20201012 Ver 1_Shoreline Stabilization_20200731

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,;�, State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Resources 15A NCAC 02H .0500 —Water Quality Certification, Shoreline Stabilization
ENVIRONMENTAL DUALITY 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
Raleigh, NC 27699-1617 Raleigh, NC 27604
JUJ, 31 2020
A. Applicant Information [15A NCAC 02H .0502(a)]
1. Owner Information
Name: SANTIAGO MORALES & NICOLE KANAAR
Mailing Address: 1535 PALANCIA AVE
CORAL GABLES FL 33146
Telephone Number: 305-785-3178 Fax Number:
E-mail Address:
2. Agent/ Contact Person Information
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:
htto://www.saw.usace.armv.mil/Portals/59/docs/re�ulatorv/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

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3. Attach a photograph of the shoreline/ buffer p
some sort- a yard stick, shovel handle, etc.)
to be stabilized. (Include a scale of
4. Location of the property (where work is to be conducted)
County: MCDOWELL Nearest
Lake/ river/ ocean adjacent to property:
Property size (acres):
NEBO
Subdivision name or site address (include phase/lot number): 1780 LOT 200
Directions to site -please include road names and nu(nbers, landmarks, etc.:
R TRL TO P
Latitude (in decimal degrees) 35.74216 Longitude (decimal degrees) 81.90177
5. Describe the existing land use or condition of the siteat the time of this application
(residential, undeveloped, etc.): VACANT WOODED LOT
6. Describe proposed work (include discussion as to hov+r hardening of shoreline: has been
avoided, or why it is necessary): ___ 280' SHORELINE STABILIZATION BY BARGE.
HEIGHT WILL BE 6'
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:
4' X 280' = 1120 SC! FT
Temporary impacts in square feet:
NO TEMP IMPACT
9. Total amount of impacts above the normal pool lake level /Normal Water Level and SO feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
2' X 280' = 560 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): 5 TREES LESS THAN 6" AND
4 TREES GREATER THAN 6" WILL BE REMOVED TO COMPLETE THIS PROJECT. THEY WILL BE
REPLACED INCH FOR INCH. WITH TREES TOTALING THE SAME DIAMETER ANY REMAINING
DISTURBED AREA WILL HAVE MULCH APPLIED TO IT
FORM: SSGP 02-2017 Page 2 of 3

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11. Sign e
Owner/Agent's na 15A N AC 02H .0502(f)1 Dat
`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: �I
a. All proposed vegetation clearing
b. Location of rip rap or fill to be placed above thejFull Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below thelFull Pond/ Normal Water Level elevation
d. Location of any proposed structures such as bui'dings, retaining walls, docks, etc.
e. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
Ful( Pond/ Normal 'Water Level'
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Shoreline
Plan View
Lake
(At FuCI Pondf Narmai Water Lever
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FORM: SSGP 02-2017 Page 3 of 3

TO: NORTH CAROLINA DIVISION OF WATER RESOURCES
I GIVE CARISSA PARKER, OF BENNICK ENT�� RPRISES, LLC
PERMISSION TO SIGN AS MY AGENT ON MY 1SlPPLICAT[ON
SHORELINE STABILIZATION..-,
SIGNATURI
DATE ` / /T/�}
FOR

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' ��'��� .qm• �� REFERENCES
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Morales - 1780 200
Lake James
Nc y
wy �26
Pisgah
National
Forest
1780 bt 200
2140 September Trl
Latitude: 35.74216 N
Longitude: 81.90177 W
mi
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