20141035 Ver 1_Shoreline Stabilization_20140926

20 1 41 035
State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
DivWon of Warner Resources FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources _
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617 E S 2014
RES — 0�Applicant Information [15A NCAC 02H .0502ll] PERMITTING
1. Owner Information
Name: Charles Britt
Mailing Address: 460 Lake Shore Drive
Salisbury NC 28146
Telephone Number: 704/639 -9760 Fax Number:
E -mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http: / /www.saw.usace.army.mil /Portals /59 /does/ regulatory/regdocs /Permits /SAMPLE_AGENT_AUTH
ORIZATION_FORM.pdf) must be attached if the Agent has signed this application form.
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E -mail Address:
Person to receive the Certification Approval:
II. 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, structures (buildings, retaining walls, docks, impervious surfaces,
FORM: SSGP 10 -2013 Page 1 of 4

etc.), 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
Subdivision name or site address (include phase /lot number):
Lots 41 & 42 Fisherman's Cove
Directions to site - please include road names and numbers, landmarks, etc.: 1 -85 Exit 76
Salisbury, US 52 South % mile, left on Stokes Ferry Road (SR1004) approx 12 miles, left on
Matthews Church Rd. (SR2140), left on N. Fisherman Lane, Left on Lake Shore Drive.
Latitude (in decimal degrees) 35.600064 Longitude (decimal degrees) 80.319833
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Existing developed residential property
6. Property size (acres):
0.92 acres
7. Lake/ river/ ocean adjacent to property: High Rock Lake
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Old wood post and batten wall along shoreline has
deteriorated and significant erosion is occurring below limit of wall and behind wall, such
that new shoreline protection is needed to prevent further loss of property and pier.
9. Will work be conducted from land? ® From water? ❑
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres:
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water Level and 50 feet land -ward in
square feet or acres: 6490 Sq. Ft.
12. 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 are no existing
trees or vegetation that will be impacted by the proposed stabilization.
Owner /Agent's Signature [15A NCAC 02H .05021M Da
'Agent's signature is valid only if an authorization letter from the owner is provided.
FORM: SSGP 10 -2013 Page 2 of 3

I
SEE ATTACHED SITE PLAN AND DETAILS
Please approximately sketch the following information on this plan (provide dimensions for each
item, such.as 10 ft x 100 ft) *.
1 All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
4. Location of any proposed structures such as buildings, retaining walls; docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM-6SGP 10 -2013 Page 3 of 3

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VEGETATION AND EROSION
CONTROL FABRIC I
--- EXISTING GRADE
CLASS 2 RIP RAP
2
EROSION CONTROL FABRIC
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
WAVE EXPOSURE
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LAKE gp —_ --
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FOR. CHARLES M. BRITT
LOCATION: LOT 41 & 42 FISHERMAN'S COVE
RESERVOIR: HIGH ROCK LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADK'IN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE DETAIL
MODERATE RIP RAP STABILIZATION 3

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Salisbury, NC to 460 Lake shore Dr, Salisbury, NC 28146 - Google Maps
Directions to 460 Lake shore Dr, Salisbury, NC
Goosle 28146
12.6 mi — about 21 mins
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https : / /maps.google.comlmaps ?f =d& source= s_d &saddr--Salisbury, +nc &daddy= 460 +Lake... 9/23/2014