20220247 Ver 1_Shoreline Stabilization_20220207

ROY COOPER ', i l
, . a-DoaLH-
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PGovernor q I
MICHAEL S.REGAN ,� ,,,,q:
Secretary °gauw
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. v,
Date of Pre-filing Meeting Request: ) / i`� / .2Da.i. (required) ^�L
DWR ID# Version (if applicable) \ V- "P----s
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Trung Nguyen
Mailing Address: 501 Hagen Ct.
Salisbury, NC 28144
Telephone Number: 704-433-1820 Fax Number:
E-mail Address:
.._ North Carolina Department of F�vironmental Quality I Division of Water Resources
[Jf� �J�J� 512 North Salisbury Street 1617 Mail Service Center I Raleigh,North Carding 27699 1617
3marolard°'FrOrni^'""" 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/docs/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 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: Rowan Nearest Town: Salisbury
Lake/river/ocean adjacent to property: High Rock Lake
Property size (acres): 0.34 acres
Subdivision name or site address (include phase/lot number):
Lot 40, Fisherman's Cove,440 Lakeshore Dr., Salisbury, NC
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., R on Saint Matthews Church Rd., R on N. Fishermans Ln.,
L on Lakeshore Dr., lot is on right.
Latitude (in decimal degrees) 35.35.5983 Longitude(decimal degrees) 80.19.0979
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Empty lot 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, backfill, rip rap, retaining walls,etc.) in square feet:
122 sa.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:
426 sq.ft.
Temporary impacts(temporary clearing,construction corridor) in square feet:
305 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):
No trees will be removed to install the proposed shoreline 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 requests that the certifying authority review and take action
on this CWA 401 certification request within the applicable reasonable period of time
Of/0246/240,a2,
Owner/Ag Signature* [15A NCAC 02H .0502(f)] Date
*Agent's 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
innn mini am mg men
Shoreline
Plan View
Lake
(At Foli Pond/Normal Weser level)
Existing Dock
30ftx7f[
•O.00 OOOOOOOO.00.O.00 �, 3 ftx 150 ft
��I 11r r�lrrlr•r� � •Ur�.1�O ad/• geloa full pond/NWL
Full Pond/Normal Water Level 00��er tedie. �4� �•.
,., Ns�1�f^� l� 110 . AP.-07 —a ft x 150 ft
• �hore�ne .erikum r,� .1 t�tar
:-�: N� - 1��� Above full pond/NWL
2 ft x 150 ft. ••rw• Imo • oo
additional clearing
•If necessary
EXAM PLE
Plan View
FORM:SSGP 09-2020 Page 4 of 6

CV
J
Lake v
(At Full Pond/Normal Water Level)
— = c
� o
ors
..
c
Side View
IJ-
FORM:SSGP 09-2020 Page 5 of 6

3 ft.below full water level 4 ft.above full 2 ft.additional clearing
pondpond water level *If necessary
I I I I
•III
bank ,
loft.bank
,,
height ,,r Dyed
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Side Vi
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FORM:SSGP 09-2020 Page 6 of 6

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Trung Nguyen
Lot 40, Fisherman's Cove
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 61 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
= (61') x (1') x (2)
= 122 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 31 LF of Shoreline=3 ft.Above Normal Pool
Estimate 30 LF of Shoreline=4 ft.Above Normal Pool

Area of Impact = Length x Height x Slope
= ( 31' x 3' x 2) + (30' x 4' x 2)
= 186 + 240
= 426 sq.ft.
Impact From Construction Above Shoreline Stabilization
Assume 5 ft. Wide Zone
Area of Impact = 61' x 5 ft.
= 305 sq. ft.
Total Area of Impact Above Normal Pool Level = 731 sq.ft.

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VEGETATION AND EROSION
CONTROL FABRIC
EXISTING GRADE
A/ 3 ft*
Varies
CLASS 2 RIP RAP ��, I 3 to 4 ft.
1 i
2 g I v
I
EROSION CONTROL FABRIC 40,AD. Assume
•- •• 1 ft.
LAKE BOTTOM
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
FOR:
TRUNG NGUYEN
LOCATION: LOT 40, FISHERMAN'S COVE
RESERVOIR: HIGH ROCK LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MODERATE RIP RAP STABILIZATION 3

1/19/22, 12:49 PM Submission Completed
sW,�n
Pi e"i Ili FV eetil !g t-ev:.1e5'., ! of Fri
i
NORTH CARO'..i':..
EnWonnentel Qualay
Contact Name* Karen Baldwin Agent for Trung Nguyen
Contact Email Address* [e-mail]
Project Owner* Eagle Creek Renewable Energy
Project Name* High Rock Reservoir
Project County* Rowan
Owner Address:* Street Address
501 Hagen Ct
Address Line 2
City State I Province/Region
Salisbury NORTH CAROLINA
Postal/Zip Code Country
28144 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.*
Shoreline Stabilization in accordance with Cube Hydro'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.
1/2

1/19/2£',12:49 PM 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*
iCirteW cez
Submittal Date 1/19/2022
•
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•
DWR Pre-Filing Meeting Request Form
NORTH CAROLINA
OrvbYbYllt&t '
Contact Name* Karen Baldwin Agent for Trung Nguyen
Contact Email Address* [e-mail]
Project Owner* Eagle Creek Renewable Energy
Project Name* High Rock Reservoir
Project County* Rowan
Owner Address:* Street Address
501 Hagen Ct
Address Line 2
City State/Province r Region
Salisbury NORTH CAROLINA
Postal/Zip Code Country
28144 United States
Is this a transportation project?* Yes 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.*
Shorel ie Stabilization in accordance with Cube Hydro'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 1/19/2022

•
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