20200742 Ver 1_Shoreline Stabilization_20200529

Water Resources
ENVIRONMENTAL. L.IUALIT Y
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
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 (UPS, FedEx, etc.)
Karen Higgins Karen Higgins
DWR — 401 & Buffer Permitting Branch DWR — 401 & Buffer Permitting Branch
1617 Mail Service Center 512 N. Salisbury Street RECEIVED
,E
Raleigh, NC 27699-1617 Raleigh, NC 27604 C C V
A. Applicant Information [15A NCAC 02H .0502(a)]
MAY 2 9 2020
1. owner Information ACDEQ/DWRWDES'
Name: ROBERTA ROBY
Mailing Address: 1380 GENE ST
WINTER PARK FL 23789
Telephone Number: 321-277-3613 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:
htto://www.saw.usace.armv.mil/Portals/59/docs/reeulatorv/rejzdocs/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: CARISSA(@BENNICKGRADING.COM
B. Project Information [15A NCAC 02H .0502(a) & (b)]
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

0__ 1 i1 -__-) I — A /
4.
5.
M
7.
M
M
Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include
a scale of
!I
some sort- a yard stick, shovel handle, etc.)
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): 6
T 31
Subdivision name or site address (include phase/lot number): 1780 L
2515 HULLY GULLY DR
Directions to site - please include road names and numbers, landmarks, etc.:
FROM M0RGANTON TAKE HWY 126 TL ONTO CAM PBELLS TRACE
L ONTO HULLY
GULLY DR TO PROPERTY
Latitude (in decimal degrees) 35.75519 Longitude (decimal degrees)
81.91630
I
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): 150' SHORELINE STABILIZATION BY BARGE
HEIGHT WILL BE 6'
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,etc.)
in square f
4' X 150' = 600 SQ FT
Temporary impacts in square feet:
I
j
NO TEMP IMPACT
I
Total amount of impacts above the normal pool lake level / Normal Water Le1vel
and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, e%.)
i
in square fee
2' X 150' = 300 SQ FT
Temporary impacts (temporary clearing, construction corridor) in square
10. Please describe the vegetation above the normal pool lake level/ Normal
feet landward to be impacted (number of trees, for instance): 2 TREE
4 TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJE
DIAMETER.
DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
r Level and 50
i THAN 6" ANI
-IEY WILL BE
aet:
t:
FORM: SSGP 02-2017 Page 2 of 3

i
i
11. Signat re
0w ent's Signature* [ A NC 02H .0502 f Date
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, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
i
Lake
At Full Pond/ Normal'Nater Level)
Full Pond/ Normal Water Level
Shoreline
Plan View
4�
FORM: SSGP 02-2017 ► Page 3 of 3

TO: NORTH CAROLINA DIVISION OF WATEF
I GIVE CARISSA PARKER, OF BENNICK ENTERPRISES, LLC.,
PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FOR
SHORELINE STABILIZATION.
SIGNATURE (S)
DATE / s©

LEGEND
EXISTING IRON PIN
NEW IRON PIN Q
PROPERTY LINE
LINE NOT....
155 -15c.
EYED .�,
RED. BUILDING ENVELOPE— —
LAKE JAMES
—
0 50 100 150
IXAT NORTH
P 1-17 LAKE JAMES
\
/
t� LOT31
RSEADDED
�RBE REMOVED •:- Fu2 Y9 987 SF.
,
1
LAKEJAMES{y
4 T 4
\
;'•
/A/1 LEGW "� / //-/( `
LLEEGAAGU, CERTIFY IWIT THIS MPRN A NEVISION TO THE
.E`SR0SAB0VEOSUILOWOFAVELOPE FORLOT3r IN1TS0.
THESHOTSABOVE WERE TAREN
[
59q
\ Ndl4e'04•M \ NW1004W
!11!' \ ,PI1uL53i3
AT LOCATIONS SIIONNAND
SLOPE G.CULAIE. A9 SHOM.IRIS IS NOTA SOUNOARY SURVEY
OF
)-W
IN O
.2..
COORDIJUTES OWEN SO THAT 6HOTLOCAipNS
nn
\\\
.oTS�
OO
ARE OOCUMENIEOON iH19 kAP.
1
1•CER"
CERTIFY
I, LEE GMGO,
REVIEW OFFICES
TINT INE Oft FIAT TO WNILN
COMP. IT
INI3
LERIIFY THAT THIB PLAT WAS CERt1FMATpN19 AFFIXED, MEETBALL STATUTORY
DRAWNUNOEq MY SUPERVISIgY FgOMANAC)UAL REM'g ENTS FOR RECOR01N0.
g
6URVEYMADE DNDER MY SUPEAVI$IOµ TNT IHE /�
BOUNOAgIE3 NOT SURVEYEDARE CLEARLY SA)IGTED ("'(^n�^.
A9ORAWN
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FROM INFOgMATR)NFWNDW PUT 8001(
11D ; IINT tNE RATIOOFPREC1810NA9 REV�W
CAICVUlE019I1
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PREPAgED WACCOgWWCE WNN09.4)J0A9 AMENDED. OAtE �•a'��Oc
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AND BEAL 1{IL911 OAYOF3AM/AqY, ]Ot r.
NUMSER.
INC r2e
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%ht5 Af RlCarded /•e77•e-0/t OWNERS:
,rr n LOREN & ROBERTA
r, F. tee GRA66 CfKTj TO ON[ OR MORE Oe McPOLLQmNG:
X O. 1)NT 11115 PUT 19 Op q
j 1• ,C ROBY
�1,� dA �.W // uD[ mt% 1380 GENE STREET
9. MTN.
(,
8F
�O
SVRV[Y OP A1gM[R GTEGORY SVp1 A9 A
1teCOMBINARON OY IXISTING PAR,C[L5, AC0 X,-,UROER[D SURVEY Oft
DTN[R IXCEPIION i0 WI[ DEFINIAON OT -oB E ISION.
T J -15b WINTER PARK, FLORIDA 32789
�``�;[.4
INST. RD.
yJ4
4 I LEE Gf�AGG
LEGEND
DATE I-12-I1
a
CIVIL ENGINEERING AND
COSTING IRON PIN • SCALE I'=40'
/7S0
NEW IRON PIN
LAND SURVEYING
PROPERTY LINE
1793 WATERFORD WAY TOWNSHIP LINVILLE
IN VICINITY MAP
LINE NOT SURVEYED — _ _ MORGANTON, NC 28G55 couNTY BURxE
RBE
NCr20
-- -- — 828-438-8847
STATE NC
LOT 32
\ pit ,� 2•w N—.- BM 1344.3 p,9G<(yN,\
N 4W.9904
E
LOREN & ROBERTA ROBY
1380 GENE STREET
WINTER PARK, FLORIDA 32789
VACANT LOT 31-1780
HULLY GULLY DRIVE
NEBO. NC 20761

Roberta Roby
1780 lot 31

Roby - 1780 31
�d
Cos Pisgah National Forest
CIO
1780 lot 31
2515 Hully Gully Dr
Latitude: 35.75519 N
Longitude:81.91630 W
Lake James
3� 2
y�
,DO
d�
Co
126
0 yds 200 400 600
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