20211358 Ver 1_Shoreline Stabilization_20210907

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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
State of North Carolina
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 09-2020
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
!f sending via US Postal Service
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
NOTE: 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) which states "At least 30
days prior to submitting a certification request, the project proponent shall request a pre -filing
meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must 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 F1 rre to view the
form.
Attach documentation of Pre -Filing Meeting Request to this application.
Date of Pre -filing Meeting Request: (, / 02./02.D4 (required) RECEIVED
DWR ID #
Version (if applicable)
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Edward Cooper
S E P 7 2021
DEQ-WATER RESOURCES
401 & BUFFER PERMITTING
Mailing Address: 411 Harbor Dr. West
Lexington, NC 27292
Telephone Number: 336/859-0641 Fax Number:
E-mail Address: [e-mail]
North Carolina Department r Envirormtenral Quality ; Division of Water Resources
512 North Salisbury Street ! 1617 Mail Service Center Raleigh North Carolina 27b99-1617
9t9.707 9000

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/dots/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
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.
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
Lake/ river/ ocean adjacent to property: High Rock Lake
Property size (acres): 1.18 acres
Subdivision name or site address (include phase/lot number):
Lot 40, Stoney Point
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 Stoney Point
Drive, R on Harbor Dr. West, property is on the L side of road.
Latitude (in decimal degrees) 35.37.0881 Longitude (decimal degrees) 80.13.1718
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Single-family residential community
FORM: SSGP 09-2020 Page 2 of 6

6. 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.
7. Will work be conducted from land? El
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:
406 Sq. Ft.
Temporary impacts in square feet:
None
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:
812 Sq. Ft.
Temporary impacts (temporary clearing, construction corridor) in square feet:
1015 Sq. Ft.
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): 10 to 12 trees of varied species
size and condition will be removed in order to complete the stabilization project.
11. Signature
By signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true,
accurate, and complete to the best of my knowledge and belief
• 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
Owner/agent's Signature" [ ] Date
"Agen 4s 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
FORM: SSGP 09-2020
Page 3 of 6

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
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Level
Shoreline
Plan View
M—itiN—
Full Pond/ Normal Water Level
Shoreline
2 ft. x150 ft.
additional clearing
• if necessary
Lake
(At Full Pond/ Normal Water Lovell
Riprap
EXAMV L
Plan View
3 ft x 150ft
WOW full pond/ NWL
4ftx150ft
A5Jve full pond/ NWL
FORM: SSGP 09-2020
Page 4 of 6

OZOZ-60 d9SS : V *O:
Full Pond/ Normal Water Level
Shoreline

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

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Edward Cooper
Lot 40, Stoney Point
STABIUZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 203 LF of proposed shoreline stabilization measures.
Detail 2 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 8 on NCDEQ Form SSGP 09-2020)
Area of Impact = Shoreline Length x Depth* x Slope
= (203') x (1') x (2)
= 406 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 9 on NCDEQ Form SSGP 09-2020)
Permanent Impact From Shoreline Stabilization Measures
Height of Bank Above Normal Pool Varies Across the Shoreline
Estimate 203 LF of Shoreline = 2 ft. Above Normal Pool

Area of Impact = Length x Height x Slope
= (203' x 2' x 2)
= 812 sq. ft.
Impact From Construction Above Shoreline Stabilization
Assume 5 ft. Wide Zone
Area of Impact = 203 x 5 ft.
= 1015 sq. ft.
Total Area of Impact Above Normal Pool Level = 1827 sq. ft.

Davidson County GIS
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Edward Cooper, Lot 40, Stoney Point

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VEGETATE DISTURBED AREA
ABOVE SLOPE
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2
EROSION CONTROL FABRIC --------4F-
TYPICAL CONDITIONS
• 12" TO 36" ERODED CUT
• WAVE EXPOSURE
1
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EXISTING GRADE
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BO�OM
FOR:
LOCA11ON:
RESERVOIR:
EDWARD COOPER
LOT 40, STONEY POINT
HIGH ROCK LAKE
PROJECT:
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE:
MINOR RIP RAP STABILIZATION
DETAIL
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Contact Name *
Contact Email Address*
Project Owner*
Project Name *
Project. County*
Owner Address:*
Karen Baldwin, Agent for Edward and Elizabeth Cooper
karen.baidwin c@eaglecreekre,com
Eagle.CreekRenewable Energy
High Rock Reservoir
Davidson
St!€c A k»
411 Harbor.Drive West •
Adde:,^, lir 2
e, Slue;R -1O1; 0r1
Lexington NORTH CAROLINA
rcrsrz.d i Zip (rile ',`..a lry
27292 United States.
Is this a transportation project?* r Yes r No
Type(s) of approval .sought from the DWR:.
1- :401 Water Quality Certification - r" 401 Water Quality .Certification -
Regtdar Express
r hdividual Permit r Modification
1 Shoreline Stabilization
Does this project have an existing project JD#?*
i' Yes r• No
Do you know the name of the staff me rnber you would like to request ;a meeting with?
N/A
Please give a brief project description below and Include Iocatlon information.*
Shoreline Stabilization in accordance v,rith Cube Hydro's $horeline
Managernent Plan Guidelines.
By digitally signing below, I certify that I have read -and understood that per the Federal Cleary Water Act Section
401 Certification Rulethe following statements;
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean. Water Act Section4.01 Certification
Rule.
• understand.by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
▪ also understand that DWR is not required to respond or grant the Meeting request.
Your project's thirty -day clock started upon receiptof 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
Submittal Dat9 6/2/2021