20200655 Ver 1_Shoreline Stabilization_20200513

State of North Carolina
Department of Environment and Natural Resources
tic. Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) and the application fee should be sent to:
If sending via US Postal Service If sending via delivery service (yPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting; Branch
1617 Mail Service Center 512 N. Salisbury Street 1 \
Raleigh, NC 27699-1617 Raleigh, NC 27604 -DV V.
A. Applicant Information [15A NCAC 02H .0502(a)1 VA
1. Owner Information < ,
Name: JEFFREY OLDENBURG
\J
Mailing Address: 715 N. GRAHAM ST SUITE 508
CHARLOTTE NC 28202
Telephone Number: 704-999-0375 Fax Number:
E-mail Address:
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:
httP://www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/Permits/SAMPLE AGENT AUTHORIZ
ATION FORM.pdf)
Name: CARISSA PARKER
Company Affiliation: BENNICK ENTERPRISES, LLC.
Mailing Address: 7836 HWY 70 EAST
NEBO NC 28761
Telephone Number: 828-659-1000 Fax Number: 828-659-1001
E-mail Address: [e-mail]
B. Project Information [15A NCAC 02H .0502(a) & (b)1
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, 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 provided at the end of this application form.
FORM: SSGP 02-2017 Page 1 of 3

3.
4.
5.
[.1
7.
8.
a
10.
FORM: S;
0
Attach a photograph of the shoreline/ buffer proposed to be stabilized. (include
e a scale of
some sort- a yard stick, shovel handle, etc.)
Location of the property (where work is to be conducted)
County: MCDOWELL Nearest Town: NEBO
Lake/ river/ ocean adjacent to property: JAMES
Property size (acres): .87
LOT 13
Subdivision name or site address (include phase/lot number): PENINSULA
LINVILLE VIEW DR
Directions to site - please include road names and numbers, landmarks, etc.:
, KE JAMES RD
FROM MORGANTON TAKE HWY 126 TO S MTN INSTITUTE RD TO
TO THE PENINSULA DEV TAKE PENINSULA RESERVE RD TO LINVILLE VIEW DR
TO PROPERTY
Latitude (in decimal degrees) Longitude (decimal degrees)
Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): VACANT WOODED LOT
Describe proposed work (include discussion as to how hardening of shoreline
has been
avoided, or why it is necessary): 140' SHORELINE STABILIZATION BY BA
GE
HEIGHT WILL BE 5'
Will work be conducted from land? ❑ From water?
Total amount of impacts below the normal pool lake level / Normal Water Level
Permanent impacts (including all excavation, backfill, rip rap, retaining walls,
'tc.) in square fE
3' X 140' = 420 SQ FT
Temporary impacts in square feet:
1
NO TEMP IMPACT
Total amount of impacts above the normal pool lake level / Normal Water Le
'el and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, et
;.) in square feel
2' X 140' = 280 SQ FT
Temporary impacts (temporary clearing, construction corridor) in square feet,
NO TEMP IMPACT
Please describe the vegetation above the normal pool lake level/ Normal Wat;
r Level and 50
feet landward to be impacted (number of trees, for instance): 3 TREES LESS
THAN 6" ANC
THEY WILL BE
3 TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJECT.
REPLACED INCH FOR INCH WITH TREES TOTALING THE SAME DIAMETER. A4
REMAINING
DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
3GP 02-2017 i
f
Page 2 of 3
!et:

11. Sign ture
Owner/Agent's Signature* [IA NCA 02H .0502(f)] 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 Water Level elevation
d. Location of any proposed structures such as buildings, retaining walls, cocks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
La ke
{At Full Pond/ Normal Water Level}
Full Pond/ Normal Water Le
Shoreline
Pars View
ax�L+o
FORM: SSGP 02-2017 1 Page 3 of 3

NBURG
LAKE JAM ES
13
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)
DATE '-24 2';Z�

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DB 1180 PG 336

Jeffrey Oldenburg
Peninsula lot 13

Jeffrey Oldenburg
LinviY, It
Pisgah National Forest
1/20
The Peninsula bt 13
�✓ LINVILLE VIEW DR
�� ales Rd Latitude: 35.75711 N
Longitude: 81.93176 W
Longtown
126
_
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