20201335 Ver 1_Shoreline Stabilization_20201117

P
`" G�oojxuro­
State of North Carolin
kAw_�
Department of Environment and Natural Resources
o_ 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
Karen Higgins
DWR-401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.)
Karen Higgins
DWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
A. Applicant Information [15A NCAC 02H .0502(a)] �W2�{ ��,2C 12 -55
1. Owner Information J
Name: PHILLIP GOODRUM
Mailing Address: 131 HILLSIDE AVE
CHARLOTTE NC 28209
Telephone Number: 704-995-7955 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: CARISSAPBEN NICKGRADING.COM
B. Project Information [15A NCAC 02H .0502(a) & (b)l
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.
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 for RECEIVED
N O V 17 2020
FORM: SSGP 02-2017 NCDEP(��6*NPDES

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 conducted)
County: BURKE Nearest Town: MORGANTON
Lake/ river/ ocean adjacent to property: JAMES
Property size (acres): 3.13
Subdivision name or site address (include phase/lot number): 1780 LOT 6
2444 OLD NEBO BRIDGE RD
Directions to site - please include road names and numbers, landmarks, etc.:
FROM MORGANTON TAKE HWY 126 / TL ONTO CAMPBELLS TRACE / TL ONTO OLD
NEBO BRIDGE RD TO PROPERTY ON RIGHT
Latitude (in decimal degrees) 35.75096 Longitude (decimal degrees) 81.91147
5. Describe the existing land use or condition of the site at the time of this application
(residential, undeveloped, etc.): VACANT WOODED LOT
6. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary): 450' 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:
2' X 450' = 900 SQ FT
Temporary impacts in square feet:
NO TEMP IMPACT
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:
4' X 450' = 1800 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): 8 TREES LESS THAN 6" AND 8
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

11. Sign
- Aw,4—
*Date
Owner/Agent ignature' [15A NCA 02H .0502(f)1
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
� 1
Pull Pond/ Normal Water levelMn
Shoreline -,
Plan View
FORM: SSGP 02-2017 Page 3 of 3

PHILLIP GOODRUM
LAKE JAMES
1780 LOT 6
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

A
PG 22.2711) DOCr2D1IDa2015
aRxertled 02.V62O20 11-a532 MI
B"Ma Cary. Na Cw " .
SURVEYO"19b1a@S-R` i—aooeaa
a .o .a•a.l., h morf.«. a«n.w.
s. ar Lbws w..w..wai, M1. 1..
REVIEW OFFICER
HRB/ACC APPROVAL
[,�W an,aem
OWNER STATEMENT
\
---�—LAKE JAMES ---t__ _
blb�YfY/v°f
I'��waea�� c
SURVEYOR'S CERTIFICATELEE
W
�J
'
BPLS
Ben Patton IaiM $unrhlnP, PIU
•�+. faa• am -mu
i
i
i
i LOT 5
LOT 7
2
VICINITY MAP
N P+.......o
W E
S
LINE TABLE
1780 Phase 1
PB 31, Pg. 11
BAR SCALE: 1"=30'
o w ao BO
LEGEND
• ...a.. a.w aw
• w...a.e P+"
P; Mor a[m
PNIWPGOODRUMUM
ove unuim"•la�i
wAmm�" aya"

iron CL. " i '4'l ♦ 'd,''Y&e • Y ,x 1�{
r
♦ H l
•� , y t 4 a✓•• ` ` 1, A� y."
Z4, k.
i

Goodrum - 1780 lot 6
Pisgah National Forest
1780 lot 6
2444 Oct Nebo Bridge
Rd
Latitude: 35.75096 N
Long itude:_81.91147 W
Lake James
126
tic
y�y
�26
0 yds 200 400 600
Copyright© and (P)19BB-2012 Microsoft Corporation and/or its suppliers. All rights reserved. http:/twwwmicrosaft.comisteets/
Certain mapping and direction data 02012 NAVTEQ. All rights reserved. The Data for areas of Canada includes information taken with permission from Canadian authorities, inducting: ©Her Majesty the
Queen in Right of Canada, ©Queen's Printer for Ontario. NAVTEQ and NAVTEQ ON BOARD are trademarks of NAVTEQ. ©2012 Tele Atlas North America, Inc. All rights reserved. TeleAflas and Tele
Atlas North America are trademarks ofTeleMas, Inc.© 2012 by Applied Geographic Solutions. All rights reserved. Portions© Copyright 2012 by Woodall Publications Corp. All rights reserved.