20211403 Ver 1_Shoreline Stabilization_20220404

Submission Form
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]
Please provide an email address for payment and requests for more information here.
Randy Burdick
[e-mail]
[phone]
(xxx)xxx-xxxx
Street Address
520 Sweet Birch Park Lane
Address Line 2
City
Black Mountain
Postal / Zip Code
28711
Is there an agent working on the project?* Yes
No
Agent/Consultant Information
...............................................................................................................................................................................
Name: * Carissa Parker
Company Affiliation: *
Email: *
Phone Number: *
Bennick Enterprises LLC
[e-mail]
[phone]
(xxx)xxx-xxxx
State / Province / Region
NC
Country
US

Mailing Address:* Street Address
7836 US 70 E
Address Line 2
City
State / Province / Region
Nebo
NC
Postal / Zip Code
Country
28761
US
A signed and dated copy of the Agent Authorization letter:
auth.pdf 217.7KB
Link to: Sample Agent Authorization Form
Project Information [15A NCAC 02H .0502(a) & (b)]
Project Name:* Black Forest 15 - Burdick
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.*
Upload File
Look up address
Property Address Lookup: * Street Address
Nature Walk Dr
Address Line 2
Latitude: * 35.435700
City State / Province / Region
Marion NC
Postal / Zip Code Country
28752 US
Longitude: * 81.581800
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*
plat.pdf 633.48KB
SITE PLAN - Burdick.pdf 380.55KB
Please use the diagram at the link below:
https:Hedocs.deq.nc.gov/WaterResources/O/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.)
Burdick pic.pdf 241.25KB
4. Location of the property (where work is to be conducted)
Nearest Town: * Marion

County: * McDowell
Lake/ river/ ocean adjacent to Lake James
property:
Subdivisions name or site address: * Black Forest lot 15 Nature Walk Dr
Include phasellot number
Directions to site: *
Hwy 126 / South Mtn Institute Rd / Lake James Rd / Black Forest Dr /
Nature Walk Dr to property
Please include road names 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 14
Acres
7. Describe proposed work (include discussion as to how hardening of shoreline has been avoided, or
why it is necessary):
70' Shoreline stabilization by barge, height will be 4'
8. How will the work be done?* From Land
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.)
70
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.)
210
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)
2 TREES 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
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):
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');
a 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:
Submittal Date: 3/31/2022

Initial Review
Is this accepted into the review process?* I Yes No
Project Number:* 20211403 Version: *
Select Reviewer:*
Select Reviewing Office:
Has payment been received?*
What amount is owed?*
Mitchell Anderson:eads\mlanderson
Asheville Regional Office - [phone]
No Payment Needed
Fee Received
Need Fee - send electronic notification
$240.00
$570.00

RANDY BURDICK
LAKE JAMES
BLACK FOREST 15
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 �- Z�

L�
fond I
Cone38
DB Pq
738 Pg. )10 I
w
Creecml Resoorcee.
n,N
- 4•"��
LLC 0B 306 PB 870 !w,�A
4.823 Ae
Common
_ 2003020496
vU-0FBP7 II:B:09 .
=BK:PL 9
=P0:44-49
pq R- a B -PRgr_
Rrps� a Bran 1 � S
a.DR.d Can�R xpm cpa.n ' c`;
LAKE JAPES
_'•� ., ( Black.atnt Drive r _—„'_ — fti:,b •»...""+.Iti,
bt BIA
Coneerveln Pecs '_ / %
Common 0 9
'M1' 1" � Y'
r
�Rn I«yOpWawf drb •, d�.` 4'� `G /
•
bt 2
m.531 A.
•q
.. \
.., 'G,'
qv
c.=oP®
$�:`
r'o4
¢v19R' ..
».p�12.
.eao
Blac�cFRoreal
,Vp
LAKE JANES
4
J ice.
.<r..
Lot 63A fl bl 83 , // ' bl 3 B 883 Ac. J
bt 5B j' B.SBB Ac.
Open
Space /Cabin Blu!Drive / / • < » r
' �• ,.` ..';• r � KAJ t'IIvx.
coneerv.uoo Are. I _ �,.�A'/✓f� ./ / saw Ae /ems I)
Common opm
Lot
bl 55 1`, Speee 3
Fp Mi.4Wfd4bla CoeBeeploo / \ryv� \ � '--_'--_--fie..`
Sa Rrehd W6a6b8Aie4ACpve T,Wt � 1,y {•\! �\\ `Y/� a� __
10.B38
Coneervespp
cpmmen open apes.
I lLB88 Ac
bl
LAKE JANES
pp{ bl 10 »
aiS 01 _ 8.6]4 Ae. 1I (, d .•ti.r iL.'1
Nature Welk Dripi\ve,
g InL B� .',`sa Rlwlmwe e
S.Tw Ac. RI bt 12
W
LErdtlO � I �i ,+pt/ � "a �"r, •.. �_..a \ P � '
Forest Drivn e I I, C 4 \+9� lal a
it .+ems. V W ,x 1ftl WW1 Pri OAI K •.I \ to s 5s1
e. • , .Lot 15cy
jig,
s++apxm,,, ceuw <pwnp.aopu- \ 1.4AF /AMF.i
t8151 � \\ \ �• _ eJJ�I�(A'LGO'I/ �id/'Yoi.Q�iP/V'
s�ismc_ •� « "Comm o'opBe� spec.
318] ••t• 1 l
MAP
\\t /v tu.«r.•r+ut bt 18 a'-Y
A< 01]
xo»�Be "�iwsl bt 49, ^. bt 46 / /'•` \\ p , bt 20
bt 21y5
Wt1s.61]n 1
,m w«e ,.•...e'e r..., ,.,. Earl �.. �_.i \ 1
bt 43 1 f / K
bl 23 SCALE: . 200'
V_ \ « BLACK /UF�CSf«' ON LAU JAMES. LIL'
,mwenY"�miir'tR�Sn Y'w'»du',"sek"aiD .au,1prtl% InL 42 > L e,t ne 9��M�IR»�e4y)de trt. rvBRp.Ym & _
W4df bBrly AOew Ta,b
srW deb Btre,q aC �� c H' alwla'^m — <
bt 24 Abernathy 8

Randy Burdick
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
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water
Shoreline
Black Forest 15
Plan View
1' x 70'
Tx 7o' RAP
FORM: SSGP 02-2017 Page 1 of 3

may,
s