20191080 Ver 1_Shoreline Stabilization_20190812

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State of North Carolina
Department of Environment and Natural Resources
DWR Division of Water Resources
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Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shbreline Stabilization
FORM: SSGP 10-2013
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 Mail Service Center
Raleigh, NC 27699-1617
I. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: Dragoslav Kalaidzic
Mailing Address: 171 Montauk Court
Clemmons, NC 28127
Telephone Number: [phone] 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.armV.miI/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTH
ORIZATION FORMpdf) 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):
Lot 14413, Badin Shores Resort, Badin Lake: 214 Grandview Drive, New London, NC
Directions to site - please include road names and numbers, landmarks, etc.:
NC Hwy 49 to Blaine Road (SR 1162), right on Uwharrie Point Pkwy, right on Badin shore
Circle guardhouse at entry to Badin Shores Resort, get map to lot from attendant.
Latitude (in decimal degrees) 35.3111 Longitude (decimal degrees) 80.0889
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): 0.15 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:
150 Sa. 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: 825 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 will be
Owner/AgentSignature* 15A I
*Agent's signat a is valid only if an
08 01 �,p
Date
letter from the owner is provided.
FORM: SSGP 10-2013 Page 2 of 3

Full Pond/
Normal water I evel
Sf
Lake
(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

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VEGETATION AND EROSION
CONTROL FABRIC
EXISTING GRADE
CLASS 2 RIP RAP
EROSION CONTROL FABRIC
LAKE gpn-pM - -
TYPICAL CONDITIONS
• 36" TO 72" ERODED CUT
• WAVE EXPOSURE
DRAGOSLAV KALAJDZIG
LOCATION: LOT 14413, BADIN SHORES RESORT
RESERVOIR: BADIN LAKE
PROJECT: SHORELINE STABILIZATION PROGRAM
PHASE I SITE EVALUATION
YADKIN, INC. - BADIN, NORTH CAROLINA
DRAWING TITLE: DETAIL
MODERATE RIP RAP STABILIZATION 1 3

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