20210060 Ver 1_Shoreline Stabilization_20210317

Water Resources
ENVIRONMENTAL DUALITY
7a)(-"&
Department of Environment and Natural Resources
Division of Water Resources
State of North Carolina
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service
Karen Higgins
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information �� v�
Name: c�Cr`Irc..ir ¢ f�(th SSCi i1 ,0/S
Mailing Address: /,JAL/ F%entIA 54-t'e-0-
j0X13or13, h1C 3,7757)3
Telephone Number: 33(598 1 r709 Fax Number: 33(c
E-mail Address: C rr6-4c14 +Con')
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: 6 (1 C(aloo
Company Affiliation:
Mailing Address:
RECEIVEDINCDEQJDWR
MAR 17 2021
Water Quality.
Sec Section
Permitting
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 3

Fonl
1\iC
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: e.4,50l7l Nearest Town: j.G.X()b{t-O , NC
Lake/ river/ ocean adjacent to property: 1—LAC C
Property size (acres): 3, Liio QC "e.8
Subdivision name or site address (include phase/lot number):
o f r- n ep WO-4e
Directions to site - please include road names and numbers, landmarks, etc.:
-f-c.Nz Hwy 5 7 nV ft) co /&Ke - Cross 3 bridge_ s , Taiv n<f
rCI lit 011fi) Z►'nh LE,vP <;f1zArri-1Rd, JD appr X, /19 tle's tc)
V vvsn 1.
bortigh r�fracctozii-) 60 approx '/2 -Lof q to, II be
brI Jhi. Jo Si past gcRd.
Latitude (in decimal degrees) 3(v, 4 f( l Longitude (decimal degrees) '%q, aff061/4
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): fr f i'de_dt'h&tJ I Wo cl&(i /Q /-
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
u&iot [ (Kt- .> r is c rip wiz) preA'ci1#
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:
c (Op s(l pf
Temporary impacts in square feet:
a100 ..sQ�f
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:
I05D $ 4.'f
Temporary impacts (temporary clearing, construction corridor) in square feet:
1050 3l f
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):
.Trees
FORM: SSGP 02-2017 Page 2 of 5

11. Sig ture
Owner/Agent's Signature* [15A NCAC 02H .0502(f0l Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
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
FORM: SSGP 02-2017
Page 3 of 5

Q0@
COri
*honk
Lake
(At Full Pond/ Normal Water Level)
Normal Water
Side View
0
LL
N
0
N
Full Pond/ Normal Water Level
"11- reTne
2 ft. x150ft.
additional clearing
' If necessary
E
Plan View
Lake
(At Full Pond/ Normal Water level)
Stint: Riprap a(
Existing Dock
/30 ft 7 ft
AMPL
3 ftx 150ft
Below full pond/ N WL
9 ft� 150 ft
Above full pond/ NWL
E
FORM: SSGP 02-2017 Page 4 of 5

10 ft. bank
height
Side Vi
I
3 ft. below full pond water level
4 ft. above full pond water level
2 ft. additional clearing
*If necessary
Existing bank
FORM: SSGP 02-2017 Page 5 of 5

2/19/2021
Basic Parcels - Person County
Basic Parcels - Person County
Person County Register of Dec.
https://gis. personcountync.gov/TaxParcelViewer/
1/1

