20201380 Ver 1_Shoreline Stabilization_20201201

Submission Form
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able
to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance
with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5)
all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this
form is needed prior to application submission or here to viewthe form.
Attach documentation of Pre -Filing Meeting Request here:
Flagg Meeting.pdf 824.84KB
Pre -fling Meeting or Request Date 10/3/2020
ID# 20201380 Version 1
I. Applicant Information [15A NCAC 02H .0502(a)]
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Primary Contact Email * [e-mail]
Rease provide an email address for payment and requests for pure information here.
Owner Information:
Name:*
John M. Flagg
Email: *
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
5101 Roseland Court
Address Line 2
City
State / Frovince / Region
cullowhee
North Carolina
Fbstal / Zip Code
Country
28723
United States

Is there an agent working on the
project? *
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:*
Email:
Phone Number:*
Mailing Address:*
F Yes
r No
Chad Ens ley
Ensley Properties and Excavating, LLC
censley23@aoLcom
[phone]
(xxx)xxx-xxxx
Address
756 Shook Cove Rd
Address Line 2
City
Tuckasegee
Fbstal / Zip Code
28783
Asigned and dated copyof the Agent Authorization letter:*
Flagg Agent Form.pdf 408.87KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Flagg Shoreline Stabilization
State / Province / Region
North Carolina
Country
United States
If your project has a formal name please use this. If your project does not hake a formal name, please identify your project by
the owner name and proposed activity (Jones Property Access Road, Smith Guest House, etc.) List in parentheses any
other names that have been used to identify the project in the past.
1. Provide 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.*
r Upload File
r Lookup address
Upload Map: FlaggMap.pdf
Latitude:* 35.230000
1.27MB
Longitude:*-83.052000
2. Provide a detailed site plan showing property boundaries and proposed locations of vegetation clearing,
structures (buildings, retaining walls, docks, impervious surfaces, etc.), rip rap, excavation or dredging
below Full Pond/ Normal Water Level elevations, and construction access corridors. You may use the
diagram under section 12.normal pool lake level/normal water level*
Flagg Site Map.pdf 932.56KB
Please use the diagram at the link below:
https://edocs.deq.nc.gov/WaterResources/0/edoc/616616/Shoreline%2OLayout.docx
3. Attach a photograph of the shoreline/ buffer proposed to be stabilized. (Include a scale of some sort- a
yard stick, shovel handle, etc.)*
Flagg Pics.pdf 3.63MB

4. Location of the property (where work is to be conducted)
Nearest Town:* Tuckasegee
County:* Jackson
Lake/ river/ ocean adjacent to Bear Lake
property:
Subdivisions name or site address:* Bear Lake Reserve Phase 2 Lot 452
Include phasellot number
Directions to site:*
From Hwy 107 turn onto Shook Cove Rd. go 3 miles turn right into Bear
Lake Reserve Lake Forest dr. go 4 miles turn left onto Harbor Ridge dr.
go 200' turn right onto Southshore Dr. go 1/4 mile lot is on you left 277
Southshore dr.
Rease include road nar es and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Fbsidential, undeveloped, etc.
6. Property Size 1.54
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
Shoreline stabilization using a seawall with creek rock rip rap in front of
the wall. Erosion damage in need of repair.
8. How will the work be done? * PF From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
1000
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward:*
(including all clearing, backfill, excavation, rip rap, retaining walls, etc.)
2000
square feet
11. 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)
6-7 trees will be impacted
Sketch: Flagg Tree.pdf
Application Fee:
508.17KB
Once the application has been accepted. You will need to send a corresponding fee in with the appropriate DWR#. The
application fee is as follows (pursuant to G.S. 143-215.3D):
a $240.00 for impacts to lake (below normal water level) of less than 1 acre
a $570.00 for impacts to lake (below normal water level) of greater or equal to 1 acre
By digitally signing below, I certify that:

o I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief
o I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
o I agree that submission of this Shoreline Stabilization online form is a "transaction" subject to Chapter 66, Article 40 of
the NC General Statutes (the "Uniform Electronic Transactions Act');
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
0 1 understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Shoreline Stabilization online form.
Full Name:* John M. Flagg
Signature:
O-I&Ir

