20200385 Ver 1_Shoreline Stabilization_20200318

I: A' State of North Carolina
Department of Environment and atural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shor line Stabilization ~
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
;000-
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee shi
If sending via US Postal Service If sending via delivery service (L
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting
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: VINCENT & JE!
Mailing Address: 720 E TREMOP
2.
Telephone Number:
E-mail Address:
DMAN
CHARLOTTE NC 28203
704-618-0833 Fax Number:
Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter must be attached
signed this application form. (A form can be downloaded here:
http://www.saw. usa ce. a rmy. m i IlPorta I s/59/dots/regu lato rv/reRdocs/Perm its/SAIV
ATION FORM.pdf)
Name: CARISSA PARKER
Company Affiliation: BENNICK ENTERPRISES, LLC.
Mailing Address: 7836 HWY 70 EAST
Telephone Number: 828-659-1000 Fax Number:
E-mail Address: CARISSA(cDBENNICKGRADING
B. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the p
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locat
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip
or dredging below Full Pond/ Normal Water Level elevations, and constructio
corridors. You may use the diagram provided at the end of this application fc
Id be sent to:
S, FedEx, etc.)
3ranch
the Agent has
1001
with
of
excavation
access
ORIZ
FORM: SSGP 02-2017 1, Page 1 of 3

3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Ind �';de a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: BURKE Nearest Town: NEBO
Lake/ river/ ocean adjacent to property: JAMES
Property size (acres): 3.72
Subdivision name or site address (include phase/lot number):
2321 HULLY GULLY DR
Directions to site - please include road names and numbers, landmarks, etc.:
Y DR
Latitude (in decimal degrees) 35.75835 Longitude (decimal degrees)
P40.1
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): VACANT WOODED LOT
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 70' SHORELINE STABILIZATION BY BARGIE,
HEIGHT WILL BE 5'
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 (including all excavation, backfill, rip rap, retaining walls,etc.) in square feet:
3'X 70'= 2 10 SQ FT
Temporary impacts in square feet:
NO TEMP IMPACT
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, eta.) in square feet:
2' X 70' = 140 SQ FT
Temporary impacts (temporary clearing, construction corridor) in square feet
NO TEMP IMPACT
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): 10 TREES L SS THAN 6" At
3 TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJECT. HEY WILL BE
REPLACED INCH FOR INCH WITH TREES TOTALING THE SAME DIAMETER. ANt REMAINING
DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
FORM: SSGP 02-2017 1 Page 2 of 3

11. Si atur
gent's Signatu - 2H .0502(f)1 ate
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 Wat�r 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
Lake T
(At Full Pond/ Normal'Nater Level)
Full Pond/ Normal Water Leve
Shoreline
J'7 8v/a�
2MIEWRiA
`7
x r7U
FORM: SSGP 02-2017 I Page 3 of 3

& JESSI
E JAM
LOT
TO: NORTH CAROLINA DIVISION OF WATER RESOURCES
I GIVE CARISSA PARKER, OF BENNICK ENTERPRISES, LLC.,
PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FOF
SHORELINE STABILIZATION.
SIGNATURE
DATE 1�

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Vincent & Jessica Hindman
1780 lot 29

Hindman - 1780 29
1780 lot 29
2321 Hully Gully Dr
Latitude: 35.75835 N
Longitude: 81.91182 W
0711
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