20231006 Ver 1_Shoreline Stabilization_20230717

a�u, STATE a.
ROY COOPER
Governor M. +
MICHAEL S. REGAN •.W a
Secretary *°w'��p*
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
Paul Wojoski
DWR-401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
if sending via delivery service (UPS, Fed Ex, 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-Fi Ing Me 1ng Request to this application.
Date of Pre -filing Meeting Reques _l (required) RECEIVED
DWR ID # Versi n (if applicable) JUL 1 7 2023
DEO-WATER RESOURCES
A. Applicant Information [15A NCAC 02H .0502(a)]
Oat & i3t11=FER PERMITTING
1. Owner Information
Name: Andrew Rouzer
Mailing Address: 4318 Tottenham Road
Charlotte NC 28226
Telephone Number: 704/756-5316 Fax Number:
E-mail Address: drew rouzer@email com
D��� North Carolina Department of Environmental Quality I Division of Water Resources
_ ,,,'�-l1� 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
d' 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:
htto //www saw usace army mil/Portals/59/docs/regulatory/resdocs/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) & (b1]
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): 1.16 acres
Subdivision name or site address (include phase/lot number):
Lot 20, Heron Bay
Directions to site - please include road names and numbers, landmarks, etc.: NC Hwy 49 to
Badin Lake Road R on Uwharrie Point Parkway R on Raven Ridge, R on Heron Bay Drive.
R on Pearl Bav Drive R on Mallard Drive R on Badin View Dr R on Whisper Lake Dr.. R on
Kingfisher Ct property is on left side of road
Latitude (in decimal degrees) 35.28.2909 Longitude (decimal degrees) 80,08.0185
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Undeveloped wooded lot
FORM: 5SGP 09-2020 Page 2 of 6

b. uescrioe proposea worK (incivae aW;ubbiuri db 16u I1uw 1101UCIII$IS VI -I$S.,I_.""
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:
200 sa 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:
1200 sa. ft.
Temporary impacts (temporary clearing, construction corridor) in square feet:
500 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): Numerous 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
9 a6a3
Owner/Agent's Signature' USA NCAC 02H .0502 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

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
FORM: SSGP 09-2020 Page 4 of 6

.take
Vs►ypro eriiormawnr:eq Existing Dock
�/ 30110h
FORM: SSGP 09-2020
Page 5 of 6

2 ft, additional clearing
3 ft. below full pond water level 4 ft. above full pond water level V necessary
Existing bank
10 ft. bank
Side Vi
p r-
FORM: 5SGP 09-2020 Page 6 of 6

NCDEQ 401 WATER QUALITY CERTIFICATION
SHORELINE IMPACT AREA CALCULATIONS
APPLICANT: Andrew Rouzer
Lot 20, Phase 10, Heron Bay
STABILIZATION IMPACT AREA CALCULATIONS
The attached shoreline site plan shows 100 LF of proposed shoreline stabilization measures.
Detail 4 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 S on NCDEQ Form SSGP 09-2020)
Area of Impact = Shoreline Length x Depth* x Slope
= (100') x (1') x (2)
= 200 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 50 LF of Shoreline = 5 ft. Above Normal Pool
Estimate 50 LF of Shoreline = 7 ft. Above Normal Pool

Area of Impact = Length x Height x Slope
= ( 50' x 5' x 2) + ( 50' x 7' x 2)
= 500 + 700
= 1200 sq. ft.
Impact From Construction Above Shoreline Stabilization
Assume 5 ft. Wide Zone
Area of Impact = 100 x 5 ft.
= 500 sq. ft.
Total Area of Impact Above Normal Pool Level = 1700 sq. ft.

SCALE 1" = 30'
CWaOIDE"D
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SITE MAP - ANDREW ROUZER

VEGETATE DISTURBED AREA
ABOVE SLOPE
VEGETATION AND EROSION
CONTROL FABRIC
\ ` EXISTING GRADE
1 � �
2
1
1
\ Varies
\ 5to9ft.
CLASS 2 RIP RAP \
1 � I
2
I
EROSION CONTROL FABRIC -----Iw- Assume
�AKE BOTTOM
TYPICAL CONDITIONS I/�//��
GREATER THAN 6' OF ERODED CUT
WAVE EXPOSURE
FOR: ANDREW ROUZER
LOCATION: LOT 20, HERON BAY
RESERVOIR: BADIN LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
SEVERE RIP RAP STABILIZATION 4

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