20220381 Ver 1_Shoreline Stabilization_20220310

Shoreline Stabilization Application Form
NORTH CAROLINA
EnWnnmentufQu&lry
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
DRAFT -NOT FOR USE AT THIS TIME
Submission Form
I. Applicant Information [15A NCAC 02H .0502(a)]
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 *
Owner Information:
Name:*
Email:*
Phone Number:
Mailing Address: *
[e-mail]
Please provide an email address for payment and requests for more information here.
ROBERT EHINGER
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
16 Winterberry Ct
Address Line 2
City State / Province / Region
Greensboro NC
Postal / Zip Code Country
27455 United States
Is there an agent working on the project? * Yes
• No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Ehinger 180 Tillery Ct Shoreline Stabilization
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. *
Upload File
Look up address
Upload Map: 2022 Vicinity Map 180 Tillery Ct PDF.pdf 182.25KB
Latitude: * 35.312016 Longitude: *-80.076913
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*
2022 Lake House DEQWR application
diagrams.pdf
Please use the diagram at the link below:
I29.58KB
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.)
PDF Left of walkway.pdf 724.7KB
PDF Right of walkway.pdf 677.62KB
4. Location of the property (where work is to be conducted)
Nearest Town:* Troy NC
County: * Montgomery
Lake/ river/ ocean adjacent to Lake Tillery
property:
Subdivisions name or site address:*
Woodrun on Tillery Subdivision, Lot 1391, 180 Tillery Court
Include phase/lot number
Directions to site:*
From Rt 24/27 at Swift Island, take River Road north. Turn left into
Woodrun subdivison. Past guard house take Woodrun Drive to Skyland
Drive and turn left. Skyland Drive to Sleepy Hollow Ln. Turn Left onto
Sleepy Hollow Ln. Take road to it's end (near end there is a curve to right;
road actually changes name here to Tillery Ct though there is no sign for
this. 180 Tillery Court is at end of cul-de-sac; house number marker is at
the roadside.
Please include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application: *
We have 135 feet of lake front and have had wooden retaining wall for
over 17 yrs (we purchased property in 2014). Time, water and muskrats
have eroded retaining wall and it is now truly disintegrating in several
places causing erosion of our yard that is progressing. There are several
holes and eroded areas in the grassy yard.
Residential, undeveloped, etc.
6. Property Size
0.42
Acres

7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Replacing current wooden retaining wall (135 ft) is necessary to protect
our property. Current wooden vertical wall will be removed and replaced
with small/medium stone to stabilize the shoreline and prevent further
damage to the property.
8. How will the work be done?*
From Land
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.)
405 sq ft
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.)
540 sq ft
square feet
11. 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 is approximately 25 feet of scrub vegetation on the extreme north
side of the shoreline (left in attached pictures) that my be disturbed by the
removal of current retaining wall and placement of rock wall. No trees
will be cut/disturbed.
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):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
a I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
a 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.
a 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");
a 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");
a 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: * Robert R. Ehinger
Signature:
Submittal Date: 3/9/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220381 Version:* 1
Select Reviewer: * Chad Turlington:eads\ccturlington
Select Reviewing Office: Fayetteville Regional Office - [phone]
Has payment been received?* ( No Payment Needed
C Fee Received
C• Need Fee - send electronic notification
What amount is owed?*
C• $240.00
C $570.00

0 New Submission
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation Bearing
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
Full Pond/ Normal Water Level
Shoreline
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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
FORM: SSGP 02-2017
Page 1 of 3

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FORM: SSGP 02-2017
Page 2 of 3

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