20140330 Ver 1_Shoreline Stabilization_20140404

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State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources 15A NCAC 02H .0500 — Water Quality Certification, Shoreline Stabilization
FORM: SSGP 10 -2013
Shoreline Stabilization Application Form
Four copies of the application (including attachments) and the application fee should be sent to:
Division of Water Resources
401 & Buffer Permitting Unit p t��C°�� V
1650 Mail Service Center
ter
Raleigh, NC 27699 -1650 APR 4 2014
I. Applicant Information [15A NCAC 02H .0502(a)] yy r4 �! Atranch
1. Owner Information
Name: DOUGLAS & ELIZABETH WHITE
Mailing Address: 4635 HARBOR VIEW TERRACE
MORGANTON NC 28655
Telephone Number: 540 - 454 -0751 Fax Number:
E -mail Address:
2. Agent/ Contact Person Information
A signed and dated copy of the Agent Authorization letter (a form can be downloaded here:
http_://www.saw.usace.army. mil / Portals /59 /dots /regulatory /regdocs /Permits /SAMPLE AGENT AUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: CARISSA PARKER
Company Affiliation: BENNICK ENTERPRISES LLC
Mailing Address: 7836 HWY 70 E
NEBO NC 28761
Telephone Number: 828 -659 -1000 Fax Number: 828 - 659 -1001
E -mail Address: CARISSA @BENNICKGRADING.COM
Person to receive the Certification Approval: CARISSA PARKER
II. 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, structures (buildings, retaining walls, docks, impervious surfaces,
etc.), rip rap, excavation or dredging below Full Pond/ Normal Water Level elevations,
FORM: SSGP 10 -2013 Page 1 of 4

71) ovn
and construction access corridors. You may use the diagram provided at the end of this
application form.
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 ofthe property (where work is to be conducted)
County
BURKE
Nearest Town: NEBO
Subdivision name or site address (include phase /lot number) 1780/ 176 _
2035 FIRESTONE TRAIL
Directions to site - please include road names and numbers, landmarks, etc.-
FROM MORGANTON TAKE HWY 126 / TO CARSON DR / TL ONTO YELLOW FORK TRAIL / TL
ONTO FIRESTONE TRAIL TO PROPERTY
5 Describe the existing land use or condition of the site at the time of this application,
(residential, undeveloped, etc.). VACANT WOODED LOT AREA
6 Property,size (acres)- 4.27
7. Lake/ river/ ocean adjacent to property:
LAKE JAMES
8. Describe proposed work (include discussion as to how hardening of shoreline has been
avoided, or why it is necessary),: 160' OF SHORELINE STABILIZATION BY BARGE, HEIGHT
WILL BE 3'
9. Will work be conducted from land? ❑ From water?
10. Total amount of disturbance (including all excavation, backfill, rip rap, retaining walls, etc.)
below the normal pool lake level/ Normal Water Level in square feet or acres
1'X160' =160SQ FT
11. Total amount of disturbance (including all clearing, back fill, excavation, rip rap, retaining
walls, etc.) above the normal pool lake level/ Normal Water, Level and 50 feet land -ward in
square feet or acres. 2'X 160' = 320 SQ FT
12. 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): 1-TREE LESS THAN 6"
AND 1 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.
0 /Agent's Signature* [15A NCA 02H 502(ffl Date
*Agent's signature is valid,onlyff an r►zation letter from the owner is provided
FORM SSGP 10 -2013 Page -2 of 3

Norm
Please approximately sketch the following information on this plan (provide dimensions for each
item, such as 1'0 ft 100 ft) *.
1. All proposed vegetation clearing
2. Location of rip rap or fill to be placed above the Full Pond/ Normal Water Level elevation
3. Location of rip rap or ME to be placed belowthe Full' Pond/ Normal Water +level elevation
4. Location of any proposed structures such as buildings, retaining walls, docks, etc.
5. Location of any excavation or dredging below the Full Pond/ Normal Water Level elevation
6. Location of construction access corridors
FORM 'SSGP 10 -2013 Page 3 of 3

DOUGLAS & ELIZABETH WHITE
LAKE JAMES
1780/176
To: ,North Carolina Division of Water Quality
I give Carissa Parker, of Bennick Enterprises, LLC., permission to sign
as my agent on my application for shoreline stabilization:
Signature (s)
o
Date 3" Z 4. /

Legend of shoreline areas are
107 -A Mica Ave. 1780 Lot 176 Shoreline from developer's FERC plan
Morganton, NC 28655 Stabili2ation Areas POTENTIAL SHORELINE
A(Ir_ Phone, (828)437 -2290 PRELIMINARY MAP ONLY NOT TO BE STABWZATION AREA
Fax [phone] USED FOR RECORDATION, SALES OR ® = ENVIRONMENTAL AREA
CONVEYANCE, 09/lo/2b07
Abernathy & E-mail [e-mail]
The purpose of this map Is, to show potential shoreline stabilization areas
Associates,, P.C. owner must receive nnnrnGnl frnm nll' renulntnry nnenc es nnnr tn, rnnstruchnn'
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Note 'Refer to recorded
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survey Information
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Douglas & Elizabeth White
1780/ 176

White - 1780 176
Pisgah National
Forest
White Lake James
1780 lot 176
2035 Firestone Trail
Latitude, 35.74368 N
Lon it e: 81.89056W-1
126
oS Lan4ng Rd
Omi 0.1 0.2 0.3 0.4 0.5
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