicant's non -woven filter fabric can be installed to overlap the
existing fabric on the shoreline under the pier. The new rip rap
would then be continuous with the existing under the pier.
4. The tree branches and debris that floated onto the shoreline can be
removed during the installation of the shoreline stabilization.
S, Upon completion of the shoreline stabilization, the owner will be
required to revegetate the disturbed area above the rip rap
slope with ECRE approved ground cover plant materials.
Attachments — Field Notes
Site Plan
Detail 3
101 NORTH TRYON ST. CHARLOTTE, NC T 704.334.7925
SUITE 1400 28202 F 704.334.7926

YADKIN SHORELINE MANAGEMENT PROGRAM
PHASE 1- SITE EVALUATION
DATE: ILS4
A. APPLICANT NAME:,,-M6fz0)"T}4 6W F?K Lot No.:
B. LAKE: 14i t
Fck �akC
Shoreline Length: (67- L,F-
C. LOCATION/ORIENTATION: O�u w
-Cove: N/A -Open Water Exposure: AY`N
-Point NIA -Face Direction: N iS_E^W
D. EXISTING VEGETATION: NvyZ • ob- t4,, V4 64,t uL "V
Lap Trees: Y.LN
E. SHORELINE CONDITIONS:
-Rock:
r
-Ht. of eroded bank�
-Slope above bank: L"_VLk
F. CONSTRUCTION ACCEtt:
, Usti
a
-Undercut depth: C7
-Lake bottom slope:
-Lake bottom material: �,
G. OTHER OBSERVATIONS:
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VEGETATION AND EROSION
CONTROL FABRIC
3 —,
I
I
CLASS 2 RIP RAP
2 1
I
EROSION CONTROL FABRIC------W
TYPICAL CONDITIONS
36" TO 72" ERODED CUT
WAVE EXPOSURE
EXISTING GRADE
3' MAX
HIGH WATER ELEV.
LAKE —
BOTToM
FOR: MEREDITH CLARK
LOCATION: 1025 MARVIN HEDRICK RD.
HIGH ROCK LAKE
RESERVOIR:
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I S;TE EVAI. UATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAINING TITLE: DETA
MODERATE RIP RAP STABILIAT ON 3

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ID#* 20210062
Version* 1
Regional Office * Winston-Salem Regional Office - [phone]
Reviewer List* Sue Homewood
Pre -Filing Meeting Request submitted 1/9/2021
Contact Name* Meredith Clark
Contact Email Address* [e-mail]
Project Name* Shoreline stabilization
Project Owner* Meredith Clark
Project County* Davidson
Owner Address: Street Address
4108 Stillbrook Lane
Address Line 2
aty State / Province / Pegion
High Point NC
Postal / Zip axle Country
27265 United States
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
* 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
* Individual Permit F Modification
W Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes C No
Please list all existing project ID's associated with this projects.*
15A NCAC 02H .0502(a)
Do you know the name of the staff member you would like to request a meeting with?
No
Please give a brief project description below.*
Shoreline stabilization at 1025 Marvin Hedrick Road Le)angton NC
27292

Please give a couple of dates you are available for a meeting.
1 /15/2021
1 /14/2021
1 /13/2021
Please attach the documentation you would like to have the meeting about.
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
Yvl C.k_�
Submittal Date 1/9/2021