20140539 Ver 1_Shoreline Stabilization_20140530

—uo' \M 20 1405 39
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 D
1650 Mail Service Center i5 Liu D
Raleigh, NC 27699 -1650 Flim X014
I. Applicant Information [15A NCAC 02H 0502(a)] i�E�`►�
1 Owner Information
Name DAVID YERRY
Mailing Address
36 CORDOVA DR
NEBO, NC 28761
Telephone Number 704 - 236 -1511 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
Pitts / /www saw usace army mil/Portals/59/dots/re ulatorWreRdocs /Permits SAMPLE AGENT AU H
ORIZATION FORM pdf) must be attached if the Agent has signed this application form
Name CARISSA PAR
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 `ice F)ZA� ® Page 1 of 4

_Uo,,,ikcA �-Uc�
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 of the property (where work is to be conducted)
County MCDOWELL Nearest Town NEBO
Subdivision name or site address (include phase /lot number) THE ARBOR / 95
CORDOVA DRIVE
Directions to site - please include road names and numbers, landmarks, etc
FROM MORGANTON TAKE HWY 126 / TR ONTO WILDLIFE RD / TR ONTO OLD NC -10 / TR
ONTO HIGH TRAIL DR / TR ONTO BEACON RIDGE DR / TR ONTO SYCAMORE DR / TL ONT(
CAPTAINS DR / TL ONTO HARBORSIDE DR / TR ONTO CORDOVA DR 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) 76
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) 135' OF SHORELINE STABILIZATION REFRESH BY BARGE,
HEIGHT WILL BE 3 -4'
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
2'X 135'= 270 SO 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 135'= 270 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)- NO TREE REMOVAL
/o-2
Owner /Agent's Signature* [15A NC 4C 02H 0502j❑ Da e
Agent's signature Is valid only if an authorization letter from the owner is provided
FORM SSGP 10 -2013 Page 2 of 3

Full Pond
Mn� 001 OEM ROM om
Shoreline
La ke
At Full Pond
1l-ie A bo r /`l s
* S hovel i vu (-e. -ec3h
Im CEO EM p MM
a1x 135, �w
Please approximately sketch the following information on this plan (provide dimensions for each
Item, such as 10 ft x 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 fill to be placed below the 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

DAVID T YERRY
LAKE JAMES
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)
Date 57 13-Ii

TcLvid \err
2=12�.'Il 1, 0.1 3N22 I.
...........
F J C
a 2' ",85:6 =C_2 t'4
+v w.,m 9 •mg Z� -- - - - -
HC ol—'—
11.1 D.- I ... 30 N'D—1 C.—
o o o c o o o o
I - t V t, om mm
- - - - - - - - - - - - - - - - - - - . . . . . .
I t
7:
>
N
...........
t
o o o c o o o o
I - t V t, om mm
- - - - - - - - - - - - - - - - - - - . . . . . .
I t
7:
>
N
VWA 1 mr\ uuj
M,
rn ors!
o'
...........
MAY a ?nlA-
VWA 1 mr\ uuj
M,
rn ors!
o'

David Yerry
The Arbor / 95

Pisgah
National
Forest
0
o,.
David T Yerry
36 Cordova Dr
The Arbor lot 95
Latitude: 35.73802 N
L Longitude: 81.96617 W
i
tie aeon R�a�
d
c
La rf h
T r
C odfko,
David Yerry - Arbor 95
D
c�uti Ra .
�-a
Ned M _ 126
o�a�o�a y Rd
o�
_6` Swop 2 Bade t LP z
�,
r a
�o '�0 � V\, Qa�� e�tety R
U ml U.2 U.4 U.6 U.8 1 1.2 1.4
Copyright © and (P) 1988 -2012 Microsoft Corporation and/or its suppliers. All rights reserved. http / /www.microsoft.com /streets/
Certain mapping and direction data © 2012 NAVTEQ. All rights reserved. The Data for areas of Canada includes information taken with permission from Canadian authorities, including.
Her Majesty the Queen in Right of Canada, © Queen's Printer for Ontario. NAVTEQ and NAVTEQ ON BOARD are trademarks of NAVTEO. © 2012 Tele Atlas North America, Inc. All rights
reserved. Tele Atlas and TeleAtlas North America are trademarks of Tele Atlas, Inc. © 2012 by Applied Geographic Solutions. All rights reserved. Portions © Copyright 2012 by Woodall
Publications Corp. All rights reserved.