20210435 Ver 1_Shoreline Stabilization_20210407

Shoreline Stabilization Application Form
15ANCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TINE
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 view the form.
Attach documentation of Pre -Filing Meeting Request here:
4.2.2021.pdf 10.93MB
Pre -fling Meeting or Request Date 2/16/2021
ID#
I. Applicant Information [15A NCAC 02H .0502(a)]
Version
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]
Reese provide an email address for payrrent and requests for pore information here.
Owner Information:
Name:* Euliss Properties LLC
Email:* [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
524-A West Elm St
Address Line 2
City
Graham
Rbstal / Zip Code
27253
State / Rovince / Region
NC
Country
United States

Is there an agent working on the
project?*
r Yes
C: No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:*
Euliss Properties, 655 Clearwater Lane
If your project has a formal name please use this. If your project does not have 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
C: Look up address
Property Address Lookup:*
Latitude:*
36.515393
Street Address
655 Clearwater Lane
Address Line 2
City State / R-ovince / Region
Semora NC
Fbstal / Zip Code Country
27343 US
Longitude:* -79.065424
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*
4.2.pdf 1.95MB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%20Layout.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.)*
4.pdf 9.11MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Semora
County:* Person
Lake/ river/ ocean adjacent to Hyco Lake
property:
Subdivisions name or site address: * 655 Clearwater Lane Semora NC Lot Number 11
Include phase/lot number
Directions to site:*
Take II9 N to Cunningham Rd, take right on Franklin Rd and then right
on clearwater
Rease include road naves and nurrbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*

Residential (developed)
Fssidential, undeveloped, etc.
6. Property Size
2.22 Acres
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Install rock on eroding shore line
8. How will the work be done?*
rJ 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. )
300
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
300
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)
No tree removal needed
Sketch:
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");
o I 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:*
Signature:
Dennis H Euliss

Initial Review
Is this accepted into the review C' Yes 0 No
process?*
Project Number:* 20210435
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Version: *
Stephanie Goss:eads\szgoss
Raleigh Regional Office - [phone]
1
✓ No Payment Needed
✓ Fee Received
C' Need Fee - send electronic notification
C' $240.00
✓ $570.00

Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Level
Shoreline
Plan View
Full Fond/ Normal Water Level'
® horeaii`ne` —
7 ft.x lsoft.
additional Beating
" If necessary
Plan View
Lake
(At Foli Pond/ Npana( Weer leve>)
r-b
Existing Dock
3oft.7it
FORM: SSGP 09-2020
Page 4 of 6

FORM: SSGP 09-2020
Page 5 of 6

3 ft. below full pond water level 4 ft. above full pond water level
2 ft. additional clearing
'if necessary
10 ft. bank
height
FORM: SSGP 09-2020
Page 6 of 6

12/213/2020 Yahoo Mail - kyco Lake bank stabilizatIon: Person Co.
Hyco Lake bank stabilization; Person Co.
From' Bailey, David E CN USARMY CESAW (USA) ([e-mail])
To: [e-mail] •
Cc, [e-mail]; stephanie,goss@ncdenrgov; tammy@hycoiake,org
Date: Monday, June 15, 2020, 02:07 PM EDT
Hi Mr. Euliss, and thank you for your email. Since the project is in Person County, you'll be working with Mr. Chris
Hopper as the Corps of Engineers contact; I have cc'd him on this email., which outlines some items that we need from
you in order to verify that you can use a Regional General Permit (RGP) 30 for your proposed project. Specifically,
please provide the following information (via email given our current telework status):
1, Basic project description and address (include parcel numbers if available);
CC L1_S ,cc 7S elS
2. Length and dimension of shoreline proposed to be impacted (include the average depth that the riprap will extend
past normal water level);
IV' 30-‘, ..4cJ-eri.,,..-,e_
P C4- )4 int.,\J +0 1 fk-
3. Pictures of the shoreline to where the impacts will occur in order to show current conditions. Note that the nprap
stabilization should only occur where there is an actual erosion problem (i,e. there needs to be a need for the
stabilization other than simply aesthetics):
4. Is any portion of your shoreline already riprapped? If so, how many linear feet? Note that your current property counts
towards this total and that you are limited to 500 linear feet by the GP 30.
1\1 0
5, Aerial view map showing your property and approximate location of the proposed impact area.
The RGP 30 can be found at the following website:
http://saw-reg.usace,army,mil/RGP/RG P30-201 612 pdf
In particular, the following conditions of the RGP 30 are pertinent to bank stabilization involving riprap:
r. Where wetlands are present along a shoreline, all shoreline stabilization activities (bio-engineering techniques,
construction and backfill of bulkheads, and the placement of riprap material) must be undertaken landward of the
wetlands. This general permit does not authorize the discharge of dredged or fill material within wetlands.
s. Bulkhead and riprap alignments, or shoreline stabilization structures will not extend farther waterward than an
average distance of two (2) feet, maximum distance of five (5) feet from the normal pool elevation contour and may not
extend more than 500 feet along a shoreline.
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2/16/2021 Yahoo Mail - Hyco Lake bank stabilization; Person Co.
u. Material placed for shoreline stabilization will not exceed an average of one cubic yard per running foot placed below
the plane of the ordinary high water mark. Material should only be placed where shoreline is actively eroding and no
material should be placed in excess of the minimum needed for erosion protection.
Once received, Chris will review the information to determine if the proposed project meets the terms and conditions of
RGP 30 and respond by email or request more information as needed.
Note, however, that you must also receive approval from the NC Division of Water Resources (NCDWR). Please see
the "Shoreline Stabilization Form and Help Document" section at the following NCDWR website:
httplideq.nc,goviaboutidivisionsiwate -resourcesiwat ,r- e.. es-permitsLw -wetlands-
buffer-permi401-application-forms-help-docpments
Stephanie Goss (cc'd above) is currently the appropriate NCDWR contact for those requirements. Her phone number is
919-791-4200.
Thank you for your time and coordination.
-Dave Bailey
David E. Bailey, PWS
Regulatory Project Manager
US Army Corps of Engineers
CE-SAW-RG-R
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Phone: [phone], Ext. 30.
Fax: [phone]
Email: [e-mail]
We would appreciate your feedback on how we are performing our duties. Our automated Customer Service Survey is
located at: http://corpsmapu.usace.army.mil/cm_ape)df?p=136:4:0
Thank you for taking the time to visit this site and complete the survey.
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