20231130 Ver 1_Shoreline Stabilization_20230814

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
State of North Carolina
Department of Environment Quality
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
Shoreline Stabilization Application Form
FORM: SSGP 09-2020
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 servi.e (UPS, FedEx, 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 trj accept your application without this importan" 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 f Pr "Filing Meeting Request to this application.
>� 4
Date of Pre -filing Meeti equest: (required) a) D �
n Ill
DWR ID # Version (if applicable) M 71
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A. Applicant Information [15A NCAC 02H .0502.(a)] GL7
1. Owner Information
Name: _ Gregory L. Kunkleman
Mailing Address: 5561 Five Knolls Drive
Charlotte, NC 28226
Telephone Number: 704/541-1024 Fax Number:
E-mail Address: [e-mail]
^ North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
o.wnm�u m a�.��„ m o wF111�"40--.1
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:
htti)://www.saw.utace.army.mil/Portals/59/does/reauiatorv/resdcics/Permits/SAMPLE AGENT AUTHORIZ
ATION FO,RM.odf)
Name: N/A
Company Affi.liation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax'Number:
B. Project Information MA NCAC 02H .0502(a) & (V
1. Attach a vicinity reap (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 s to paaj showing property boundar+es and prop6a6d"ocations of
vegetation clearing, build;ngs, retaining walls, docks, impervious surfaces, rip -yap excavation
or dredg!ng below Full Pond/ Normal Water -Level elevations, and construction access
corridors. You may use the diagram provided at the end of this aap!icat�.3n form.
3. Attach a photograph of the shore(ine/ buffer proposed to be stabilized: A*+nOude a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to he conducted.)
County: Davidson Nearest Town: Lexington
Lake/ river/ ocean adjacent to property: High Rork Lake
Property size (acres): 1.43 acres
Subdivision name or site address (inciude.phase/lot nutrber):
1776 Beckner Road. Lexinaton
Directions to site -please include road names a6d,numbers, landmarks; etc.:
1-85 to Lexington exit for NC Hviy 8i go south on NC Hwy S. R c f LinWob&
Southmont Rd. L. on Riverwood Rd. '-,on 6eckner Rd.., R on 3e..:'.ner Rd.,
property is on the. R.side of road. -- ---
Latitude (in decimcal.dearees) 55.39.i?115 Loh gib ude (decima; deg►•ees, 617
5. Describe the existing land use or condition of the site at the time of h.*s ?vOica':ion
(residential, undsve.of ed, etc.):.. Single-family residential community
FORM: 55GP 09-2020 Page 2 of 6

S. -Describe proposed werk (ifi„iude'discussmn as*to how, hard-er,ing of she eIine has been
avcid d'. or w'r7;! lt is. tiecessary`,: To stab;lize.an erodirie shore!ineand protect it
frorn.f+ar`her erosinn. .
T Will work be conducted from land? From water? h
8. Total amount,of impacts below -the normal pool lake level / Normal Water Level
Permanent impacts (including aWexcavatlen, backfill, rip rap, retainingwp,11s,,etc.) in square feet:
500 So. Ft.
Temporary impactts in square feat:
None
9. Total amount of impacts above the normal pool !ake level / Normal'-Water:level and SO feet.
iand-ward
Permanent impacts (in.cluding. bzd< fill. excavation, -rip rap, retaining wars; etc.) in square feet:
560 So: Ft.
Temporary impacts --,temporary clearing; construction -corridor) in square feet:
125QSo. Ft.
Plca.,F:descrilae the % e':a(Jan above.1he normaj pool lake level, l`1c�r and 50
feet lan6.-vard tote impacted (.number of trees, for ins'ance): Nume-ous trees
..will be removed in order to complete the stzb;lizatiori pro!ect.
1. Signature
8v signing below, I, as the project proponent,'ceittify to the following: '
• The project proponent hereby certifies -hat all irfomation cor tai.nee: lereinIs true; .
accurate; and complete to the 'Pest of my, kno.w!edge snd beM.C'
• The project proporie . hereby requests„that a!id take act; cn
on this CWA 4C1 certi4aVon re est wi`hin Vne'app.l.ica la.reasu name me:
Ew,vn� ent''sAgOature' [1s'A.,NCAC 02H :b50�, :DrAv
.Agerlf`s s!onqtur� is valid only:if pn authorizcttton let ?r from the pwner is•pcovided.
12. ?lease: apprcxirnat,- � sKetcl� t;ia.f I.lQYjina. i^fc,rmO!tio a on this p!ah and c��r�+�r�e rlrrrre�asions�or
each item:
a. All prcposeav4getatioti,clearing
b. Location of rip rap or fill to:be Placed. above. the IFvH Pond/-ivqrmal ,"later rQvel;elsva'fpn:
c. Location.of rip rap or fill to be.p'aced below. the'Fu'ri Pond% Normai Water level. elevation
FOP.tiir SS.C-P 09-2020 Pae.e 3 of 6

