20220179 Ver 1_Shoreline Stabilization_20220207

is) duo �
ROY COOPER
Governor '1 1/43\ .:
MICHAEL S.REGAN
Secretary
S.DANIEL SMITH NORTH CAROLINA State of North Carolina
Director Environmental Quality
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.)
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 121.5(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 here to view the
form.
Attach documentation of Pre-Filing Meeting Request to this application.
RECEIVED
Date of Pre-filing Meeting Request: -/ '- /(7)C -2-"(required)
FEB - 7 7m2
DWR ID# Version (if applicable)
DEO-WATER RESOURCES
401 &BUFFER PERMITTING
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: John Chyriwski
Mailing Address: _ 1148 Riverwood Drive
Salisbury, NC 28146
Telephone Number: 516-661-5311 Fax Number:
E-mail Address: IanekracPaol.com
c North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I 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:
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: Fax Number:
E-mail Address:
B. Project Information [15A NCAC O2H .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: Rowan Nearest Town: Salisbury
Lake/river/ocean adjacent to property: High Rock Lake
Property size (acres): 2.12 acres
Subdivision name or site address(include phase/lot number):
Rowan Tax PID 502 043, on Right side Bringle Ferry Road first parcel across bridge
past Tamarac Marina
Directions to site- please include road names and numbers, landmarks,etc.: 1-85 to
Innes St. exit, east on Innes St., L on Stokes Ferry Rd., L on Providence Church Rd.,
R on Bringle Ferry Rd., first parcel across bridge past Tamarac Marina.
Latitude (in decimal degrees) 35.36.2703 Longitude (decimal degrees) 80.18.1946
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Undeveloped lake front parcel
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? Li
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:
530 sg.It.
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:
1460 so.ft_
Temporary impacts(temporary clearing,construction corridor)in square feet:
1325 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,tor instance):
6 to 8 trees will be removed to install the oropoced shoreline stabilirat on
11. Signature
By signing below,1,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
'
Ctw#Fier/Agent's Signatifre' 115A NCAC 02H.0502(fl) Date
'Agent's signature is valid only if on 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
Lake
(At Full Pond/Normal Water level) Existing Dock
o-.;n
aftx150ft
Below full pond/NWI-
Full Pond/Normal Water Level
—1hOrellal�n2 ®av - - _ 4ft also ft
Riprap Above full pond/NWL
2 ft.a 150 ft.
additional clearing
if neCe552ry
EKAM
PE
Plan View
FORM:SSGP 09-2020 Page 4 of 6

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Full Pond/ Normal Water Level
I Shoreline
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3 ft.below fullpond water level 4 ft.above full pond water level 2 ft.additional clearing
*if necessary
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I Existing bank
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FORM:SSGP 09-2020 Page 6 of 6

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: John Chyriwski
Bringle Ferry Road, Rowan County Tax Parcel 502 043
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 265 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 8 on NCDEQ Form SSGP 09-2020)
Area of Impact = Shoreline Length x Depth* x Slope
= (265') x (1') x (2)
= 530 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 65 LF of Shoreline = 2.ft. Above Normal Pool
Estimate 200 LF of Shoreline = 3 ft.Above Normal Pool

Area of Impact = Length x Height x Slope
= ( 65' x 2' x 2) + ( 200' x 3' x 2)
t 260, + 1200
= 1460 sq.ft.
Impact From Construction Above Shoreline Stabilization
Assume 5 ft. Wide Zone
Area of Impact = 265' x 5 ft.
= 1325 sq.ft.
Total Area of Impact Above Normal Pool Level = 2785 sq.ft.

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CHYRIWSKI SITE MAP

VEGETATION AND EROSION
:),/ CONTROL FABRIC
�/ — EXISTING GRADE
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4• i Varies
CLASS 2 RIP RAP • :e*_ i 2 to 3 ft.
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EROSION CONTROL FABRIC— S ► Assume
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/��/�/�\��\� LAKE BOTTOM
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
FOR: JOHN CHYRIWSKI
LOCATION: 1148 RIVERWOOD DRIVE
RESERVOIR: HIGH ROCK LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. — BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
in MODERATE RIP RAP STABILIZATION 3
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Karen Baldwin
From: [e-mail]
Sent: Wednesday, February 02, 2022 9:33 AM
To: Karen Baldwin
Subject: Pre-Filing Meeting Request Acknowledgement- High Rock Reservoir
Attachments: DWR Pre-Filing Meeting Request Form.pdf
[This email originated OUTSIDE of Eagle Creek. Exercise caution. DO NOT open attachments or click links
from unknown senders or unexpected email.]
The North Carolina Division of Water Resources has received the Pre-Filing Meeting Request Form for High
Rock Reservoir that you submitted on 2/2/2022. Attached is a copy of your request.
All certification requests (applications) 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.
The Division can not accept an application for your project earlier than 30 days from this pre-filing meeting
request. Applications that do not meet this 30-day requirement will be returned.
Please save this email/attachment; it must be submitted with your application to document that this
requirement has been met.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address,
as responses are not monitored.
1

DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
FnvlrwowudQuota,
Contact Name* Karen Baldwin Agent for John Chyriwski
Contact Email Address* [e-mail]
Project Owner* Eagle Creek Renewable Energy
Project Name* High Rock Reservoir
Project County* Rowan
Owner Address:* Street Address
1148 Riverwood Drive
Address Line 2
City State/Province/Region
Salisbury North Carolina
Postal/Zip Code Country
28146 United States
Is this a transportation project?* Yes v No
Type(s)of approval sought from the DWR:
401 Water Quality Certification- 401 Water Quality Certification-
Regular Express
Individual Permit Modification
Shoreline Stabilization
Does this project have an existing project ID#?*
Yes No
Do you know the name of the staff member you would like to request a meeting with?
NA
Please give a brief project description below and include location information.*
Standard Shoreline Stabilization in accordance with Cube Yadkin's
Shoreline Management Plan
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 projects 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 2/2/2022

' 2/2/22,9:33 AM Submission Completed
32
?y�l f, e_ —;ling Meeting Request Form =.„;:•
NCR I N CARO_INA
Environmental Quality
Contact Name* Karen Baldwin Agent for John Chyriwski
Contact Email Address* [e-mail]
Project Owner* Eagle Creek Renewable Energy
Project Name* High Rock Reservoir
Project County* Rowan
Owner Address:* Street Address
1148 Riverwood Drive
Address Line 2
City State I Province/Region
Salisbury North Carolina
Postal/Zip Code Country
28146 United States
Is this a transportation project?* Yes No
Type(s)of approval sought from the DWR:
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Individual Permit Modification
Shoreline Stabilization
Does this project have an existing project ID#?*
Yes No
Do you know the name of the staff member you would like to request a meeting with?
NA
Please give a brief project description below and include location information.*
Standard Shoreline Stabilization in accordance with Cube Yadkin's Shoreline Management Plan
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.
https://edocs.deq.nc.gov/Forms/Form/Submit 1/2

2/2/22,9:33 AM Submission Completed
• 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*
te' te o-
Submittal Date 2/2/2022
https://edocs.deq.nc.gov/Forms/Form/Submit 2/2

2/2/22,9:45 AM Tamarac Marina-Google Maps
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