20171185 Ver 1_Shoreline Stabilization_20170915

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 02-2017
Shoreline Stabilization Application Form 2 0 1 7 1 1 8 5
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street NC Dept of Environmental Quality
Raleigh, NC 27699-1617 Raleigh, NC 27604 SEP 15 2017
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information Raleigh Regional Office
Name: Ryan Walker
Mailing Address: 2196 Sledge Rd
Louisburg Nc 27549
Telephone Number: 252-469-9873 Fax Number: 919-497-0277
E-mail Address: [e-mail] V
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:
http://www.saw.usace.armv.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
B. 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, buildings, retaining walls, docks, impervious surfaces, 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.
FORM: SSGP 02-2017 Page 1 of 3

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: Franklin Nearest Town: Bunn
Lake/ river/ ocean adjacent to property: Tar River/Lake Royale
Property size (acres): .869
Subdivision name or site address (include phase/lot number): Lake Royale Lot number 449R
Directions to site - please include road names and numbers, landmarks, etc.: From the
entrance to Lake Royale Right on Sagmaore Dr. go about 1.5 miles home is on left.
Latitude (in decimal degrees) 35.9593575 Longitude (decimal degrees) -78.190120
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Residential developed lot
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): Construct a seawall to protect shore and stop erosion approx.
90' long Build a 10'x 90' dock alongshore line and a 10'x 50' in front of seawall and wood
walk Install a conc. Path to handle over flow from storm water pipes to lake 6' wide from
drains to water 140' however only 50' in buffer. Change single boat house to double. Dredge
out silt in slip and install seawall to hold dirt back.
7. Will work be conducted from land? ❑ From water? 11
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
Dredge boat slip 11'x 24 =792'. Construct docks totaling 10'x 140' 1400'.
Seawall totals 1' x 151'= 151' Total impact below 2343'
Temporary impacts in square feet:
NONE KNOWN
9. Total amount of impacts above the normal pool lake level/ Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
Backfill seawall 3' x 90' = 270'. Conc. Path to water to prevent flooding 6'x50'=300'. Seawall
totals 1' x 151'= 151' Total impact above 721.00
Temporary impacts (temporary clearing, construction corridor) in square feet:
No clearing just adding dirt behind proposed seal wall.
FORM: SSGP 02-2017 Page 2 of 5

10. 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): There will be no impact
as this property is already developed and no trees to be removed. We will seed and straw
behind sea wall at completion.
11. Signature
1%
`� it i
Own Agent's Signature' [15A NCAC 02H .0502(f)) Dat
`A ent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
Full Pond/ I
Plan
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below the Full Pond/ Normal Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
FORM: SSGP 02-2017 Page 3 of 5
:4

Dcle—le._ .>
D` )-
3 Tti�. x
P
.. _ ...n..Lake .T., n5 r... ....
(At F I Pond/ Normal Wat r Level)
T a)
ns 3
02
a:
z
C
Side View CL
Full Pond/ Normal Water U
2 ft. x 150 ft.
'. addltbnal deanng
'. ' if necessart
Lake
(At Frill Pond/ Normal Water Level)
Existing Dock
ftx 150ft
full pond/NWL i
i
ftxlioft
full pond/NWL
FORM: SSGP 02-2017 Page 4 of 5
Plan View
i
FORM: SSGP 02-2017 Page 4 of 5

3 ft. below full pond water level
necessary
2 ft. additional clearing
4 ft. above full pond water level
Existing bank
10 ft. bank a
height
COQ
DI 1:
Q
i
' Side Vi
C�
FORM: SSGP 02-2017 Page 5 of 5

