20211275 Ver 1_Shoreline Stabilization_20210825

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:
Email about pre-filing.pdf 144.06KB
Pre -fling Meeting or Request Date 6/30/2021
ID# NO ID WAS
GIVEN Version
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 enail address for payment and requests for pure infornation here.
Owner Information:
Name: * Bradley Jeffrey
Email: * [e-mail]
Phone Number:* [phone]
(xxx)xxx-xxxx
Mailing Address:* Street Address
151 State Hwy 9
Address Line 2
Ste B Unit 202
city
State / Frovince / Region
Black Mountain
NC
Fbstal / Zip Code
Country
28711
US

Is there an agent working on the G Yes
project?* O No
Agent/Consultant Information
Name: *
Carissa Parker
Company Affiliation: *
Bennick Grading
Email:*
[e-mail]
Phone Number:*
[phone]
(xxx)xxx-xxxx
Mailing Address:*
Street Address
7836 US 70 East
Address Line 2
City
Nebo
Fbstal / Zip Code
28761-7650
Asigned and dated copy of the Agent Authorization letter:*
auth.pdf 211.72KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Peninsula59
State / Province / Pbegion
NC
Country
US
If your project has a formal name please use this. If your project does not have 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.*
f Upload File
F Lookup address
Property Address Lookup:* Street Address
Gray Ridge View Drive
Address Line 2
City State / Rovince / Flagion
Nebo NC
Fbstal / Zip Code Country
28761 US
Latitude:* 35.754210
Longitude:* 81.930980
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*

site plan.pdf 384.21KB
plat.pdf 1.13MB
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.)*
Jeffrey.pdf 2.77MB
4. Location of the property (where work is to be conducted)
Nearest Town:* Nebo
County:* McDowell
Lake/ river/ ocean adjacent to Lake James
property:
Subdivisions name or site address:* Peninsula lot 59 Gray Ridge View Dr
Include phasellot nunter
Directions to site:*
From Morganton take Hwy 126 to S Mtn Instituts Rd to Lake James Rd /
TL onto Peninsula Reserve Rd / TL onto Pine Ridge Dr / TL onto Crest
View Dr NE / TR onto Gray Ridge View Dr to property
Rease include road narres and numbers, landmarks etc.
5. Describe the existing land use or condition of the site at the time of this application:*
vacant wooded lot
Residential, undeveloped, etc.
6. Property Size 1.8
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary):
140' Shoreline stabilization by barge, height will be 5'
8. How will the work be done?* I' From Land
rJ 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.)
140
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 walls, etc.)
560
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 TREES LESS THAN 6" AND I TREE 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
Sketch:
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):
0 $240.00 for impacts to lake (below normal water level) of less than 1 acre
0 $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:* Carissa Parker
Signature:
G11J5s,4

Initial Review
Is this accepted into the review
process?*
Project Number:* 20211275
Select Reviewer:*
Select Reviewing Office
Has payment been received?*
What amount is owed?*
rYes allo
Version:* 1
Mitchell Andersomeads\rnlanderson
Asheville Regional Office - [phone]
r No Payment Needed
r Fee Received
r Need Fee - send electronic notification
r $240.00
f $570.00

kDick GrAb
Peninsula 59 and Dry Creek 40
Anderson, Mitchell L <[e-mail]>
To: Carissa Parker <[e-mail]>
Hello Ms. Parker,
The following information was provided from Central Office.
Carissa Parker <[e-mail]>
Peninsula 59 - Bradley Jeffrey : submitted with confirmation email sent 6-30-2020
Dry Creek 40 - Thomas Golding : submitted with confirmation email sent 6-16-2020
Arbor 193 - Jonathan Reed : submitted with confirmation email sent 6-16-2020
South Pointe 111 - Cheryl Oh : submitted with confirmation email sent 6-23-2020
Heron Point 3 - Alistar Hardy : submitted with confirmation email sent 7-8-2020
Mon, Aug 23, 2021 at 11:07 AM
Please use this information to assist with locating your prefiling meeting request confirmation email.
It is recommended to contact your IT specialist to ensure your email firewall is not placing these emails in your spam
folder or an email server quarantine folder.
If you are unable to locate these emails, you may need to resubmit the prefiling meeting requests.
Please let me know if I can assist further.
Thank you,
Mitchell Anderson
Mitchell Anderson
Environmental Specialist —Asheville Regional Office
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
2090 U.S. Hwy. 70
Swannanoa, N.C. 28711

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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 QUALITY FORM: SSGP 02-2017
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
La ke
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Leve
Shoreline
Plan View
i �X I LIE),
FORM: SSGP 02-2017 Page 1 of 3

BRADLEY JEFFREY
LAKE JAMES
PENINSULA LOT 59
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