d; ,Imai'an of an.'! prapo,.ee s*r!lctures.--4rh as bui;.d ngs, retair: n; wds, Gcdq, e
e. lOC3il0 of F-73. e:tc�� -1 or. i4 ,ai�lb. e.01h!u`, sc?-Puil Pp�i414Nor r'--iW27Ar Level
elevation
i
P la n,. VJ-ew
_iee�_i_eeeeeeeii�ees!s•—w' .. �. ..' . —
uke
�wnronaiNomwwaer�eq Existing Cock
DO W It
j({ 3@* 150h
1 Fun Pond�N �anal VJ.ater Lave ae o. u1 piiyL
rm
4 h 350�h
_ r,.: � loreeime � ... ..
R1p dP aboveM.venO Ml'L
1h.■150 h.
iddilwulduft
. 'Ynecewry _
EXAMPI c
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FOVO: SSG) 03.-20 0

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FOPM:.SSG P 09 OAZ ?age 5 al 6

zit. additional Clearing
3 ft. below full pcn.l water!evei
•a It. above ful. pond water level
* necessery
Existingiaank
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FORM: S=GP 09-2024 Pap 6.of5

f'�i . s4C< NVATER QUALITY £ERTIRCATION
. - M;W)AEL!W.yMPA& ARFA CALCULAMONS
APPLICANT: .Gregory unkl.eman
Lots 19, 20 & 21 Riverwood
17.76 Beckner Road, Southmont, NC
STABILIZATION IMPACTAREA CALCULAT. WNS
T,, sitached.shere!:;, .e_S:ite-Pia•n sh(yvs 2t0: Fc.,€-,proposedsherelin-n. r^eaSUMS:
7et� 1,2 inc�ii:ates..a proposed shoreline s)opE that is graed<t 2:�.ri rQflee 3�h6 osti=rated
no -~ral pool level end the estimated ► ei t,of he subject harelirte a'bw: t$aro mal pooel
.
_ C E�►�latl +..3---iM' O'p t!ftrOa 3el6w Normal Fool Level
FmS oh.NMER Form SSG?, 011-2020).
Are=. d;.mract. = Shoreline Length x Depth* x'Slope
500 sq. ft.
*Fer.tt;is czIc fration, an average. water depth cf !.. ft. has bee.l ass mid: This Viili
»ro mace a,:cor+ ervatcve overes,imate .of the stabilizat.i�n.im.pi t area.
Calcu.latlor, 2 - impact:Area Abovre .the .Normal Poo'. Level
11- ;x* c y>NcC Four a c-6PA M'2020)
Pet.e;� ,'.rnpac'Rom S,io�Iine-Sto .i!ization kleasjaras
146 1 ^r Cf r k `0v 'NGr:7i2p' O©I V/ar'rr^a'ACrOsS tllQ.Shoreli ?a
E:�`irn�t.z:2O LF:of_:ShmaJ.- re =1.ft.-Abave Normal Pool
>=stirr ats- 230 LF ofS�;orelir?e 2-f*.: Above Normal Pool

Area.of Impact F eng; K x. r 5;cpe
(.20' x 1' . x 2): %.. (. ZM' x 2' x 2)
40 + 520
.550 sq. ft...
;,rpa`t Frarn�O�ristrL1ct:an Above 5hore!i e.Stab iliza.+.inn
ASS6me 5.Tti. W-We Zone:
Area:c{ I.nnact' _ 2.50 V, 5 ft.
= 1250 sq. ft.
Total Area )f Jrr-.5act Above Niprm?1 Pool Level .1$?0 sq. ft.

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WAVE EXPUSljP�
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LOCA-VON: .-LOTS 191 20 sc 21, RIVE V�IOC
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Pi-�AS� i SITE EV`ALUATION:'`
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8/10/23, 11:15 AM
1776 Beckner Rd - Google Maps
G'O� . gle Maps 1776 Beckner Rd
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Map data 02023 Google 2000 ft
https://www.google-com/maps/place/1776+Beckner+Rd,+Lexington,+NC+27292/@35.6582182,-80.2817493,14z/data=!4m6!3m5!lsOx88538f7662d77bbl:Ozb4709dA9haf.,49,1Rm9i,4r4,Ar n Cn9aQ71AA 0 ,,.