1314
cca;I
0 I
1313
VICINITY MAP
SITE
PINESBOROUGH
ESTATES
ROAD
60' R/W
(PRIVATE,
REF: PLAT CABINET 14 PAGE 178
PLAT CABINET 15 PAGE 554
PLAT CAB __
FILED /N PERSON C
_-__ DAY OF
RE TE F DEEDS
- DEEP RATER
/'� LEG 29S7Z'\ _ I LEO 30 LOT 2
G / SEE
' /_--` 177e1`E�\ BOUNDARY
SEE IF -- /
4;?..//'' BOUNDARYDATA NF 'T! \`` /
CA-s\\ 'I2 NS /
C; % ;,\
CONTOUR DATA�^
L1NE BEARING D754
L- 1 513.14'52.8 105.0
L- 2 S72.53'46.1 117.2 n
L- 3 N76.15'47'1 108.3 l%
L- 4 N51.55'01'1 53.71'V
L- 5 557.02'28.8 58.36' ./%
L- 6 S63.22'56.8 84.85' 0
L- 7 N39.21'25.1 38.95' I,
L- 8 508'33.41'11 29.16' X
L- 9 S81.38'17'1 67.73' l N00.44'41•E.--...„
L- 10 S81.35'17•11 13.97'
L- 11 N38.08'38'9 16.92' 6.36 IF
L- 12 S39.14'07.8 22.96'
L- 13 S87.15'44.8 21.42' G`
L- 14 652.37'2091 17.71'
L- 15 S26.57'18'R 19.10'
L- 16 N48.38'2891 17.87' (] 15' 1ASTEBATER-
L- 17 518.52'27.8 18.42' PIALNE
L- 18 N88.35'21'1 48.94' EASS EMENT
L- 186 688.35'21.8 22.01'
L- 19 546'58'26.1 12.49'
L- 20 975.36'37.1 122.97' (
L- 22 N47022'04'49'E 136.12'459CHARLES E. PRO INS. SR.
L- 22 511.46.57.E 55.34' D.B. 691, ql 829
L- 23 SO9.06'S7'E 55.34'1V)
L- 24 511.54'52'W 74.19'
L- 25 S11.27'06'E 151.04'
L- 27 S3358'03'11 51.04'
L- 27 S33
.58'03'8 100.34' O
BOUNDARY DATA
LINE BEARING DIST
L- 28 N00'38'58'E 30.43'
L- 29 N00'36'25'E 13.88'
L- 30 509'32'56'1 10.12'
L- 31 567.59.34.E 89.26'
L- 32 S85'58'00'E 54.23'
L- 33 565.58.00.E 52.11'
L- 34 568'49'42'E 45.80'
L- 35 N82'26'33'E 19.07'
L- 36 N01.23'08'11 43.60'
L- 37 N82'26'33'E 81.52'
L- 38 589.41'26.E 69.09'
L- 39 500.25.04.E 74.23'
L- 40 581.51'12'E 58.82'
LEGEND
NF • NAIL FOUND
NS 0 NAIL SET
IF • IRON FOUND
I5 0 IRON SET
0 MATHEMATICAL
POINT
LEO 44
NOTE: ALL POINTS ON
DRAN6-IELDS ARE
IRONS SET UNLESS
OTHERWISE NOTED.
N00'S6'56'E 1
36.35
IF
UNLESS SIGNED, SEALED AND DATED, THIS 15 A
PRELIMINARY PLAT, NOT FOR RECORDATION, SALES
DR CONVEYANCES.
HAMLETT-JENNINGS
do ASSOCIATES, PA
PROFESSIONAL LAND SURVEYORS
212 S LAMAR STREET - PO BOX 1286
ROXBORO NORTH CAROUNA 27573
[phone]
.4
3A
8608
50 FT
58
6A
15707
50 FT
5A
8795
SG FT
15' WASTENATER
_ POV LINE -
I S. �� -y. _ NiA5E1El/T
N
2A
9930
SO FT
g
4
5.60
ACRES
LEG 22
5
2.91
ACRES
LEG 18A
20 IF
, HAN
Y REGISTER ' DEEDS ON THE
20___ •
LEG 40 1
N81.51'1
___•149,7,
420' J IF 1 IS IF
CONTOUR LEG 19
420'
CONTOUR
SEE `l
DRAINFIELD ,IF
DATA v
IF
I F
CONTROL
/ CORNER
SEE
CO TOUR
DATA
DEEP RATER
LOT 3
CURVE DATA
CURVE DELTA RADIUS ARC TAN CHORD BR0 CHORD
C- 1 18.48'48' 460.00 151.04 76.21 578'14'08'E 150.37
