20160100 Ver 1_Shoreline Stabilization_20160129

DWR
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form 2 0 1 60 1 0 0
Three copies of the application (including attachments) and the application fee should be sent
to:
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617 ! `:
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: John Sietz
Mailing Address: 1644 Kriebel Mill Road
Collegeville, PA 19426
Telephone Number: 610/212-0135 Fax Number:
E-mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/reRdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Person to receive the Certification Approval:
Fax Number:
11. Project Information [15A NCAC 02H .0502(a) & (b)]
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: Montgomery Nearest Town: New London
Subdivision name or site address (include phase/lot number):
Lot 33, Porters Glen Section, Uwharrie Point
Directions to site - please include road names and numbers, landmarks, etc.:
NC Hwy 49 to Badin Lake Road (SR 1162), south to old North State Club entrance, see
gate attendant for directions to property.
Latitude (in decimal degrees) N352743 Longitude (decimal degrees) E800531
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Undeveloped lot in existing subdivision
6. Property size (acres): 2.49 acres
7. Lake/ river/ ocean adjacent to property: Badin Lake
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): To stabilize and eroding 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:
1000 Sq. 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: 4796 Sq. 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): Many trees of varied
species, size and condition will be removed in order to complete the stabilization project.
Owner/Agent'sZis
gnatu
'Agent's signatuva#e
NCAC
(2-9-2V15
Date
if an authorization letter from the owner is provided.
FORM: SSGP 10-2013 k Page 2 of 3

Full Pond/
Nnrmal Water level
$1
La ke
(At Full Pond/Normal Water Level)
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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TYPICAL CONDITIONS
12" TO 36" ERODED CUT
WAVE EXPOSURE
FOR: JOHN SEITZ
LOCATION LOT 33, PORTERS GLEN, UWHARRIE POINT
RESERVOIRBADIN LAKE
PROJECT SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MINOR RIP RAP STABILIZATION 1 2

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CONTROL FABRIC
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EROSION CONTROL FABRIC-----,,-
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TYPICAL CONDITIONS
36" TO 72" ERODED CUT
WAVE EXPOSURE
FOR JOHN SIETZ
LOCATION. LOT 33, PORTERS GLEN, UWHARRIE POINT
RESERVOIR: BADIN 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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