20180584 Ver 1_Shoreline Stabilization_20180427

Water Resources
ENVIRONMENTAL QUALITY
20184584
T..
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
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
Raleigh, NC 27699-1617 Raleigh, NC 27604 D�
A. Applicant Information [15A NCAC 02H .0502(a)] APR 1. Owner Information 271418
Name: David HowardOENRT "vivVAR)7�y
Mailing Address: 2101 Stonehenge St Newton NC 28658 �kMC!IrTIING
Telephone Number: 828-320-6967 Fax Number:
E-mail Address: [e-mail]
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:
httD://www.saw.usace.armv.miI/Portals/59/docs/reaulatory/reedocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.Ddf)
Name: Amy M Annino
Company Affiliation: Environmental Specialist -Asheville Regional Office
Mailing Address: 2090 US Hwy
Swannanoa, NC 28711
Telephone Number: 828-296-4656 Fax Number:
E-mail Address: [e-mail]
B. Project Information [15A NCAC 02H .0502(a) & (bll
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.
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of
some sort- a yard stick, shovel handle, etc.)
FORM: SSGP 02-2017 Page 1 of 3

4. Location of the property (where work is to be conducted)
County: Caldwell County Nearest Town: Sawmills
Lake/ river/ ocean adjacent to property: Rhodhiss Lake
Property size (acres): —1.5 acres
Subdivision name or site address (include phase/lot number): Haves Mill Landing, Marble
Stone Dr Sawmills NC Lot C
Directions to site - please include road names and numbers, landmarks, etc.: HWy 18N ; Right
on Southwest BLVD; Right on Connolly Springs Road; Left on Dry Ponds Road; Right on
Moore Acres Drive; Left on North Bay Drive; Left at intersection; Right on Candlestick;
Right on Marblestone; Lot at end of cul-de-sac.
Latitude (in decimal degrees) 35.787063 Longitude (decimal degrees) -81.462233
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Undeveloped, —30 trees in water; additional unsafe pine
trees rotten and or leaning to the point of danger.
6. Describe proposed work (include discussion as to how hardening of shoreline has been avoided,
or why it is necessary): Installed erosion fabric beneath Class -13 Rip -Rap; Installed wire
backed/metal stake silt fence at the shore line; Installed wire backed/metal stake silt fence 50
feet from the full pond level of the lake; Installed mulch to all disturbed areas within the 50 foot
buffer (Bare soil); Created multiple ditches above the 50 foot buffer to prevent water erosion.
7. Will work be conducted from land? ® From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts: Below the normal pool lake level (including all excavation, backfill, rip rap,
retaining walls, etc.) Sloped bank with Installed fabric and rip -rap
Permanent impacts: Normal Water Level (including all excavation, backfill, rip rap, retaining
walls, etc.) in square feet: Sloped bank with Installed fabric and rip -rap
Temporary impacts in square feet:
1326 Sq./Ft.
Total amount of impacts above the normal pool lake level / Normal Water Level and 50 feet
land -ward
Permanent impacts: Above the normal pool lake level (including back fill, excavation, rip rap,
retaining walls, etc.) in square feet: Sloped bank with Installed fabric and rip -rap 1326 Sq./Ft.
Permanent impacts: Normal Water Level and 50 feet (including back fill, excavation, rip rap,
retaining walls, etc.) in square feet: Sloped bank with Installed fabric and rip -rap; Installed wire
backed/metal stake silt fence at the shore line: Installed wire backed/metal stake silt fence 50
feet from the full pond level of the lake; Installed mulch to all disturbed areas within the 50
foot buffer (Bare soil);
FORM: SSGP 02-2017 Page 2 of 4

Temporary impacts (temporary clearing, construction corridor) in square feet:
7800 Sq./Ft.
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): Mulch and — 20 trees
11
Signature
Owner/Agent's Signaturek [ISA NCAC 02H .0502(f)) Date
Agent'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:
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
La ke
(At Full Pond/ Normal Water Level)
)
• ft. Fabrici Rip -Ra
•
Full Pond/ Normal Water Level •
Shoreline
1
Plan View
FORM: SSGP 02-2017 Page of

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