20231248 Ver 1_Shoreline Stabilization_20230829

KOY cobPER
.Cf*erjlor
MICHAELS. REGAN
Secretary
-,s-.,.bAMEL SMITH
Dirroar
NORTH CAROLINA
EnytranmWalQualItY
State of North Carolina
Dqp6rtrnent of Envirc.nment Quality
Division of Water Resources
15A.NcACO2H.0500-- Wat6r Quality Certification, Shoreline StabllizaODT1
FORM: S5 P-09-2020
Shoreline Stabilization Application Form
Three copies of the, aPPlicat.10h (including attachments) and the application fee should -be sent to:
If sending via b5 Postal Service If sending via delivery service (uPS, FedEx,: etc.)
Paul Wojoskl Paul Woloski
-DWR — 40-1 & Buffer Permitting Branch DWR ­401 & BufferPermittinig Branch
1617 Mail' . Service Cerite:r 51.2 N. Salisbury Sti­Oet
Raleigh., NC 27699-1617 Raleigh, NC.27604
NQTE.-, Before. -submitting this form; please ensure you have submitted the Pre -Filing Meetfng-Request
Form as . we will not be abjeaccept your .to acc application . . without this important . first step. The Pre -Filing
e
'ccordlance with,40 C.F.R. , F,.R. Section 121;4(.a) which lch states "At
-lejast*30
Meeting Request Form is used in:a days prior to submitting a certification requpst, the prbject prop . onent.shall request apse -filing
-
certifying agency." in accordance with 40 CFR. Section 121.5(b)(7), and (c).(5),-all
meeting with the, cer was submitted to
certification-t�lfrc--ation-req,4ests.-Mu5t.include,-.d.Qg-.wML'L 141i .IhAj-a7p meeting
.
the certifying -adthorityat leagt30djays prior submitting certification request.: khere to read
here. to view the
more'informatiOn-on when this form is needed prior to application submission or t�
form.
Attach documentation of Pre ilin
Date of Pre -filing K4.eetinq�VRe: e
Vprsion ------- � (if '211312licable) AUG 2 01
DWR -1 D #_�
eating
ting Request -to this application,
RECENED
(required.).
DEO-WATFn PFf�0ljn1r1r_
401 &
A. Applicant Information [18A NCA_C 02H .0502 Dal
1, Owherinforrnati.qn
Name: 1;;Mpc &Sandra Moore
Mailing Address: 120 Antler Court
Lexin . gton. NC 27295
Telephone Number: 356/414-6485 — Fax Number.
.11 - 1
E-mail Address:.
1moore72tr1ad-.fr.co
------
North Carolina Dcpart mcnt of Enylro nmcntal. Qua 14 "U1
1 Divislon6fWat0urces
512 N . orth Salisbury Srreet 1 1617 Mail ScrVIC0 Canter I ka'leigN North Carolip.a 27699-16.17

2. Agent/ Contact Person Information
A signed and dated copy, of -the Agent.Authgrixation letter must be attached if the. Agent has
•signed this application form. (A form can be downloaded h�!rM;/errriitslSAMALE AGENT AU i
ATlON FORM.pdf)
Name.;N A
Company Affiliatioh:
Mailing Address:
Telephone Number:
Fax Number.:
t-mail Address:.
B. Project.InfQrmation C15A NCACO2H 0502 a & b p with
..1. Attach a yiclnity map. (i.e. street map) clearly -shawing the location .of the roperty
respect.10 local landmarks such, as towns, rivers, and road$.
2. Provide a detailed site-plarn-showing-pro.perty,boundaries and proposed. locations of
Walls, docks, impervious Surfates, rip rap, excavation
vegetation clearlh&-buildings, retaining.
or dredging below Full Pand/Narmal'Water Level elevations, and, construction access,
corridors: You.,may use the -diagram provided at'the,end of this application form.
oto ra h of the shoreline/ bdffee proposed to be stabilized. (Include a scale of
r,—lttach-phi:,_ g: .....
some:sort-.a yard stick, shovel hanc�le,-etc.)
4. Location of the property (where work is. to'be-conducted)
County:
Davidson. Nearest Town: Lexin ton
Lake/ river%ocean adjacent Co property; Hi Rock Lake
groperty size {acres?
0.52 acres
SubdiviMbn name'.or site address (include: phase/lot number):.
Lot 25 Hidden Ills -
Directions to site- please include road n.arties:and nurnbers'�4audirrm R t on Hol[OWAY —Church
oad L on Hidden Hills ro ert is on the L side bf roa
d. Latitude. Oni -decimal degrees)
gg 40.595..8. Longitude (decimpLdegreesJ 8b.14:1093
.5. Describe the existing (and -use or condition -of the site atthe time of this application
residential eoriimunit
(resideri'tial, un.developed,�etd:)i Sin le-fam'I
p8ge'2 of 6'
FORM: SSGP 09-2020:

