20160527 Ver 1_Shoreline Stabilization_20160523

State of North Carolina
Department of Environment and Natural Resources
PAI D Division of Water Resources
Dlvlslon of Water Resoo urces r" $2!!!S!E211j"0 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form 2 0 1 60 527,
T
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 L401&
Raleigh, NC 27699-1617I. Applicant Information [15ANCAC02H.0502(a)) 1. Owner Information
RESM
Name: Estate of Stella S. Harris R PERMIT
Mailing Address: 5635 Riverdale Drive
Jamestown, NC 27282
Telephone Number: 336/822-3200 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.miI/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. 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):
Lots 89, 90, 91, 92 Heron Bay
Directions to site - please include road names and numbers, landmarks, etc.:
NC Hwy 49 to Badin Lake Road (SR 1162), R on Uwharrie Point Pkwy to old North State Club
entrance, R on Raven Road, R into Heron Bay.
Latitude (in decimal degrees) N627337 Longitude (decimal degrees) E1665046
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): developed lot in existing subdivision
6. Property size (acres): 4.19 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:
450 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: 2915 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's ignature' (15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided.
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.
S. 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
EROSION CONTROL FABRIC------w'-
TYPICAL CONDITIONS
• 12" TO 36" ERODED CUT
WAVE EXPOSURE
EXISTING GRADE
CLASS 1 RIP RAP
LAKE
BOTTOM
FOR: ESTATE OF STELLA S. HARRIS
LOCATION: HERON BAY LOTS 89, 90, 91 AND 92
RESERVOIR: BADIN LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MINOR RIP RAP STABILIZATION 2

VEGETATION AND EROSION
CONTROL FABRIC
EXISTING GRADE
vkpiss
CLASS 2 RIP RAP
EROSION CONTROL FABRIC
LAKE
BOTTOM
TYPICAL CONDITIONS
36" TO 72" ERODED CUT
WAVE EXPOSURE
FOR: ESTATE OF STELLA S. HARRIS
LOCATION: HERON BAY LOTS 89, 90, 91 AND 92
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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