20160121 Ver 1_Shoreline Stabilization_20160208

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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10-2013
Shoreline Stabilization Application Form 2 0 1 60 1 2 1
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I. Applicant Information [
1. Owner Information
Name: JOSEPH D MARKIEWICZ
Mailing Address: 3809 DUXFORD DR
RALEIGH NC 27614
Telephone Number: 919-604-4888 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:
) must be attached if the Agent has signed this application form.
Name:
CARISSA PARKER
Company Affiliation:
BENNICK ENTERPRISES LLC
Mailing Address:
7836 HWY 70 E
NEBO NC 28761
Telephone Number:
828-659-1000 Fax Number: 828-659-1001
E-mail Address: _
[e-mail]
Person to receive the Certification Approval: CARISSA PARKER
Project Information
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,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM. SSGP 10-2013 Page 1 of 4

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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: MCDOWELL Nearest Town: NEBO
Subdivision name or site address (include phase/lot number): THE ARBOR / 91
HARBORSIDE DR
Directions to site - please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 / TR ONTO WILDLIFE RD / TR ONTO OLD NC -10 / TR
ONTO HIGH TRAIL DR / TR ONTO BEACON RIDGE DR / TR ONTO SYCAMORE DR / TR ONTO
HARBORSIDE DR TO PROPERTY
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): VACANT WOODED LOT AREA
6. Property size (acres): .75
7. Lake/ river/ ocean adjacent to property: LAKE JAMES
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 106' OF SHORELINE STABILIZATION BY BARGE, HEIGHT
ILL BE 4'
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:
2'X 106'= 212 SQ 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: 2'X 106'= 212 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 TREE REMOVAL
/ T 2/3/16
wne /Agent ignature Date
Agent's signature is valid only if an authorization letter from the owner is provided.
FORM SSGP 10-2013
Page 2 of 3

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La ke
At Full Pond
Full Pond I I
Shoreline
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

JOSEPH D MARKIEWICZ
LAKE JAMES
ARBOR LOT 91
TO: NORTH CAROLINA DIVISION OF WATER QUALITY
I GIVE CARISSA PARKER, OF BENNICK ENTERPRISES, LLC.,
PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FOR
SHORELINE STABILIZATION.
SIGNATURE (S)
DATE 1 Aug// G

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Joseph Markiewicz
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Markiewicz Arbor 91
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Harborside Dr
The Arbor lot 91
Latitude: 35.73771 N
Longitude: 81.96458 W
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