6. Describe proposed work (include discus,.iori as to how hardenirg of shoferine has been
evotded, or why it is necessaty): To s iiize an a gir `tor I e and arotect it
from irther er sion.
7, Wit! work be conducted from land? From water?
B. Total amount of impacts below the n.orma pool lake level / Namna; Wdter Level
Permanent impacts (inciurrtng all excava'lon, backfill, rip rap, retairirg vigils, etc.) in square feet:
37a Ft.
Temporary impacts in square I. n
9. Total amount of impacts above the normal pool lake level / Normal Water Level ante 50 feet
!and ward
Permanent impacts (including back fill, excavatio-n, rip rap, retaining walls, etc.) ;n square ►ee:.
74 5 . Ft.
Temporary imoatts (:pmporary clearing, construction corridor) in square feet:
435 5Q. R _ --
10. Please describe the vegetation above the norma': pool lake level/ Normal Water Level and 50
feet landward to be impacted (number of tees, for instance): Chas bedeared.trees
t remain Qr! shorel�wifi be removeC In order t, :et tabi?' n ore
11, Signature _
t3y sign''mg below, 1, as the project propcnert, cezrtifV o the fohow:rep
'rle project praponent hereby certifieS :hat all nforrnatian contained mere: t i5 true,
vccurate, and complete- to the best of my knowledge and bel.ef
The project proponent hereby requests that the certify:ng au:hcirity review and take action
on this CWA 401 cenifrcamn, regwtst within the applicab4e reasonable period of time
.r
- b �U �®
Yx�wref/Agent's Signature* C15.A N, AQQ3,H Y ZU Cate
*Ayent`s sigl aturE is valid nnly it an a0thorittrrion letter from the ow ", r is provi':{°c:'.
12, please approx-mately sketch the following Information on this, pl.;r and pmvide dimensions for
each Clem:
a. ,�f urconso-� va�e'.at•or: cle2rine
b, t.=tion of rip rap or fill to be placed above the F.ai pc^[t! NG ai Water "evv 4 alevatian
c. ocot:cr of rip p or fill to be plAced below the ;cell Pond/ Norma! Water :eve; elevataore
One 3 of e
3irvt:5VS ZJ2J

A, Location of any proposed structures such.as buildings, retaining walls, docks, etc.
e. Lotati.on of any excavation or dredging beloW the Full Pond/ Normal Water Level
elevatign
FORM: SSGP 09-2020 Page 4--of 6

FORM: SSGP 09-2020 Rage 5 of q

FORM: SSGP 09 2020 Page 6 of 6

NCDCQ401 WATER QUALITY CERTIFICATION
SHORELINE-IMPA)CT AREA CALCULATIONS
APPLICANT; James &. Sand.t`a Moore
Lot 25, Roiling Hills
.STABILIZATION IMPACT AREA CALCULATIONS.
The attached shoreline site plan shows 87 LF ofpraposed.shorelirie.st. �ilization measures.
Detail 2 indicates a proposed shoreline slopettvat is.'graded- at 2:1 and -reflects the estimated
normal pool .level and the .estimated h-eight.of-the-subject shoreline above the normal pool
level.
Calculation -I — impact Area. Below Normal Pool Level
(Item 8 on. NCDEQ Form S5GP 09-2020)
Area of Impact = Shoreline Length x Depth* x Slope
= 174 0. ft.
'*For this calculation,an.average \water depth-of..1 ft. has been assu.med,.This:will
produce -a conservative overestimate,ofthe.stabilizatio.n impact area.
Calculation 2 -- Impact Area Above the Normal P.00l1eVel
(item 9 on NCDEQ Form SSGP 09-2020)
Permnent'impact From Shoreline. Stabilization Measures
lleight-of Bank Above Normal Pool Varles Across the Shoreline
Estimate.87 LF of Shoreline =1. ft. Above Normal Pool

Area of Impact = 'Le-ngth. x Height. x: Slope
= ( 87' -X 1' X- 2)
= 174 sq. ft.
fm*t- From Cqnstrpction Above Shoreline -Stabiliz'atioh
Assume 5 ft. Wide*.Z-one
Area of Impact* = &.k 5 ft-
= *41�35 sq. ft.
Total ArOa.of Impact Above Normal Rool Level = 609 -sq. ft.

-SITE. MAP - JAMES &. SANDRA MOORE
LOT 25 HIDDEN HILLS.

VEGETATE. DISTURBED AREA
AJ30VE SLOPE
EXISTING GRADE
Approx.
Assume
'Ek-0slbN- CONTROL FABRIC ------- I W
FOR: JAMES & SAN.DRA MOORE
LOT 25; HIDDEN HILLS&
HIGH ROCK LAKE
RESERVOIR;
PROJECT:' SHORELINE STABILIZATION P - ROGRAM
PHASE I SITE EVALUATION .
YADKI.N, INC. - E3A[)-IN, NORTH CAROLINA
DRAWING
MINOR Rl-P RAP STABILIZATION
DETAIL
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8/23/23, 1:32 PM
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