20221440 Ver 1_More Info Received_20221201

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ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. RDGERS, jR.
Director
NORTH CAROLINA Mate of North Carolina
Environmental Quality
Denartment of Environment CLuaiity
Division of Water Resources
1SA NCAC OZH .0500 — Water Quality Certification. Shoreline 5tapisixar
Shoreline Stabilization Application Form
FORM: SSGP 04-2022
A complete copy of the application (including attachments) and the aoaiication fee should be sent to:
if sending via US Postal Service
Paul Woioski
OWR — 401 & Buffer Perin itt►ng Ura nch
1.517 Mail Service Center
Raleigh, NC 27699-1617
if sending via deli very sefldce (UPS, ;=
Paul Woiosici
DWR — 401 & Suffer permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
or e6eetrvnic submittals. please see the Sh
-oreflne Stabilization Application Form.
Far GP80 Applicants Oniv.
Additional reauirements foi 401 Certification Applications have resulted from the reinstatement
I�of the Trump Administration's Clean Water Act Section 401 Certification Rule [40 C.F.R. Section
121.4[a] and 121.5(b){7), and (c)(5)1- This rule requires that 401 applicants request a pre -filing
meeting at least 30 days prior to submitting their 401 application. In turn. the Federal Rule
requires that applicants include documentation of their pre filing meeting request in their 401
Certification application_
DWR has developed a Pre -Filing Meeting Request email address to accept the federally required
pre filing meeting request. Click here: 401PreFile cr ncdenr-goof to send your request. in response.,
you will be emailed a confirmation receipt of submittal. This confirmation receipt email must then
We submitted with your PCN application -
Ali 401 applications received after April E, 2022 that do not have documentation that a prefiiing
meeting. request was submitted at least 30 days prior to submittal of a 401 Certification
application will be returned as incomplete. Additional information regarding the pre -filing
meeting requirement may be found here: httos.//4ecs.nc.gov/about/divisions/water-resourceLsl
wate r-ctuaI - ermi in 401-buffer-perm i n a iication-forms-het -documents. The EPA has
also pasted a Q&A document on their CWA Section 401 Certification webpage for more
information
Attach documentation of Pre -Filing Meeting Request to this appiicatior..
Date of Are -Filing Meeting Request: ___,J__-_I (required)
OWR 1D # Version (if applicable)
A � �� �o uz Caro7uEa F caartasenc of Emyronrrrearal t�.7a�n �Yn'iSwR or i[ a[cr ttesou�cs

A. Applicant Information f15A NCAC 02H .0502(a)l
1.
Owner Information
;Fame. 7--0 d? C-j e_ :r) -,¢u � Gib`
Mailing Address: / 112—I D ve'S tcf A
Telephone Nurnber:41 G' 3CG 7 73 ! Fax lumber:
E-mail Addrem'
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: htLp : www,saw.usace.arrnv.miI
Pnrtalc/r,A/rime/rQrririntnrv/rasrinrS/Permits/SAMPLE AGENT AUTHORIZATION FORM.ndf,
Name: I6< , Lk' V 4?--n A ` 1Lr,'-!- �
Company Afi:i€ianon. e i_ 4 FJ
Mailing Andress: 4413
`
s bb-, -D', I
Telephone Number: 5N7 -'-�-35 ` ()`{ 9 Fax Number:
E-mail Address: K P R❑ C LAY k 4 U c % M C C-c`)- tvi
B. project information 15A NCAC 02H .0502 a & b ]
1. Attach a vicinity reap (i.e. street map) clearly showing the location of the property with respeLct
to local landmarks such as towns, rivers, and roads.
:Provide a detailed site plan showing. property boundaries and proposed locations of vegetation
daring, 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 ❑rovided 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) % U6X
County: C2" iA- V� cC n`1 — Nearestnlor—n:
Lake/ river/ ocean adjacent to property:
Property size (acres). ` ` % ` -
Subdivision name or site address (include prase/lot number):
Directions to site _ please include road names and numbers, landmarks, etc-_
Latitude {in decimal degrees] , 5t i _ Longitude (decimal degrees)_(
'_,vrh Carnh s ` astn;^c nj Em'in�r_�:-�sntii 4ua3!n- 0 iron a:-'ae.: a4�:.:area

