20120599 Ver 3_Shoreline Stabilization_20200608

i 4mt-
StateS�r� V
SSi�h�� N of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 — Water lQuality Certification, Shoreline Stabilization
ENVIRONMENTAL QUALITY FORM: SSGP 02-2017
Shoreline Stabilization Application Form
Three copies of the application (including attachments) an
If sending via US Postal Service if send
Karen Higgins Karen
DWR — 401 & Buffer Permitting Branch DWR —
1617 Mail Service Center 512 N.
Raleigh, NC 27699-1617 Raleigl
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name:
Mailing Address:
Telephone Number:
E-mail Address:
PHEN J NIK
RTHPORT. NY 11
2. Agent/ Contact Person Information
the application fee should be sent to:
g via delivery service (UPS, FedEx, etc.)
ggins
i01 & Buffer Perm ittingBranch
alisbury Street RECEIVED
NC 27604
Fax Number:
J U N 0 8 2020
NCDEQ/DWR/NPDES
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:
htta://www.saw.usace.armv.mil/Portals/59/docs/reeulatorv/resdocs/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. 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.
1.1
7.
8.
a
10.
FORM: 5
Attach a photograph of the shoreline/ buffer proposed
to be stabilized. (include
a scale of
some sort- a yard stick, shovel handle, etc.)
Location of the property (where work is to be conduc
ed)
County: MCDOWELL Nearest Town:
NEBO
Lake/ river/ ocean adjacent to property:
JAMES
Property size (acres): 2.45
OLD WILDLIFE
CLUB 78
Subdivision name or site address (include phase/lot number):
MAYFLY HOLLAR DR
Directions to site - please include road names and nu
nbers, landmarks, etc.:
OLD WILDLIFE
FROM MORGANTON TAKE HWY 126 TR ONT
WILDLIFE RD TR ONTO
CLUB DR TL ONTO GAMELANDS DR TR ONTO HUN
CAMP DR TR ONTO MAYFLY
HOLLAR
DR TO PROPERTY
Latitude (in decimal degrees) 35.74761 Longitude
(decimal degrees)
81.92039
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): 110' SHORELI
E STABILIZATION BY BA
GE
HEIGHT WILL BE 5'
Will work be conducted from land? ❑
From water?
i
Total amount of impacts below the normal pool lake
eve[ / Normal Water Le
el
Permanent impacts (including all excavation, backfill,
rip rap, retaining walls,
tc.) in square fe
3'X 110'= 330 SQ FT
Temporary impacts in square feet:
NO TEMP IMPACT
i
Total amount of impacts above the normal pool lake
level / Normal Water Level
I
and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip
rap, retaining walls, etc.)
in square feet
2' X 110' = 220 S FT
Temporary impacts (temporary clearing, constructio
corridor) in square feet:
NO TEMP IMPACT
Please describe the vegetation above the normal pool
lake level/ Normal Wa
ler Level and 50
feet landward to be impacted (number of trees, for instance):
4 TREES LE6S
THAN 6" AND
THEY WILL BE
2 TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE
THIS PROJECT.
REPLACED INCH FOR INCH WITH TREES TOTALING TF
E SAME DIAMETER. AN
REMAINING
DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
SGP 02-2017
Page 2 of 3
et:

11. Si u e
0 er/Agent's ig ure [ 5A NCA 02H .0502(f11
'Agent's signature is valid only if an authorization Jett
40-&)
Dat
from the owner is provided.
12. Please approximately sketch the following informatic n on this plan and provide dimensionsfor
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 bui dings, retaining walls, decks, etc.
e. Location of any excavation or dredging below tl e Full Pond/ Normal Water Level elevation
Lake
{At Fuld Pond/ Normal
Full Pond/ Normal Water Le
o..�■
Shoreline
Did
� ()�- r-� �
Plan View
vvt
Leve l }
CJV-b
FORM: SSGP 02-2017
Page 3 of 3

TO: NORTH CAROLINA DIVISION OF V1
I GIVE CARISSA PARKER, OF BENNICK
PERMISSION TO SIGN AS MY AGENT ON
SHORELINE STABILIZATION.
SIGNATURE e .
DATE �7GIZo

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Stephen Nikrant
Old Wildlife Club lot 78

Stephen Nikrant
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