20200417 Ver 1_Shoreline Stabilization_20200326

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y,
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`r�1 -ern � �.
N, rl.. State 6
Department of Environment and N
Division of
!Hater Resources 15A NCAC 02H .0500 — Water Quality Certification, Shore
ENVIRONMENTAL QUALITY FOR
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee sh(
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: SCOTT PLEMM
Mailing Address: 2712 DOMBEY
Telephone Number
E-mail Address:
WAXHAW, NC 28173
860-371-4316 Fax Number:
2. 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.usace.armv,miI/Portals/59/dots/reeuIatorv/regdocc/Permits/-AIV
ATION FORM.pdf)
Name:
Company Affiliation:
Mailing Address:
CARISSA P
ENNICK ENTERPRI!
28761
Telephone Number: 828-659-1000 Fax Number:
E-mail Address: CARISSAI@BENNICKGRADING
B. Project Information [15A NCAC 02H .0502(a) & (b)]
1. Attach a vicinity map (i.e. street map) clearly showing the location of the
respect to local landmarks such as towns, rivers, and roads.
2. Provide a detailed site plan showing property boundaries and proposed locati
vegetation clearing, buildings, retaining walls, docks, impervious surfaces, rip
or dredging below Full Pond/ Normal Water Level elevations, and constructioi
corridors. You may use the diagram provided at the end of this application fo
North Carolina
ural Resources
ater Resources
ne Stabilization
: SSG 02-2017
ild be sent to:
S, FedEx, etc.)
ranch
EC EIVE
Agent has
4011111
with
ns of
Ip, excavation
access
UNIT
FORM: SSGP 02-2017 1 Page 1 of 3

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3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Inclu
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be conducted)
County: MCDOWELL Nearest Town, NEBO
Lake/ river/ ocean adjacent{{ to property: DAMES
Property size (acres): I ��
Subdivision name or site address (include phase/lot number): PENINSI
Directions to site - please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 TO S MOUNTAIN INSTITUTE RD
/ TO THE PENINSULA RESERVE RD / TL ONTO LINVILLEIVIEW DR TO PROPERT
Latitude (in decimal degrees) 35.75767 Longitude (decimal
a scale of
LA LOT 9
5. Describe the existing land use or condition of the site at the time of this appli ration
(residential, undeveloped, etc.): VACANT WOODED LOT
i
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 122' SHORELINE STABILIZATION BY BARGE,
I
HEIGHT WILL BE 5'
I
7. Will work be conducted from land? ❑ :From water?
8. Total amount of impacts below the normal pool lake level / Normal Water Le ;el
I
Permanent impacts (including all excavation, backfill, rip rap, retaining walls, ftc.) in square feet:
3'X122'= 366 SQ FT
I
Temporary impacts in square feet:
NO TEMP IMPACT
i
9. Total amount of impacts above the normal pool lake level / Normal Water Le lel and 50 feet
land -ward j
Permanent impacts (including back fill, excavation, rip; rap, retaining walls, et l.) in square feet:
i
2' X 122' = 244 SQ FT.
Temporary impacts (temporary clearing, construction corridor) in square feet l
NO TEMP IMPACT
i
10. Please describe the vegetation above the normal pool; lake level/ Normal Wat t r Level and 50
feet landward to be impacted (number of trees, for instance): 5 TREES LE 'S THAN 6" AN[
6. TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE THIS .PROJECT. ,,HEY WILL BE
REPLACED INCH FOR INCH WITH TREES TOTALING THE SAME DIAMETER. AW REMAINING
DISTURBED AREA WILL HAVE MULCH APPLIED TO IT ii
P �
FORM: SSGP 02-2017 Page 2 of 3

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11. Si atu
Ow gent's Signature" [1 A NCA 2H .O5O2(f)l
`Agent's signature is valid only if an authorization letter from the owner is
12. Please approximately sketch the following information on this plan and provie 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 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 Wa er Level elevation
Shoreline
Ir
FORM: SSGP 02-2017 Page 3 of 3

SCOTT PLE
PENINSULA LOT 9
TO: NORTH CAROLINA DIVISION OF WATER RESOURCES
I GIVE CARISSA PARKER, OF BENNICK ENTERPRISES, LLC.,
PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FO
SHORELINE STABILIZATION.
SIGNATURE (S) - ,RAW-VJZu
DATE 9,120 /"Z�

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Scott Plemmons
Peninsula lot 9

Plemmons - Peninsula 9
0
46
in
Pisgah National E fit �� A26
126
vNkZ The Peninsula lot 9
0S 47 LINVILLE VIEW DR
eQd Latitude: 35.75767 N Cad
Lon itg ude: 81.93301 w
171
s
Oce
Lake ula!nes
n mi 09 0.4 0.6 0.8
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