20150662 Ver 1_Shoreline Stabilization_20150707

AM
State of North Carolina
Depart
ment of Environment and Natural Resources
ODivision MW-
11_.' � of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
vision of Water Resources FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent
to: Q %_!I
Division of Water Resources ;10
401 & Buffer Permitting Unit JUL 0 7 2015
1617 Mail Service Center 2 0 1 5 0 6 6 2
Raleigh, NC 27699 -1617 DENR -WATER RESOURCES
g • 401 & BUFFER PERMITTING
Applicant Information (15A NCAC 02H .0502(a)j
1. Owner Information
Name: Thomas and Stacv Toton
Mailing Address: 1190 Crane View Road
Salisburv, NC 28146
Telephone Number: 704/896 -2560 Fax Number:
E -mail Address: [e-mail]
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
httD: / /www. saw.usace.armv.mil / Portals /59 /docs /reRulatory /reedocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.Ddf) 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:
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, 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):
Rowan County Tax Parcel 612E033, 1190 Crane View Road
Directions to site - please include road names and numbers, landmarks, etc.:
1 -85 north to Lone Ferry Road exit, right on Long Ferry Road, 5 miles turn right at Lake
Farm Drive. left on Cane View Road, and property is on the right.
Latitude (in decimal degrees) 35.663168 Longitude (decimal degrees) 80.330416
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Existing developed residential propertv
6. Property size (acres): 1.21 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): To stabilize anarexistine eroded shoreline and protect
It from further erosion.
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:
456 So. Ft.
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: 4432 So. 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): Site is wooded.
Manv trees of varied species and size will be impacted by the shoreline stabilization.
l�z171-
Owner /Agent's Signature* (15A NCAC 02H .�502(fl( Date
'Agent's signature is volid only if an authorization letter from-the owner is provided.
FORM: SSGP 10 -2013 Page 2 of 3

Lake
(At Full Pond/ Normal Water Level)
Full Pond/
Normal Water Level
Shoreline
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: SSGP 10 -2013 Page 3 of 3

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VEGETATE DISTURBED AREA
ABOVE SLOPE
EXISTING GRADE
EROSION CONTR
TYPICAL CONDITIONS
12" TO 36" ERODED CUT
WAVE EXPOSURE
\SS 1 RIP RAP
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LAKE 80170M
FOR: THOMAS & STACY TOTON
LOCATION: 1190 CRANE VIEW ROAD
HIGH ROCK LAKE
RESERVOIR:
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
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MINOR RIP RAP STABILIZATION 2

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VEGETATION AND EROSION
CONTROL FABRIC
EXISTING GRADE
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TYPICAL CONDITIONS
36" TO 72" ERODED CUT
WAVE EXPOSURE
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LAKE BOOM - -
FOR: THOMAS & STACY TOTON
LOCATION: 1190 CRANE VIEW ROAD
RESERVOIR: HIGH ROCK LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MODERATE RIP RAP STABILIZATION 3
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VEGETATE DISTURBED AREA
ABOVE SLOPE
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WAVE EXPOSURE
FOR: THOMAS & STACY TOTON
LOCATION: 1190 CRANE VIEW ROAD
RESERVOIR: HIGH RICK 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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