20180781 Ver 1_Shoreline Stabilization_20180604

201 80781
r-0- State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources At 02H .0500 - Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL DUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should'
If sending via US Postal Service If sending via delivery service (UPS, , etc.
Karen Higgins Karen Higgins JUT
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting B n 4 2a /g 11
1617 Mail Service Center 512 N. Salisbury Street
Raleigh, NC 27699-1617 Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: I lIncl
Mailing Address: 131 Z ,J-i.�t- D
13urt,�o i4o�h. (Yard,;g Z7zIS
Telephone Number: 33L,- 3?,0., 15 '3 Fax Number: 33k- - 22Z - 501 I?
E-mail Address: C h4r%(—,, oy
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:
htto://www.saw.usace.armv.mil/Portals/59/docs/reRulatory/re2docs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: N�r4
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

Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of
some sort- a yard stick, shovel handle, etc.) kttudi,t6(
4. Location of the property (where work is to be conducted)
County: Cgsw-a I Nearest Town: Tle"C +ar q
r
Lake/ river/ ocean adjacent to property: V60
Property size (acres): [eia 0cm O''C.^
Subdivision name or site address (include phase/lot number):
if�[oN Iv Lcf '*-3
Directions to site - please include road names and numbers, landmarks, etc.:
twe,tcL 4eewrq �L_U Unt20 Cln,,o„cr (fid c2aa1Qic ARtr(�; 'j n+'Je : L) O.�a Ffzco *Tu
3 r�a' d ►�" � vt:.ac..y o.. Q eryPtok„��cc� zmo yam',,
Latitude (in decimal degrees) Longitude (decimal degrees)
3(,OL7'Ly.-i5niy/--I9o10(33,37"';W fo 36`Zl'i -99'N%r4'io,?Z,Oi, W
Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): Jer;q&4► 1,i(
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): S'(nor<l,�.e_ tr(a-X,4 6rcec Co caa ut acts'.„ pgt, d "
7. Will work be conducted from land? []1/ From water? ❑
8. Total amount of impacts below the normal pool lake level / Normal Water Level
?d.
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, etc.) in square feet:
12A,.4 wAYQ/ , .i.tr. Y A-ati 1 - Z Ae f- /Lccn /).-y (yrs(-- oZ.f-
Temporary impacts in square feet:
lata"4-
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:
12(.. Lt �tur fY{ 1- L,)1 JIT, r`q2 Ir 1 {r o+ above L w+er I,... -c
Temporary impacts (temporary clearing, construction corridor) in square feet:
�4v'.-' L
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): q r asl 14'wr,
11. Signat
5,
ner/Agent's &knature [15A NCAC 02H .0502(f)l Date
Agent's signature is valid only if an authorization letter from the owner is provided. �/r!o r•�>
FORM: SSGP 02-2017 �0 / �� �,i� Page 2 of 4

12. Please approximately sketch the following information on this plan and provide dimensions for
each item:
a. All proposed vegetation clearing N I Pr r 1"4 6,;, <
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
e
Full Pond/I rma� ter Level
Shoreline
Lake
(At Full Pond/ Normal Water Level)
it> ft, i 1 Zig.=`f 1,A -e r r (caf-
Lake
(At full Pond/ Normal Water Level)
Existing Dock
30ftx7ft
3ftx150ft
_ Below full pord/NWL
Full Pond/ Normal Water Level
-thoreTne { 4 x150 ft
Riprap i Above full pond/NWL
2 ft.x 150 ft.
additional clearing
' if necessary
FORM: SSGP 02-2017 E AMP E
Plan View
Page 3 of 4

Lake
(At Full Pond/ Normal Water Level)
Side View
10 ft. bank
Side Vi
0 \
C
iv —
EN
L
L 0
0 C-
C C
0
CLU -
3 ft. below full pond water vel 4 ft. above I pond water level
ing bank
2 ft. additional clearing
f necessary
e
w'
'
A M
PLE
FORM: SSGP 02-2017 Page 4 of 4

