20220417 Ver 1_Shoreline Stabilization_20220316

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.
Todd McDaniel Rush
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
128 Thora Dr
Address Line 2
128 Thora Dr
City State / Province / Region
Jamestown NC
Postal / Zip Code Country
27282 United States
Is there an agent working on the project?* Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
Todd Rush- 527 Pennington Ferry Drive, Rip Rap Stablization
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:
Latitude: * 35.483402
Longitude: *-80.097677
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*
12.30.2021 Rush_ DWQShorelineForm_09...
1.31 MB
w Attachments.pdf
Please use the diagram at the link below:
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.)
4. Location of the property (where work is to be conducted)
Nearest Town: * New London
County: * Montgomery
Lake/ river/ ocean adjacent to Badin Lake
property:
Subdivisions name or site address:*
527 Pennington Ferry Drive
Include phase/lot number
Directions to site: *
NC Hwy 49 to Badin Lake Road, R on Uwharrie Point Parkway, see gate
attendant for directions to property.
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: *
Empty Lot for future build
Residential, undeveloped, etc.
6. Property Size
0.56
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Due to boat waves, the shoreline is being eroded. Stabilizing the show via
rip rap to prevent further erosion
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.)
442
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.)
1126
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)
25 to 30 trees of varied species and condition will be removed to complete
the shoreline stabilization.
Sketch: 12.30.2021 _Rush_DWQShorelineForm_09...
1.31 MB
w Attachments.pdf
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):
o $240.00 for impacts to lake (below normal water level) of less than 1 acre
o $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:
o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best
of my knowledge and belief
o 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.
o 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");
o 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");
o 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:*
Signature:
Todd McDaniel Rush
Submittal Date: 3/14/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number:* 20220417 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

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:
If 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 here to view the
form.
Attach documentation of Pre -Filing Meeting Request to this application.
Date of Pre -filing Meeting Request: / / (required)
DWR ID #
Version (if applicable)
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Todd M. Rush
Mailing Address: 128 Thora Drive
Telephone Number:
E-mail Address:
Jamestown, NC 27282
336-906-0488 Fax Number:
[e-mail]
.D_E
NORTH CAROLINA
Department of Environmental pualk;\ sje...
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/docs/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: Montgomery Nearest Town: New London
Lake/ river/ ocean adjacent to property: Badin Lake
Property size (acres): 0.56 acres
Subdivision name or site address (include phase/lot number):
Lot 26, Pennington Ferry, Uwharrie Point
Directions to site - please include road names and numbers, landmarks, etc.: NC Hwy 49 to
Badin Lake Road, R on Uwharrie Point Parkway, see gate attendant for directions to property.
Latitude (in decimal degrees) 35.28.5966 Longitude (decimal degrees) 80.05.5157
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Existing house in subdivision development
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? 171
From water? n
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:
442 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:
1126 sq. ft.
Temporary impacts (temporary clearing, construction corridor) in square feet:
1105 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): 25 to 30 trees of varied
species and condition will be removed to complete the 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
Owner/Agent's 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
FORM: SSGP 09-2020 Page 3 of 6

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
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
Full Pond/
Lake
(At Full Pond/ Normal Water Level)
'formal Water Level
Shoreline
Plan View
FORM: SSGP 09-2020
Page 4 of 6

La ke
(At Fuld Pond/ Normal Water Level)
Side View
(75
O
z
0
0
0
L
Full Pond/ Normal Water Level
nrArne — —
2 ft. it 150ft.
additional clearing
* if necessary
Plan View
Lake
(At Full Pond/ Normal Water level)
looliwookiieWeemeriem
:I•1•e.',
,Riprap :,
•
••••'
Existing Dock
30 ft 7 ft
3 ftx 150ft
Below full pond/ NWL
imm
4 ftx 150 tt
Above full pond/ NWL
FORM: 55GP 09-2020
Page 5 of 6

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
L
Existing bank
4,4
qb,,
IPF
AMPLE
FORM: SSGP 09-2020 Page 6 of 6

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Todd M. Rush
Lot 26, Pennington Ferry, Uwharrie Point
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 221 LF of proposed shoreline stabilization measures.
Details 2 & 3 indicate 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
= (221') x (1') x (2)
= 442 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 100 LF of Shoreline = 2 ft. Above Normal Pool
Estimate 121 LF of Shoreline = 3 ft. Above Normal Pool

Area of Impact = Length x Height x Slope
= (100' x 2' x 2) + (121' x 3' x 2)
= 400 + 726
= 1126 sq. ft.
Impact From Construction Above Shoreline Stabilization
Assume 5 ft. Wide Zone
Area of Impact = 221' x 5 ft.
= 1105 sq. ft.
Total Area of Impact Above Normal Pool Level = 2231 sq. ft.

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VEGETATE DISTURBED AREA
ABOVE SLOPE
1
2
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
• 12" TO 36" ERODED CUT
• WAVE EXPOSURE
EXISTING GRADE
CLASS 1 RIP RAP
Approx.
2 ft.
Assume
1 ft.
LAKE _---
BO TTOM
FOR:
LOCATION:
RESERVOIR:
TODD M. RUSH
LOT 26, PENNINGTON FERRY, UWHARRIE POINT
BADIN LAKE
PROJECT:
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE:
MINOR RIP RAP STABILIZATION
DETAIL
2

VEGETATION AND EROSION
%)iT CONTROL FABRIC
•
11
/\/ 3
CLASS 2 RIP RAP
•.
1
p
40
mgt..
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
EXISTING GRADE
Approx.
3 ft.
41..I
//\\\ LAKE L� - - - -
BOTTOM
Assume
1 ft.
FOR: TODD M. RUSH
LOCATION: LOT 26, PENNINGTON FERRY, UWHARRIE POINT
RESERVOIR: BADIN LAKE
PROJECT:
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE:
MODERATE RIP RAP STABILIZATION
DETAIL
3