20201601 Ver 1_Shoreline Stabilization_20210223

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:
Curtis MR.pdf 828.87KB
Pre -fling Meeting or Request Date 10/25/2020
ID# 202001601 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 *
Owner Information:
Name:
*
Email:
*
Phone Number:*
Mailing Address:*
[e-mail]
Rease provide an email address for payment and requests for more information here.
Curtis Ensley
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
55 Newman Cove Road
Address Line 2
city
Arden
Fbstal / Zip Code
28704
State / Frovince / Region
NC
Country
Us

Is there an agent working on the
project? *
Agent/Consultant Information
.................................................................................................................
Name:
Company Affiliation:*
Email:
Phone Number:*
Mailing Address:*
F Yes
r No
Chad Ensley
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:*
Curtis AF.pdf 407.19KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Curtis Ensley
State / Province / Fbgion
NC
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: Curtis Map.pdf
Latitude:* 35.226000
IlI&JliiI
Longitude:*-83.028000
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*
Curtis SP.pdf 846.79KB
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.)*
Curtis PICS.pdf 3.55MB

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:* Sugar Cove 2872 Gray's Ridge Rd. Tuckasegee NC 28783
Include phasellot nunber
Directions to site:*
Turn off Hwy 107 onto Hwy 281 go 10 miles and turn right onto Gray's
Ridge Rd. go 4 miles and the site is at the end of the road.
Rease include road names and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
Residential
Residential, undeveloped, etc.
6. Property Size .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?* I7 From Land
r From Water
9. Total amount of disturbance below the normal pool lake level/ normal water level:*
(including all clearing, back fill, excavation, rip rap, retaining walls, etc.)
625
square feet
10. Total amount of disturbance above the normal pool lake level/ normal water level and 50 feet
land -ward: *
(including all clearing, back fill, excavation, rip rap, retaining w alls, etc.)
1,250
square feet
11. Please describe the vegetation above the normal pool lake level/ normal water level and 50 feet
landward to be impacted:*
(nunber of trees, for instance)
2-3 trees will be impacted.
Sketch: Curtis tree.pdf 482.17KB
Application Fee:
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:* Curtis Ensley
Signature:

Initial Review
Is this accepted into the review
process?*
Project Number:* 20201601
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:
LOT NO. PLAN NO. PARCEL ID: Z 5 9 6 ! Z 3 I
STREET ADDRESS: _ 2622
Please print:
Property Owner: G�.tv� l S Ens e `/
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
C4T12 1.�[ c/ of iGS�-��� G���y �Tr S. Xl ' /ll�d L
(Contractor / Agent) (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):
-5 5 N e w w, R"v% CQv e R ct rd. evn, P\i C' . y 6 i o
Telephone: �� Z �� 213 ! 5
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge_
Authorized Signatures
Date: � 2 /f20/ Zf
Authorized Signature
Date: 2 /4:2/-5�-/

Full Pond/ Normal Water Level
Shoreline
Plan View
Full Pond/ Normal Water Level
4;13orellne — —
addlHonal dearing
� If narnwary
Plan View
Lake
(At Full Pond/ Normal Water Level)
Lake
(At Full Pond/ Normal Water Level) Existing Dock
/30Ft0ft
3 ftx 150ft
Below Full pond/ NWt
s 4ftx 150ft
Ahove Full pond/ NWL
FORM: SSG 09-2020 Page 4 of 6

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La ke
(At FuII Pon / Normal Water Level)
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Side Vi
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3 h, belsrrr full pony] �; wafer level 4 'ft. above full pond .rater Feval 2 Ft. additional t:ear3ng
"if necessary
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FORM: SSGP 02-2017 Page 4 of 4

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ID#* 20201601 Version* 1
Regional Office* Asheville Regional Office - [phone]
Reviewer List* Kaylie Yankura
Pre -Filing Meeting Request submitted 10/25/2020
Contact Name * Curtis Ensley
Contact Email Address' [e-mail]
Project: Name * Bear Lake- Sugar Cove Development
Project Owner* Curtis Ensley
Project County* Jackson
Owner Address: Street Address
55 Newman Cove Rd
Address Line 2
Oty
State / Province / region
Arden
North Carolina
Festal ! Zip Code
GOLintry
28704
Buncombe
Is this a transportation project? r' Yes r No
Type(s) of approval sought from the DWR:
* 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
* Individual Permit f Modification
* Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes r No
Do you know the name of the staff member you would like to request a meeting with?
No (Chad Ensley is the contractor doing the job)
Please give a brief project description below. k

Shoreline erosion is about to let my dock on Bear Lake to fall into the lake .
We would like to reinforce the bank with rock to stop erosion
The contractor doing the job will be Chad Ensley who has done many such
jobs on Bear Lake in Jackson County before and has been thru this
process many times.
I am requesting a meeting ASAP so we can do the work when the lake is
down and the weather is good.
Thank you Curtis Ensley [phone]
Please give a couple of dates you are available for a meeting.
10/28/2020
11/1/2020
Please attach the documentation you would like to have the meeting about.
pdf Only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act 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 grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. 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
Submittal Date 10/25/2020
Reviewer Meeting Request Decision
Has a meeting been scheduled?* r' Yes r NO