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Unofficial Document
�� �-a.i—tr�•G�
Ale Excise Taxi
Tax Lot No.
Verified by
by
Unofficial Document
BOOK2LZ_�_PAGE 2
CASWELL COUNTY, N C.
1 ,`tai C.:I .,lute. :ll Cw:uty
1-ileu Irr r,:,,r•;rFri lull in tae uau ul Reill,lrr
Pxdr,ofCistrcll(,ott it 't./i l- N,
the day of � 2 and
r.corded in Book Page 9
r)elores S Damcron
Regi icr of De ,
B>"
A­nldal/DepWy
R, ,rdnng T-, aoux -,i i`,ge
P..0 ei :dcnt,iivr N..
Cuunty on tilt.
.Bail after recording to DAVID R. HUFFMAN 103 W. ELM ST., P.O. BOX 846 GRAHAM, NC ?I_ -- I
This instrument was prepared by DAVID R. HUFFMAN
Brief description Cur the Index
LOT 3 HYCO HILLS ROAD
NORTH CAROLINA GENERAL WARRANTY DELL
THIS USED made this 21ST day r•f JULY
GRANTOR
KATHY R. HAWKINS
NOP iH CA�4,15 PARKVIEW DRIVE
lt9lrL4.kM�L10UM 15
. ;r ('•"' : '9' N, Y. �' '0'7 $;'Sinn l.aw; OI clic
.. lha7 rtaX�j
Xtb 2000, ,, anti between
GRA l CLE
DAVID R. HUFFMAN AND WIFE
ROBIN B. HUFFMAN
1312 SUNSET DRIVE
BURLINGTON, NC 272i7
ly
Enter In apprrrpriate blurk fur -h Vail) name, 14111 ,,, 1n 1 •i +pprup­ir. I—— , ut rin,i, r,I r,.rporlii Or yai rncr�4y
The designation Gra uturA I'd Graee ntns usre
ed hein ,r
Ahall .... +ude ni p.0 u¢a, Ll.o r h'. o uuea_­ , sad ai5:tt n., „..d
shall include singular, plural, masculine, feminine m� oouter, iey,.ireti i:,• eau L<x:.
WITNESSETH. that the Grantor, fur a valuable r,msider tn.n paui 1,3 :he G: 11i,:v. the receipt of ,chrch , herrby
acknowledged, has and by these presents dues grant, bargain, sell ;iud cwn'cy th, i anire la fee simple a., !hat
certain lot or parcel of laud .Au,,Led to the Uity .,f MILTON i--'1 ;
CASWELL (pw it ,,: u')p ucscuu'd o, 1,.1
All that certain lot or parcel of land lying and being in Milton Township, Caswell County, North
Carolina, and bounded on the East by Carolina Power and Light Company's Hyco Lake and on the
North. West and South by W. Osmond Smith, Jr . and BEGINNING at an Iron stake located In a
contour line lying 120 feet above mean sea level, which said contour line marks the outer boundary of
Carolina Power and Light Company's Hyco River Project, said beginning point being located South
20e 21' S9" West 101 50 feet. South 37° 50'46" West 120 19 feet and South 54° 50'45" West 65 42
feet front an iron pin located in the center of the road leading from N. C Highway 119 to Osmond,
N.0 , and marking a boundary of Carolina Power and Light Company with W O Smith, L thence
from said begnuting point along the line of lands retained by W Osmond Smith. Jr North 49" 53'0 1
West 320 f S feet to an iron pin located in the center of a pnvalc road. Ihen along the center of sand
road South 43° 19' S9" West 120 00 feet to an iron stake located in the center of said pnsate toad,
thence alone the line ofother lands reamed by N O Smith, Jr South 49" 53 01" East 28u % tcet lu
an iron stake located In the aforementioned 426 foot contow line thoice with said 42u foot contour line
North 60" 12' 1 1'• Fast 84 S3 feet to an iron stak, and North 54" �U' 45 a� Lot No i on a ; iat entwtd
"Property of W Osmond Smith, Jr •• surveyed by \\' R Cares un \larch 7 i,)(,'
So much of the above described property as may he within 30 feet ul'thc Nunhwcsicro buunddn
thereof shall be and remain subject to a road right of easement reserved ro (grantors, their ncirs and
assigns.
A e. av wwe .a. Ao r. rin. s„w. ging w.ua errs..,-..r.w, w.+e a.• w,«. .s..
YlW ani„ Fe.Wnm G. ra !Oi>!rr-..N / ]N! rim, a Mpun. n C 11i�f

