20221274 Ver 1_Shoreline Stabilization_20220919

Shoreline Stabilization Application Form
NORTH CAROLINA
Environmental Quality
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*
[e-mail]
Please provide an email address for payment and requests for more information here.
Pre -Filing Meeting Date Request was 7/11/2022
submitted on: *
Owner Information:
Name: *
Email: *
Phone Number:
Mailing Address: *
Michele Swart
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
113 Artillery Lane
Address Line 2
City
Raleigh
Postal / Zip Code
27615-1508
Is there an agent working on the project? * Yes
No
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name: *
State / Province / Region
NC
Country
US
Michele Swart 209 Sagamore Drive - Franklin County bulkhead dock
boathouse
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
Property Address Lookup: *
Latitude: *
35.987175
Street Address
209 Sagamore Dr
Address Line 2
City State / Province / Region
Louisburg NC
Postal / Zip Code Country
27549-9517 US
Longitude: *-78.208941
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*
Riparian Buffer Map 9-2022.pdf 12.22MB
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.)
Riparian Buffer Map Measuring Stick 9-
2022.pdf
4MB
4. Location of the property (where work is to be conducted)
Nearest Town: * Louisburg
County: * Franklin
Lake/ river/ ocean adjacent to Lake Sagamore - Lake Royale Subdivision
property:
Subdivisions name or site address:*
209 Sagamore Dr Louisburg NC Lot 1344
Include phase/lot number

Directions to site: *
Take a slight right turn onto Mort
Harris Rd
3.5 mi
Continue onto Sledge Rd
4.4 mi
Turn left onto Cheyenne Dr
900 ft
Turn left onto Shawnee Dr
1.5 mi
Turn right onto Oklahoma Dr
900 ft
Take a slight left turn onto Stallion Dr
350 ft
Turn left onto Sagamore Dr
700 ft
The destination is on your right
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: *
Lot cleared to 50' buffer zone; undeveloped at this point.
Residential, undeveloped, etc.
6. Property Size 0.494
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
Rip Rap with matting underneath along 65' shoreline, which is the total
length of the property line; 6" above the ordinary high water mark of the
lake and 1.5' below waterline to the bottom of the lake on a 45 degree
angle for a total of 2' rip rap buffer along shoreline and 2' out into the
lake. Also placing riprap 2' back from the full pond/normal water level
onto the shoreline with matting underneath.
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.)
97.5
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.)
250sgft
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)
3 trees with a diamter of 4' or less; brush like vines and dead tree limbs
will be impacted. See PDFs attached to Questions 2 and 3 for site map and
current vegetation pictures.
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:* Michele Swart
Signature:
tidal
Submittal Date: 9/14/2022

Initial Review
Is this accepted into the review process?* Yes No
Project Number: * 20221274 Version: * 1
Select Reviewer: * Colleen Cohn:eads\cmcohn
Select Reviewing Office: Raleigh Regional Office - [phone]
Has payment been received?* No Payment Needed
Fee Received
Need Fee - send electronic notification
What amount is owed?* $240.00
$570.00

A
House
In the 20' and 30' buffer zones, there will be brush removal like vines, dead tree
limbs, etc. See page 4 for pictures. There will be three trees with 4" or less diam
ter that need to be removed. The approximate location is shown below. See pa
3 for trees (marked with X).
Total square footage in the two buffer zones is 250 square feet, which will be a
walkway made of Trex decking to get to second floor of boatdock. The actual im-
pervious material in the buffer zone will be comprised of 4"x4" posts placed ever
6' to support walkway to second floor deck. A total of 16 posts will be used.
At this time, no excavation will be in the lake for the boat slip and dock.
0 Rip Rap-65'along shoreline, which is the
total length of the property line; 6" above
the ordinary high water mark of the lake
and 1.5' below waterline to the bottom of
the lake for a total of 2' rip rap buffer. Also,
2' back from the full pond/normal water
level onto the shoreline-
10'x14' Dock 12' high
with boat slip under-
neath
Shoreline and Full Pond/
Normal Water Level

ipar
Rip Rap-65'along shoreline, which is the
total length of the property line; 6" above
the ordinary high water mark of the lake
and 1.5' below waterline to the bottom of
the lake for a total of 2' rip rap buffer. Also,
2' back from the full pond/normal wate
level onto the shoreline
m
rD
fD
Witr**
45 degre �;
2.0 Feet
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OQ
cn
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View of the lake
from the House

Scrub brush to be cleared in 50' buffer zone

ipar
Rip Rap-65'along shoreline, which is the
total length of the property line; 6" above
the ordinary high water mark of the lake
and 1.5' below waterline to the botto
the lake for a total of 2' rip rap buffer. A so,
2' back from the full pond/normal wate
level onto the shoreline
•
m
Witr**
45 degre �;
2.0 Feet
m
OQ
cn
0
CD