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REFERENCES: Lots 449, Lake Royale Subdivision
Deed Book 2074, Page 577
Map Book 12, Page 11
Plat Book 2009, Page 108
Tax Record No. 020649
LEGEND: • . . . found iron as noted
0 . . , set iron as noted
— — — — — — — . . . property line plotted from record
— . easement or buffer line
--------------- 100—year flood limits line (see note)
---- overhead utility line
NOTE: N.C. Grid station unavailable within 2000' at this time.
NOTE: Area of Lot = 0.869 Acre (Coordinate Method)(To Surveyed Lines)
UQ]Z; 100—Year Flood Limits plotted entirely from OFIRM "Franklin County,
NC", Community/Panel No. 370377 2830 J. effective 04/16/13
NOTE: This survey is subject to all easements, agreements,
rights—of—way and restrictive covenants recorded prior to
the date of this survey.
I, Vfilliam T. Dement, Jr., certify that this nap was drawn under my supervision from an
actual survey mods under my supervision (deed description recorded in Book 2074, Paye
577); that the boundaries not surveyed am Indicated as drawn from information in Mop
Book 12, Pogo 11; that the ratio of precision is 1/20,a00; and Nat Nis map meets
the requirements of The Standards of Practice for Land Survey)Ew.
olina
(21 NG1C 58.1600). Thle 21st day of Dece`nm^bereerr`, 22018.. Professional Land Surveyor —71—L-1458 Ili
RECORD NORTH
( M.B. 12, P. i t )
Set 5/e• Iron
Rear "/nu h
sefepacer'° I
COMANCO DRQ
e/B• Yvn R.
Flu,h w/
a sense.
Now
(o448
LC aa
WJM LLC
No Scale
( earl ( D.B. 1787, P. 793 ( 447 )
( D.B. 1856, P. 913 Now or Formerly
g• Jeffrey G. Job, et ux
N I Found t/z• Van ( D.B. 2057, P. 97 )
REVISED: 12/29/16 — Corrected building offset
j Abort crew`
10' utliltvo!_ I
LANE
ROYALE
okj'q li7c1�
S� A)chT �'tY,E
Now or Formerly
Lake Royale P.O.A., Inc.
( D.B. 1803. P. 923 )
---
I�Fe , 5/a' ben Rear
.'Tap a• Alro,e w.t-
Ls..l Appmc 2' w.r
of Esse ar ww
Sh~ k cock
-* Projects ±MS' A.— Surviyea lin
j Fouts 3/e• Yen Mi
/rap 3• adv
e.Ybnd Surtore
PLAT OF BOUNDARY SURVEY FOR
RYAN D. WALKER & WIFE, ERIN C.
(Property Owner — Ryon D. Walker, at ux) WALKER
625 Sagamore Drive, Cypress Creek Township, Franklin County, NC
Scale: 1"=60Y Date: December 21, 2016
60 _0 60 120 180
GRAPHIC SCALE — FEET
Surveyed & Mapped By
VAUJAM T. DEMENT, JR., Professional Land Surveyor, PA
L-1456, C-0649
(0)919-496-6159 (M)919-496-9502
102 West Nash Street Louisburg, N -C. 27549 (File No. 3669-2)

448
Now or Formerly
WJM, LLC 447
D,13. 1767, P. 796
Formerly
D.8, 11856, F. 91.3
"effrey G, J®, et ux
Pound 1 /2" iron D. S. 2057, P. 97
Pipe w/Top
I
'Above Ground
5 47-4545"*VII
10 URITYZ
"tl i 30.10 Found 5/5" Iron
89002,35E Rebar w/Top I
Below Ground
S7 Surface
0
72
Qr.
El
Septic Edge of Lake
Tank
Found 1 /2" Iron E
Pipe w/Top Flush
w/Ground 5urface
1 —Story Stucco LAKE ROY�
Dwelling w/Garage
NOTE: High—Water M?k
y l '�,� a \ �`� \ ���. V
of Lake Is Property Line
U
ood Limit(0
0 --Year
ne, (See Note Bout
V)
50' Tar Ri. r VP_
Found 5/8 " Iran
Basin Ripa id Rebar w/Top 4"
9 9, Buffer Below Ground
Surface
Now
JL 4' -xA
ind 5/8" Iron SEC
--bar w/Top 4" NZ)
elow Ground P.B.
urface
N.- F
-ound 1/2" Iron Rebar
A,/Top 1" Above Ground
Sur'lace Near Base of
Povier Pole
4
1012
Olt
60) OA4