Unofficial
Document
Unofficial
Document
BOOK , PAGE AW
CAS`W T I C0JNTY. N.C-
The property hereinabove described was acquired by Grantor by instrument recorded ill
A map showing the above described property is recorded in Plat Book page
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances tneretu belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the rigor w cut—)
the same in fee simple, that title is marketable and free and clear of ail encumbrances. and that Grantor will warrant and
defend the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions.
THIS CONVEYANCE IS MADE SUBJECT TO THE RESTRICTIVE COVENANTS CONTAINED IN BOOK 150, AT
PAGE 539.
IN-iTNtsa waexgor, tn. G. ha he his nand a .1 +.,,,, In.. 11— o. n,
G- r.u.tu tet fid ..a, .,. „I. ,...,.
�,eu
<aettIfte name by Its duly sure orftea officers dna ua seal to be nereuntu aniard hs .urn unl, ur �I. no. o .d u�recwn.� ole d1) An. urn
d
stove written. ^/
..................................... 1 \ (SEAL,
........ ................ ..
(carp ora to Name) KATHY R. INS, GRANTOR
X.
C
By: — — ................._.......--------
---_P...Is—
ATTEST:
.................. .._..._......__..._._.--._. _....____- -------- S
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Ytr.rta<3 rcdrpdratt stau
9
,/�� J���/i�/� S.
�a�a� �af% NOR7i1 C.\ROI.INA, Y.'7.l.r�r1.(4n Cs_. ----- -....County
`ems Sy 1. a Notary Public of the Cnunl> and State ,oat ........ ..
AVBL�G '2U: s --------'KAT1iY-R. HAWKiNS _- ._ ............... . . .. ... . .... cr.owr.
�i�,f�°. • n per,nr,au, appeared berme m, th., it,, and a<k.owb.dc,d Int .a.<eudn .1 the I.r.t.h,g mardment. Wt..., my
Sruay
cE COUN.•',' :hand dna alh<lal ar.3,. in,, Z I 0�u�. uXR1
' my i -1-[.Q L:�._. L hour. Pini 1.
cummianun ekptres' ..�).,.l __. _...... 1., 1a1.k_.,'.L4
SEAL•5TAa1P NORTH CAROLINA. .. .. .... ..... ......l ounl,
1. a Notify Public of the County dna sale al ure.a.d. 11,11(Y gnat ....
personally came below me tliia day and acknowledged tn.l -..- rte la ... - -... ><c r.... .I
C
r Sof(h Carolina :ufl+Oration .ud Iha. al autn.fil, 0...,
u rl.en and at the act al the tu.9p 11an. the lure....[ airy i. n..nt ww...tncd In sal nam.
0
% President. -abed with its corporate seal and attested by ... as Irl .. -. 5c.rr
,Ytlnet. my bane and official Stamp ur sial, this ..... -.tlaY o[ ... .... .... ... .. 19.. .. _.
My Com MIfHYn expons :............................. ........ Notary Publ/c
The rbregolng Ceruneate(s) of .. SHERRI CH-ILDRESS7_ NOTARY PUBLIC OF ALA14ANCE COUNTY, -NORTH. GAROL INA
............. _._ _ -- ---- - --- --- — — ---- - ----- ........ ..-...
--------- .. — ..........
,stare rrrttfted to be correct. This instrument and this certificate ace duly r"ist-rd at the date and time and In the book and Pat. •.own an M.
11—pate het.. r.
DELORES S. DAMERON CAjWELL
...... ... .... ............. _. .._..............-...aEG16TER OF DEEDS FOR -...... COI'NTY
by .. _. .-. !�_ __y...................'DrpOtA'Asalrlanl• Register of Deed.
N.C, ear Ana. Form N/. 3. 1976. Penna 19n / hel,q pr grlwnw .en ma NC. ar AS.oc - 19/,
slLW 6nsw.s IL u 9nt Sb. bis. 0po253AI63 / 261 E. Front St 6udnplon, NC 27215

David Huffman
From: Bailey, David E CIV USARMY CESAW (US)<[e-mail]. mil>
Sent: Tuesday, May 29, 2018 9:54 AM
To: David Huffman
Cc: Goss, Stephanie; [e-mail]
Subject: Hyco Lake bank stabilization; Caswell Co., NC
Attachments: RGP30-2016-12-23. pdf
Mr. Huffman,
Thank you for the information you submitted regarding shoreline stabilization on Hyco Lake. Your activity, described as
rip rap stabilization of 126.4 linear feet of shoreline (stated as having no wetlands), fits the description of Department of
Army, Wilmington District, Corps of Engineers General Permit 198200030 (GP 30) as long as the work is done in
compliance with GP 30 Special Conditions and General Conditions (attached).
Note, however, that you must also receive approval from the NC Division of Water Resources (NCDWR). Please see the
Shoreline Stabilization Form and Help Document (updated February 2017) at the following NCDWR website:
http://deg.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/401-wetlands-buffer-
permits/401-application-forms-help-documents
(see information under the heading "Shoreline Stabilization Form and Help Document")
Stephanie Goss (cc'd above) is currently the appropriate NCDWR contact for those requirements. Her phone number is
919-791-4200.
If you have any questions related to Corps of Engineers requirements please let me know. Thank you for your time and
coordination.
Sincerely,
Dave Bailey
David E. Bailey, PWS
Regulatory Project Manager
US Army Corps of Engineers
CE -SAW -RG -R
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Phone: [phone], Ext. 30.
Fax: [phone]
Email: [e-mail]
We would appreciate your feedback on how we are performing our duties. Our automated Customer Service Survey is
located at: http://corpsmapu.usace.army.mil/cm apex/f?p=136:4:0
Thank you for taking the time to visit this site and complete the survey.