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201380
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Kaylie Yankura:eads\kyankura
Asheville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
UOITNIO._ ay5`z p,jINNO,fi PARCEL ID:
Ffr:RIHf+NyNRAIsS. 277 f cpv/4;;4 „c #„„
7;4#43z,<e2; f tc Z¢793
ELgin*er: i7Jzof #
Property owner:
The undersigned, registered property owners of the above noted property, do riereby authorize
GAV5Lf;.
(Contractor / Agent)
of -g%>!£}/ fl?bfEra;IJrf :i »nd GE)[[rdjtr7RE,uar
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
3;/a/ #< calJe,,c;/ Cc3c44^.f a, f lQ/€i34;/'u<' Z-76/3
Telephone:3/Z-S:73_eyq:;rfs?
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Date:
IJE
12. Please approximately sketch the following information on this plan and provi.de d/.mews/.ons/or
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
L@ife
{AI Full Pond/ REormal Water &iguel}
FORM: SSGP 02-2017 Page 3 Of 4
'1 I_1'', €#-i;-i--:-6''("&#urfa®y££Lfij4`.i-:I-f-.Z;:ff~%:.:Z#g%;-i-7C±-LT5£
{--.--,f£/i:I,?Er`¥
(At Full Pan
.. .`.in !!` + `/NormalWater Level)f%Zfa
18!
®1
I
ico1
_ ].; ie`E
Side view £II.I
FORM: SSGP 02-2017 Page 4 of 4
H
I;,
s a
ti
�,yyyb
1''•:.0 �\~ iaV�' ?ate
ors
'.;�? �� ` +. s._• t ;, L s i. ,•YTxa � * mil" ! t � a
�A �► . ,yam . f A tGi � � .. � F ��hY'-: f } r+
� .A ,�•, s .'1 �' � � by � �1 '
r
r Y+
G
I
-_ ♦fir; -' _
yr. .r f ,! t , �:] �► �- f � „►� _
I
' „ v
�V
f R ,
f
i 1 r
A
M.

F-!3;:
¥apl,.®ct~.,`£,.,,T,-:-:-,-:,`,-:`i:`,::,,`i`.
tie 3ans Si eve i\nd-=
FLraoN iv"
rpflNdutffj:
I-==-=-=-I.----:=_EE
lD#*
Regional Office *
Reviewer List*
20201380 Version * 1
Asheville Regional Office -[phone]
Kaylie Yankura
Pre-Filing Meeting Request submitted 10/3/2020
Contact Name
Contact Email Address *
Project Name
Project Owner*
Project County*
Owner Address:
John M. Flagg
jflagg24@hotmail,com
Flagg Shoreline Stabilization
John M. Flegg
Jackson
Street Address
277 Southshore Drive
Address Line 2
any
Tuckasegee
Fdstal / Zip Cede
28783
State / Province / Fgiv
NC
Cbuntry
Jackson
lsthis atransporfation project?* r Yes a No
Type(s) of approval sought from the DWFt:
r 401 WaterQualitycertification- r 401 WaterQualitycendfication -
Reg ular Express
r Individual permit r Modification
FT Shoreline Stabilization
Does this project have an existing project lD#?*
r Yes a No
Do you know the name of the staff member you would like to request a meeting with?
Tim Fox
Please give a brief project description below.*
Doing a shoreline stabmzation using a sea wall to correct erosion issues
and prevent future erc)sion issues. Chad Ensley who is an expert in
shoreline stabilization will be representing me in this meeting at the location
or your determined location. I have contracted him to help advise me on
this project and howto make sure I am doing things correctly.
Please give a couple of dates you are available for a meeting.
10/15/2020
10/16/2020
10/19/2020
Please attach the documentation you wollld like to have the meeting about.
Frf only
By digitally signing below, I certfty that I have read and understood that per the Federal clean Water Act Section
401 Certification Rule the following statements:
• This foriTi completes the requirement of the Pre-Filing Meeting Request in the clean WaterAct Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
• I also understand that DWR is not required to respond or grantthe meeting request.
Your project's thirtyrday clock started Llpon receipt of this apptication. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty-day clock has expired, and you can submit an
application.
Signature
JZ/„,%#.,/,8gg
Submittal Date 10/3/2020