C- 2 09.54'57. 460.00 79.81 39.90 687'24'01'E 79.51
NS
LEG 10
O'CLOCK _ M.
en f ll . 6. 201110al GIl9l lu AN
J.y m,
b HtGI91nn nr IR8E0SI
Book 1.1 Page 990
III 11111111111111111IIII1111111111
RANDALL J. SMITH
D.B. 447, P. 204 1
RANDY E. EAKES
D.B. 550, P. 682
PLAT OF SURVEY
DEEP WATER
CUNNINGHAM TWP., PERSON COUNTY, N.C.
HAMLETT-JENNINGS d ASSOCIATES, C-948
212 S. LAMAR STREET, ROXBORO, N.C.
APRIL 2010, NEAL C. HAMLETT L-2465
N62'28'33"E •
--- •
C2 NF __-f--_�
IS
6
2.58
ACRES
IF
IF
CAROLINA POWER
6 LIGHT COMPANY
HYCO LAKE
SEE
CONTOUR
DATA
DRAINFIELD DATA
LINE BEARING DIST
L- 41 N88'20'48'E 15.02'
L- 42 N00'56'58'E 131.07'
L- 43 N00'56'56'E 13.52'
L- 44 N10'56'56'E 14.73'
L- 45 N83'49'17'E 29.92'
L- 48 NI1.01'44'E 57.97'
L- 47 N62'48'17'E 24.48'
L- 48 NO8.02'10'1 41.43'
L- 49 N78'52.48•E 34.44'
L- 50 N12.00'15'1 43.84'
L- 51 N86'44'45'E 32.86'
L- 52 516'09'5675 132.53'
L- 53 S10.04'11.8 73.47'
L- 54 514.40'42.8 136.98'
L- 55 S18.57'39'8 129.91'
L- 56 S88.20'48.8 103.50'
L- 57 S88.08'12.8 136.06'
L- 58 588.57'37.8 88.92'
L- 59 508'56'50'8 66.00'
L- 80 505.40'10•E 85.39'
7
3.42
ACRES
• SEE
IF \__BOUNDARY
DATA
VICTOR F. SMITH
D.B. 192, P. 624
IF CONTROL
\ CORNER
•
SEE
CONTOUR
IF DATA
420'
CONTOUR
844 GRAPH Inch • 10011.
STATE OF NORTH CAROL/NA
COUTNTTTYY OF PERSON
I.OF
OF PERSON COUNTY, CERTI THAATETHE MAPER
OR PLAT TO WHICH THIS CERTIFICATE IS
AFFIXED MEETS ALL STATUTORY REQUIREMENTS
FOR RECORDING.
REVIEW OFFICER---- DATE
1 WREST CERTIFY THAT THE SUBDIVISION PLAT AS
DEPICTED HEREON HAS BEEN GRANTED FINAL APPROVAL
PURSUANT TOO ,THE PEFRY50N CO. SUBDIVISION REGULATIONS.
PLANNING AND 20N NG , NN
ADMINISTRATOR
NORTH CAROLINA PERSON COUNTY
NEAL C. HAMLETT , CERTIFY THAT THIS
SURVEY CREATES A SUBDIVISION OF LAND WITHIN
_256598__ COUNTY. WITNESS MY HAND AND SEAL THIS
_22_ DAY OF __11/L14__, 20_L4_.
t�i4 c k-
PROFESSIONA LAND SURVEYOR
I, N€AS C. HAMLETT , CERTIFY THAT THIS
PLAT WAS DRAWN UNDER MY SUPERVISION FROM
AN ACTUAL SURVEY MADE UNDER MY SUPERVISION
1OEED DESCRIPTION RECORDED IN BOOK 732
PAGE 502 , ETC.1107HER1; THAT THE BOUNDARIES
NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN
FROM INFORMATION FOUND IN BOOK / , PAGE
/ THAT THE ORAL OF PRECISION AS CAL-
CULATED IS 1:___,, THAT THIS PLAT WAS
PREPARED IN ACCORDANCE WITH G.S. 47-30 AS
AMENDED. WITNESS MY ORIGINAL SIGNATURE,
REGISTRATION NUMBER AND SEAL THIS _27_ DAY
SURVEYOR _1= •d CL/1_� `+_J .a,A. '[S t
REGISTRATION NUMBER
4-2485
15 908

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