;escribe the existine land use or condition of the site at the time of this application (}residential,
undeveloped, etc.): , +'�F���`�
6. describe proposed work (include discussion as to how hardening of shoreline has peen auoie�:.
or why it is necessary): A--r%w Cs�e_ S C ,9-v[k S "SC -CA
-7- Will work be conducted from land?
-&es' 604kl bo 11t�
From water? 4
S. Total amount of impacts below the normal pool lake level/ Normal Water Level
Permanent impacts tinclu ding all excavation, back -fill, rip rap, retaining wails, etc.) in square feet: _
0
Temporary impacts in square feet-
r_�; C
9- Total amount of impacts above the normal pool lake level 1 Normal Water Level and 50 feet land -
war
Permanent impacts [including back fill, excavation, rip rap, retaining walls, etc-] in square feet.
Temporary impacts (temporary clearing, construction corridor) in square feet_
r -5
J. Please describe the vegetation above the normal oaol lake level/ Normal Water Level and 50 feet
landward to be impacted (nurnher of trees, for instance): 6)eZ l: T-,,z d VO Ltm"6'7!5`
i1, aienatuii-
6v signing below, I, as the project proponent, certify to the following.
The project proponent herehv certifies that all information Contained herein is true, accurate.
and complete to the best of my knowledge and belief
} he project proponent hereby requests that the certifying authority review and take action
on this CWA 401 certification rearrest within the applicable reasonable period of time
❑w r/Agent's Signature" 11.5A fdCAC 02H -05O 11 Date
'A_ nt's signature is valid only if an authorization letter frorn the owner is orovide
12. Please approximately sketch the following information on this .plan and provide dimemions for
each item:
=tio-
.Th Coronas L ;panmcn- Quah: P n";n oI iL Fts:,vr:ns

4:56 9 • ^
< Sent
+leorge
To.
V
Shoreline application
submitted by George
Lau rence a04
t r f�o�:. an
Below pictures show how we have
lost an oak and holly trees due to
hank erosion. The second picture
shows the rock "wall" shore lining
that we would like to extend in
order to preserve the present
shore line with alder hushes. The
third picture shows a sample of
the inundation that is taking place
now.
-fu-te 9 t L0M Z+,,f4%e 08S:3 d3ct9
Ford: Shoreline stabilization application # "I

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GEC 30-,, �
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or000sed vegetation clearing
Location of ria rap or fill to be placed above the Full Pond/ formal `Hater Level elevation
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, clocks, etc_
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
lFull Pond l Normal Water
Shoreline
i
3
Plan View
Lake
(At Full Pond/ Normal Water Level'
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'-.ase 1 Arc katton (to he completed by Applicant)
at or tvpe all infarnlation helm and return to Brookfield Smt)kv Mountain Hydropower LLC
�erwctod Service Center. 314 Growdon Beulevard. Taliassee, Tn. 37$7-B
Please call 1865) 207-7902 with questions_
r- APplicantinforrnation
mil Name (adjoining grope", Owner)- �+��� � , 14w- EOM u{
Permanent Mailing AciurSs:
Lora! Address [if diffemptl: ! 6 6 ; r+s
-� c3.r [ a 2i W !a i sty
rc+�J.aZr
ieiephone (Business}: {Molaife)_
ii. Location of Proposed
County_ leA ifte m Development- Clio s s
Section:Tax �
P Parcet ND.• � �i] � d � � � .�©�1x:�
fDirections to property cif necessary, attach a separate sheet
to larovide a map to the sr'tei:
14tLu j c ck Lo,,'� i
f rr, DEscription of Need for Shorelble smbilizatiu=:�
CascrtAuan Of erosion: (include such information as the vertical height and finear extend of the eroded area,
g reservoir exnmure. fetch distance_ overland erosion. the condition of vegetation adjacent to the eroded
area_ and the proximity of structures to the eroded area_)
-j--_`{{++�c`.```�:"�• ...��.�s � .�'��� ��! �t!ztc-/sue c�� ��Y-.�:• _
L
pfease also attach a map showing the exact location of the nronased shoreline stabilization in relation r,.
`snteetlah Reservoir and the adioining shoreiine property
Applicant Signature:
of