20140629 Ver 1_Shoreline Stabilization_20140620

Ch,r t5 �wnz -e,� hal�.Ser 2 0 1 4 0 6 2 9
State of North Carolina
Depar�nt s� %f nt and Natural Resources
vision of Water Resources
DWR
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
1650 Mail Service Center
Raleigh, NC 27699 -1650
JUN 2 0 2014
I. Applicant Information [15A NCAC 02H .0502(a)] _ WA
our
1. Owner Information Branch
Name: CHRIS GUNZENHAUSER
Mailing Address: 3650 ROSEBRIAR CIRCLE
WINSTON SALEM, NC 27106
Telephone Number: 336 - 414 -0792 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:
iittr): / /www.saw.usace.armv. mil / Portals /59 /dots /reRulatory /rep-docs /Permits /SAMPLE AGENT RUTH
ORIZATION FORM.pdf) must be attached if the Agent has signed this application form.
Name: CARISSA PARKER
Company Affiliation: BENNICK ENTERPRISES LLC
Mailing Address
Telephone Number
7836 HWY 70 E
NEBO NC 28761
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

01i(S
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 NEB
Subdivision name or site address (include phase /lot number) OLD WILDLIFE CLUB L61
669 DEER BERRY DR
Directions to site- please include road names and numbers, landmarks, etc
FROM MORGANTON TAKE HWY 126 / TR ON WILDLIFE RD / TR ON OLD WILDLIFE CLUB RD /
TL ON OLD WILDLIFE CLUB DR / TL ON GAMELANDS DR / TR ON HUNT CAMP DR / TL ON
DEER BERRY 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)-
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 5'
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/ Norma] Water Level in square feet or acres
2'X 160'= 320 SOFT
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 3'X 160'= 480 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)- 7 TREES LESS THAN 6"
AND 7 TREES GREATER THAN 6" WILL BE REMOVEDTO 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
Owner /Agent's Signature* [15A NCAC 02H 0502(f)] Date
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
Shoreline
La ke
At Ful[Tond
(Q,)g 0,1WOO
l� Go1
Ed
.:;
Please approximately sketch the following information on this plan (provide dimensions for each
item,, such Ds 10 ftx 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

CHRIS G',UNZENHAUSER
LAKE JAMES
OLD WILDLIFE CLUB / 61
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.
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Chris Gunzenhauser OWC 61
'Chris Gunzenhauser
Old Wildlife Club lot 61
)eer Berry Rd
Idle: 35.74867 N
Rude: 81.92631 W
Pisgah National Forest
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1 -5

Chris Gunzenhauser
Old Wildlife Club lot 61