20201013 Ver 1_Shoreline Stabilization_20200731

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�::A� 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 QUALITY FORM: SSGP 02'2U17
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
J U L 31 2020
A. Applicant Information [15A NCAC 02H .0502(a)]
1. owner Information NCDEQIDWRINPDES
Name: JERAD BURTON
Mailing Address: 456 LARKHAVEN DR
NEBO NC 28761
Telephone Number: 828-925-9070 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/re�ulatorv/reedocs/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 proposed to be stabilized. (Include a scale of
some sort- a yard stick, shovel handle, etc.)
4. Location of the property (where work is to be condu
County: MCDOWELL Nearest Town: NEBO
Lake/ river/ ocean adjacent to property: j JAMES
Property size (acres):
Subdivision name or site address (include phase/lot number): ARBOR LOT 180
Directions to site -please include road names and nulirInbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 TO WILdLIFE RIB / TR nNT(� nl n
LAR
Latitude (in decimal degrees) 35.72035
5. Describe the existing land use or condition of the
(residential, undeveloped, etc.): VACANT V1
6. Describe proposed work (include discussion as to
avoided, or why it is necessary):
ELIN
(decimal degrees) 81.96447
at the time of this application
hardening of shoreline has been
7. Will work be conducted from land? ❑i, 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 75' = 300 SC�t FT
Temporary impacts in square feet:
NO TEMP IMPACT
9. Total amount of impacts above the normal pool lake level /Normal Water Level and 50 feet
land -ward
Permanent impacts (including back fill, excavation, rip rap, retaining walls, etc.) in square feet:
2'X 75'= 150SC+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
2 TREES GREATER THAN 6" WILL BE REMOVED TO CO�IIPLETE THIS PROJECT. THEY WILL BE
REPLACED INCH FOR INCH WITH TREES TOTALING THE SAME DIAMETER ANY REMAINING
DISTURBED AREA WILL HAVE MULCH APPLIED TO fT
FORM: SSGP 02-2017 Page 2 of 3

11. Signat ey � T,
' l �� d-(J
Own Agent's S g afire �[� CAC 0 .0502 f Date
`Agent's signature is valid only if an authorization letter from the owner is provided.
12. Please approximately sketch the following informatign 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 theiFull Pond/ Normal Water Level elevation
c. Location of rip rap or fill to be placed below theFull 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
Lake
{At Full Pond/ Norma) Water Level?
Full Pond/ Normal 1�'dater
... ■..
Shoreline
flan View
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FORM: SSGP 02-2017 Page 3 of 3

JERAD BURTON
LAKE DAMES
��:•• :�
TO: NORTH CAROLINA DIVISION OF WATER RESOURCES
I GIVE CARISSA PARKER, OF BENNICK ENTERPRISES, LLC.,
PERMISSION TO SIGN AS MY AGENT ON MY APPLICATION FOR
SHORELINE STABILIZATION.
SIGNATURE (S)
DATE /.�

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Burton -Arbor 180
Lake James
.i�iiiiiii�i��o�iii���aai �,
Arbor lot 180 -?
456 Larkhaven Dr ,/',..-
Latitude: 35.72035 N
570E
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Jerad Burton
Arbor lot 180