20211487 Ver 1_Shoreline Stabilization_20211012

ROY COOPER
Governor
• MiCHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
1
(&caii4g
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:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
k Paul Wojoski Paul Wojoski
DWR — 401 & Buffer Permitting Branch DWR-- 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 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.S(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 daysprior 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 R form, FCE4iO
Attach documentation of Pre -Filing Meeting Request to this application. \\ / f OCT
Date of Pre -filing Meeting Request: � / 3-4 / 4404 (required)
WA
DWR ID #� Version (if•applicable) eu FFgPer ce
A. Applicant Information [15A NCAC 02H .0502(a)]
1_ Owner information
Name: Mark & Sandra Swink
Mailing Address: 2100 Clark Road
Telephone Number:
E-mail Address:
Salisbury, NC 28146
8d5/732-6945 Fax Number:
North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street l 1617 Mail Service Center ; Raleigh, North Carolina 27699-1617
919,707,9000

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:
• • httn://www.saw.usace.armv.mil/Portals/591docs/reguEatorv/reedocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.Ddf)
Name: N/A
Company Affiliation:
' 'Mailing Address;
Telephone Number: Fax Number:
E-mail Address:
B. Project Information [15A NCAC 02H .0502(a) & (b))
1. Attach a vicinity map (Le. 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: Rowan Nearest Town; Salisbury
Lake/ river/ ocean adjacent to property: High Rock Lake
Property size (acres): 2.23 acres
Subdivision name or site address (Include phase/lot number):
2100 Clark Road
Directions to site - please include road names and numbers, landmarks, etc.: I.85 to
Long Ferry Road exit, east on Long Ferry Road, R on Goodman Road, Lan Bringle Ferry
Road, L on Clark Road. L on Jane Road, hard right orpoerV IF at end of road,
Latitude (in decimal degrees) 35.37.0685 Longitude (decimal degrees) 80.18.1304
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Existing house in residential subdivision
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?
From water? ❑
8. Total amount of Impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfili, rip rap, retaining walls, etc.) in square feet:
206 sq. ft.
Temporary impacts in square feet:
None
9. Total amount of impacts above the normal pool lake level / Normal Water Level and SO feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
61$ so. ft.
Temporary impacts (temporary clearing, construction corridor) in square feet:
515sq.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): There are no existing
trees on the shoreline that will be removed to install the proposed stabilization.
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 r quts that the certifying authority review and takelaction
on this CWA 401 certification resist withi the applicable reasonable .period of time
Owner/Agent's Signature` [15A NC{AC 02H .0502(fll
Date
'Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximatelysketch the following information on this plan and provide dimen
each item: •
a. All proposed vegetation clearing
b. Location of rlp rap or fill to be placed above the Full Pond/ Normal Water Level el
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level el
FORM: SSGP 09-2020
;Ions for
evation
evation
Page 3 of 6

DocuSign Envelope ID: 64D3565F-85E0-4CCF-B9F6-500B9F2A5318
ROY COOPER
Governor
ELIZABETH S. B1SER
Secretary
S. DANIEL SMITH
Director
NORTH CA.ROLINA
Environmental Quality
July 6, 2021
DWR # 20210898
Davidson County
Paul Brannon
4307 Millis Rd., Apt 207
Jamestown NC 27282
Delivered via email to: [e-mail]
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION
Lot 14, Hidden Hills Shoreline Stabilization
Dear Mr. Brannon:
You have our approval for the impacts listed below for the purpose described in your application dated
June 17, 2021 and received by the Division of Water Resources (Division) June 29 2021. These impacts
are covered by the attached Water Quality General Certification Number 4145. This certification is
associated with the use of Regional General Permit Number 30 once it is issued to you by the U.S. Army
Corps of Engineers. Please note that you should get any other federal, state or local permits before
proceeding with your project, including those required by (but not limited to) Sediment and Erosion
Control, Non -Discharge, and Water Supply Watershed regulations.
The Division has determined that the proposed project will comply with water quality requirements
provided that you adhere to the conditions listed in the enclosed certification.
The following proposed impacts are hereby approved. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b)]
Type of Impact
Amount Approved
Permanent
Amount Approved
Temporary
Open Waters
Shoreline Stabilization
134 linear feet
0 linear feet
This approval is for the purpose and design described in your application. The plans and specifications
for this project are incorporated by reference as part of this Certification. If you change your project,
you must notify the Division and you may be required to submit a new application package with the
appropriate fee. If the property is sold, the new owner must be given a copy of this Certification and is
responsible for complying with all conditions. [15A NCAC 02H .0507(d)(2)].
If you are unable to comply with any of the conditions of the attached Water Quality General
Certification, you must notify the Winston Salem Regional Office within 24 hours (or the next business
Orparimed al
North Carolina Department of Environmental Quality Division of Water Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem. North Carolina 27105
336.776.9800

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DWR Pre -Filing Meeting Request Form
Contact Name *
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:*
Is this a transportation project? *
Mark A Swink
[e-mail]
Mark & Sandra Swink
Shore Line Stabilization
Rowan
Street Aderess
2100 Clark Rd.
4ddrf ss Lre
Cty Stater R ovince Regica
Salisbury NC
Rstal / Zip code Carty
28146 United States
r Yes No
Type(s) of approval sought from the DWR:
✓ 401 Water Quality Certification - r- Water Quality Certification -
Regular Express
I— Individual Permit I— Modification
P Shoreline Stabilization
Does this project have an existing project ID#?*
✓ Yes r No
Do you know the name of the staff member you would like to request a meeting with?
Alan D Johnson
RECEIVED
OCT 1 2 2021
DEQ-WATER RESOURCES
401 & BUFFER PERMITTING
Please give a brief project description below and include location information.*
We are needing to install a rip rap shoreline stabilize where our
property 2100 Clark Rd. Salisbury NC. meets Figh Rock Lake as the
eAsting wood shoreline stabilization has rotted and come apart
causing excessive erosion to shoreline.
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 *
Submittal Date
8/30/2021