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Home My WebLink About20160407 Ver 1_Shoreline Stabilization_2016042520160407 State of North Carolina te,nt of Environment and Natural Resources Division of Water Resources ,R P �� 15A NCAC 02 — Water Quality Certification, Shoreline Stabilization Division of Water Resources FORM: SSGP 30-2013 Shoreline Stabilization Application Form Three copies of the application (including attachments) and the application fee should be sent to: Division of Water Resources 401 & Buffer Permitting Unit 1617 il Service RaleighaNC 27699 1617 Center R�CEI V E® A eft' 2 5 2016 I. Applicant Information [15A NCAC 02H .0502(a)] 0ENR-LAND QUALITY 1. Owner Information STORMVIA,TER PERMITTING Name: Lewis Coppley Mailing Address: 721 Mill Stream Lane Lexington, NC 27292 Telephone Number: 336/250-1000 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/regdocs/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: Fax Number: E-mail Address: Person to receive the Certification Approval: II. Project Information [15A NCAC 02H .0502(a) & (b)1 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: Davidson Nearest Town: Lexington Subdivision name or site address (include phase/lot number): 522 and 528 Lake Shore Drive, Lexington, NC Directions to site - please include road names and numbers, landmarks, etc.: 1-85 to Lexington exit for NC Hwy 8, go south on NC Hwy 8, left on NC Hwy 47, right on Old Mountain Rd. (SR 2373), left on Lake Shore Drive, property is on the right. Latitude (in decimal degrees) 36.0157 Longitude (decimal degrees) 80.2947 5. Describe the existing land use or condition of the site at the time of this application (residential, undeveloped, etc.): Residential development — existing house 6. Property size (acres): Approx. 0.4 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 an 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: 108 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: 814 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): No trees or vegetation will be impacted in order to complete the stabilization project. Owner/Agent's Signature` [15A NCA 2 .05 f 'Agent's signature is valid only if an authorization letter from the owner i FORM: SSGP 10-2013 Page 2 of 3 Full Pond/ Normal Water Level SI 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 VSARJZ--Q-�LA-�tAl If —CM -910 CATION Ai'pLITia fOR. 51} rL UAIC _ jka11.1-.ATlOfJ Lbw 15 Co PP!, Et Lei &E5005 151.E of-RwE5 ! 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"NL- OUTTOM TYPICAL CONDITIONS 12" TO 36" ERODED CUT WAVE EXPOSURE FOR: LEWIS COPPLEY LOCATION: LOTS 68 & 69, ISLE OF PINES RESERVOIR: HIGH ROCK LAKE PROJECT: SHORELINE STABILIZATION PROGRAM PHASE I SITE EVALUATION YADKIN, INC. - BADIN, NORTH CAROLINA i DRAWING TITLE: DETAIL MINOR RIP RAP STABILIZATION 1 2 qpmm i.6"W .�� ',: t f �' �, _ II j ""�tiM, l a �� ' "'� Ems' ' '� JM �� s, k � i�m �� _. -cry _ - ��+*° g, � � � � � a !� �' ,' K t �.�._. . , .. a `` � �� .. ... g _ Y � � �{; �, ` _ -� � I E ,- � �� . �1Ti _ !�� _ - ,i_ �.. �� _� .. ;�= �� `=��.� Y `��,. 4 .� r f 1 Pagel of Go gle Maps Interstate 85, Salisbury, NC, USA to 528 Lake Drive 23.8 miles, 29 min Shore Ave, Lexington, NC 27292 • Lexington T 11119 IC u rc i Wood eaf =?216 F5m] sig 13 4 Enl 29 min ��29 E3l K. 1306 F, --I Franklin 1 1=4 jY.:ik 17u 7u H 11 141> Spencer ' 528 Lake Shoe Avt I F"zo7 East Spencer Salisbury IffterstateS i LIJ Gran to Quarry F — I - =112 ';.rrell Park Go gle 11 . Map data @2016 Google 2 mi Interstate 85 Salisbury, NC. USA Take 1-85 N/US-52 N and NC -47 E to Old Mountain Rd in Silver Hill 22 min (19.4 mi) t 1. Head southwest on 1-85 S 1.7 mi 2. Use the 2nd from the right lane to take exit 76 for US -52 S toward Albemarle 0.3 mi 3. Sharp left to merge onto 1-85 N/US-52 N 9.2 mi 4. Take exit 86 for Belmont Rd 0.4 mi 5. Turn right onto Belmont Rd 2.1 mi 4/19/2016 528 Lake Shore Ave Lexington, NC 27292, USA These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly You must obey all signs or notices regarding your route Google Maps Page 2 of 2 -- - — 0 2 m i --------5.6 mi 7 min (4 4 mi) - -4 0 mi --- --- - --- — - - 0 4 mi 4/19/2016 r' .6. Turn right onto NC -47 E '7 7. Turn left to stay on NC -47 E Follow Old Mountain Rd to Lake Shore Ave r 8. Turn right onto Old Mountain Rd ♦1 9. Turn left onto Lake Shore Ave 0 Destination will be on the right 528 Lake Shore Ave Lexington, NC 27292, USA These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly You must obey all signs or notices regarding your route Google Maps Page 2 of 2 -- - — 0 2 m i --------5.6 mi 7 min (4 4 mi) - -4 0 mi --- --- - --- — - - 0 4 mi 4/19/2016