20210387 Ver 1_Shoreline Stabilization_20210325

DWR Pre -Filing Meeting Request Form
RECEIVED/NCDEQ/DWR
MAR 2 5 20
Water Quality
Permitting Section
l xr
Regional Office
Reviewer List*
20210387
Version
Winston-Salem Regional Office - [phone]
Sue Homewood
Pre -Filing Meeting Request submitted 2/17/2021
Contact Name* Terri Owens
Contact Email Address [e-mail]
Project Name Owens Bank Stabilization Project
Project Owner* Terri Owens
Project County* Davidson
Owner Address: Street Address
120 Cleveland Drive
Address lire 2
Oty State / F rovince / Ragion
Lexington NC
Fbstal / Zip Code Country
27292 Davidson
Is this a transportation project?* r Yes No
Type(s) of approval sought from the DWR:
I— 401 Water Quality Certification - 7 401 Water Quality Certification -
Regular Express
lW Individual Permit T Modification
I— Shoreline Stabilization
Does this project have an existing project ID#?
r• Yes r No
Please list all existing project ID's associated with this projects.
15A NCACO2H .0502(a) & (b)
Do you know the name of the staff member you would like to request a meeting with?
Sue Homewood
Please give a brief project description below.
IVEDINCDE
MAR 2021
-Oischa
ermlttln9 Unit

I am not sure I checked the proper approval from above. I have paid
the $1075 to the US Army Corps of Engineers and the NC Dept of
Water Quality. They informed me to send a check for $240 to the NC
division of Water and Quality.. Which I did and they returned because
during this time 1 now have to do a pre -filing meeting with you.
I want to stabilize my eroding shoreline and protect it from further
erosion.' have the site plans and details that I will send to you after
our meeting.
I only have hard copies of the documents, can I mail them to you?
Please give a couple of dates you are available for a meeting.
2/26/2021
3/2/2021
2/3/2021
3/12/2021
2/17/2021
Please attach the documentation you would like to have the meeting about.
Pcfr 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.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• I 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
Rt ti (4rr741
Submittal Date 2/17/2021

DWR
Division of Water Resources
RECEIVED/NCDEQIDWR
MAR 2 5 2021
Watt:
Permitting Section
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
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: Terri Leigh Owens
Mailing Address: 120 Cleveland Drive
Lexington, NC 27292
Telephone Number: 336-301-0236
E-mail Address: [e-mail]
Fax Number:
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):
120 Cleveland Drive, 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 8Z L on Wafford Road,
R on Wafford Circle, R on Cleveland Drive, property is on the R side of road.
Latitude (in decimal degrees) 35.40.4801 Longitude (decimal degrees) 80.15.1882
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): 1.02 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? VI From water? n
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:
360 Sq. 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: 2700 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): 4 to 6 trees
will be removed in order to complete the stabilization project.
414-Akw) Ik 03 ao 2v
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

Lake
(At Full Pond/ Normal Water Level)
Full Pond/
Normal Water Level
I— —E—
Shoreline
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

k
NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Terri Leigh Owens
120 Cleveland Drive, Lexington, NC
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 180 LF of proposed shoreline stabilization measures.
Detail 3 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
= 180 LF x 1ft. x 2
= 360 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 180 LF of Shoreline = 5 ft. Above Normal Pool
Area of Impact = Length x Height x Slope
= ( 180 LF x 5 ft. x 2)
= 1800 sq. ft.

a
Impact From Construction Above Shoreline Stabilization - Assume 5 ft. Wide Zone
Area of Impact = 180 LF x 5 ft.
= 900 sq. ft.
Total Area of Impact Above Normal Pool Level = 2700 sq. ft.

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CLASS 2 RIP RAP
EROSION CONTROL FABRIC—��
TYPICAL CONDITIONS
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• WAVE EXPOSURE
VEGETATION AND EROSION
CONTROL FABRIC
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EXISTING GRADE
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FOR:
LOCATION:
RESERVOIR:
TERRI LEIGH OWENS
120 CLEVELAND DRIVE
HIGH ROCK LAKE
PROJECT:
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - 3ADIN, NO-RTI CAROLINA
DRAWING TITLE:
MODERATE SIP RAP STABILIZATION
DETAIL
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12/18/2020 120 Cleveland Dr - Google Maps
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