20220565 Ver 1_Shoreline Stabilization_20220413

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ROY COOPER Governor u
MICHAEL S.REGAN x ;
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 documentatio Pre-Filing Meetin his application.
Date of Pre-filing Meeti que3 (required) / '1 1J.�.
Version if applicable)
(
RECEIVED
A. Applicant information i15A NCAC 02H .0502(a)] APR 1 3 2022
1. Owner Information
Name: Travis iarrett REQ-WATER RESOURCES
Mailing Address: 311 Mayberry Street 401 &BL FFER PERMITTING
Winston Salem,NC 27107
Telephone Number: 336/442-9629 Fax Number:
E-mail Address: 7' 4V/S. AIR ETTa9e©OM. & 044-
North Carolina Department of Environmental Quality I Division of Water Resources
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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)j
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: Davidson Nearest Town: Lexington
Lake/ river/ ocean adjacent to property: High Rock Lake
Property size (acres): 0.31 acres
Subdivision name or site address (include phase/lot number):
Lot 63, Riverview Acres, 1156 Riverview Rd., Lexington, NC
Directions to site - please include road names and numbers, landmarks, etc.:
i-Z5 to Lexington exit for NC Hwy 8, go south on NC Hwy 8, R on Linwood-
Southmont Rd., L on Riverview Rd., property is on the R side of road.
Latitude (in decimal degrees) 35.41.0796 Longitude (decimal degrees) 80.18.0649
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Single-family residential community
FORM: SSGP 09-2020 Paee 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:
120 Sq. Ft.
Temporary impacts in square feet:
None
9. Total amount of impacts above the normal pool lake lever/ Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fits, excavation, rip rap, retaining walls, etc.) in square feet:
520 Sq. Ft.
Temporary impacts (temporary clearing, construction corridor) in square feet:
300 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): 6 to 8 trees that remain on
shoreline will be removed in order to complete the stabilization project.
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 . est within the applicable reasonable period of time
Bate
Owner/Agen ignature" j15A NCAC 02H .0502(f)]
'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 Paee 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
w Full Pond/ Nome, Wooer Leal)
Full Pond/ Normal Water Level
—"fitocTno'"�
2ft. 150h.
additional clearing
If necessary
eating Dotk
30kx7h
3hx150h i
Mould pod/NU& i
_ - hs1R-k
Above he pond/IMt
EXAMPLE
Plan View
1
FORM: SSGP 09-2020
Paee4of6

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Lake m
(At Full Water Level)
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0
0
Side View
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FORM: SSGP 09-2020 Page 5 of 6

3 ft below full pond water level 4 ft.above full pond water level 2 ft.additional clearing
I I I If necessary 1
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Existing bank ,
'
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gl't
10 ft.bank , a
height glikr gz'
1111
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Side Vi 1r
FORM:SSGP 09-2020 Paee 6 of 6

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Travis Jarrett
1156 Riverview Road, Lot 63, Riverview Acres
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 60 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
= (60') x (1') x (2)
= 120 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 20 LF of Shoreline = 3 ft. Above Normal Pool
Estimate 40 LF of Shoreline = 5 ft. Above Normal Pool

I
I
1
1
1
I
1
Area of Impact = Length x Height x Slope
= (20' x 3' x 2) + (40' x 5' x 2)
= 120 + 400
= 520 sq. ft.
Impact From Construction Above Shoreline Stabilization
Assume 5 ft. Wide Zone
Area of Impact = 60' x 5 ft,
= 300 sq. ft.
Total Area of Impact Above Normal Pool Level = 820 sq. ft.

A
SITE MAP
TRAVIS JARRETT
SCALE 1" = 20'

1
CLASS 2 RIP RAP
VEGETATION AND EROSION
CONTROL FABRIC
1
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
EXISTING GRADE
1 `
Varies
3to5ft.
Assume
lit.
LAKE ep•n.OM — —
FOR:
LOCATION:
RESERVOIR:
TRAVIS JARRETT
LOT 63, RIVERVIEW ACRES
HIGH ROCK LAKE
PROJECT:
SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE:
MODERATE RIP RAP STABILIZATION
DETAIL
3

bing maps
1156 Riverview Rd, Lexington, NC 27292
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GH ROCK
ESTATES